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Abstract #47735 Published in IGR 13-4
Complications after cosmetic iris implantation
Jonsson NJ; Sahlmuller MC; Ruokonen PC; Torun N; Rieck POphthalmologe 2011; 108: 455-458
We report the case of a 37-year-old patient with ocular complications associated with the implantation of cosmetic iris implants. Implantation of silicone iris implants for the purpose of changing iris colour has been performed since 2004. Diaphragms are implanted in the anterior chamber. Up to now only little information exists about side effects of this method. In the literature severe ocular complications shortly after cosmetic iris implantation are reported in single cases. In our case 5 months after surgery optic nerve damage caused by elevated intraocular pressure (IOP) was diagnosed. Nuclear opacity of both lenses and a decreased number of corneal endothelial cells were observed at the first visit. Because of recurrent IOP elevation despite maximum antiglaucoma therapy, explantation of the iris implants was required. Damage to the trabecular meshwork, opacity of the lenses as well as the reduced number of endothelial cells are permanent and will probably lead to further complications like corneal decompensation and progressing glaucoma. (copyright) 2011 Springer-Verlag.
N. J. Jonsson. Klinik fur Augenheilkunde, Charite - Universitatsmedizin Berlin, Campus Virchow-Klinikum, Berlin, Germany. Email: nj.jonsson@gmail.com
Classification:
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
