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Abstract #60154 Published in IGR 16-4
Surgical technique for explantation of cosmetic anterior chamber iris implants
Arjmand P; Gooi P; Ahmed IIJournal of Cataract and Refractive Surgery 2015; 41: 18-22
The Newcoloriris is a silicone implant for cosmetic alteration of iris color. Implantation is associated with significant ocular complications of decreased vision, glaucoma, and corneal edema. Although removal of the implant also entails risks, it is ultimately necessary to preserve vision. We describe a technique for removing the implant that may also reduce intraoperative complications. The implant is explanted using a bimanual technique with small incisions in 3 sections via a "slicing-the-pie" technique using iris microforceps, microscissors, and microinstrumentation. Our patient required removal 5 years after implantation, which is the longest reported interval in the literature. This suggests that as long as these implants are present, ocular structures are at risk. FINANCIAL DISCLOSURE: No author has a financial or proprietary interest in any material or method mentioned.
From the Department of Ophthalmology (Arjmand), University of Ottawa, Ottawa; the Department of Ophthalmology and Vision Sciences (Gooi, Ahmed), University of Toronto, Toronto; Trillium Health Partners (Ahmed) and Credit Valley EyeCare (Ahmed), Mississauga, Ontario, Canada.
Full articleClassification:
9.4.11 Glaucomas following intraocular surgery (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)
9.4.11.2 Glaucomas in aphakia and pseudophakia (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.11 Glaucomas following intraocular surgery)