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Removal of artificial iris implants due to bilateral angle-closure glaucoma and corneal decompensation

Poster Details

First Author: S.Malik UK

Co Author(s):    A. Ghauri   R. Al-Mousa   R. Robinson   G. Smith     

Abstract Details



Purpose:

We describe the management of a 38 year old male retired police officer, who presented to eye casualty with loss of vision in the left eye and episodes of intermittent angle closure in the right eye. His intraocular pressures were 54 in the right eye and 68 in the left eye. He had undergone cosmetic artificial iris insertion to both eyes two years ago in Turkey. His original brown irides were visible beneath the artificial blue ones and appeared to be fixed. His anterior chambers were shallow. In addition, the implants were rubbing on the corneal endothelium. He had left corneal oedema with bullae. Both eyes had closed angles. He was initially treated medically for raised intraocular pressure. We describe the surgical removal of the implants.

Setting:

Removal of artificial iris implants due to bilateral angle closure glaucoma and corneal decompensation.

Methods:

Single case report

Results:

A superior corneal incision and an inferior port were made. Viscodissection of the artificial iris was done using viscoat between the iris implant and the natural iris. The implant was cut in half, using vitreoretinal scissors. It then curled on itself and could be removed using fine forceps, through the superior incision. The patient has been informed that he will possibly need glaucoma surgery in future.

Conclusions:

Artificial iris implants are only recommended for medical reasons, such as aniridia. They are not approved for cosmetic purposes. FINANCIAL INTEREST: NONE

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