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Serious complications of cosmetic NewColorIris implantation
Author(s) -
Anderson Justin E.,
Grippo Tomas M.,
Sbeity Zaher,
Ritch Robert
Publication year - 2010
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2008.01499.x
Subject(s) - medicine , bullous keratopathy , implant , trabeculectomy , ophthalmology , corneal endothelium , glaucoma , intraocular pressure , trabecular meshwork , surgery , visual acuity , iris (biosensor) , glaucoma surgery , keratoprosthesis , cornea , computer security , computer science , biometrics
Acta Ophthalmol. 2010: 88: 700–704 Abstract. Purpose: This case report describes serious postoperative complications and markedly elevated intraocular pressure (IOP) associated with the NewColorIris cosmetic implant. Methods: We report an interventional case series of two patients who suffered multiple complications after NewColorIris implantation carried out in Panama. Assessment included visual acuity, photography, endothelial cell count and anterior segment optical coherence tomography (OCT) when possible. Results: Both patients presented with endothelial cell loss, uveitis, pigment dispersion and elevated IOP. Anterior segment OCT demonstrated irregularities in the position and configuration of the implants within the anterior chamber with resultant areas of implant–iris and implant–endothelial contact. One patient had acute postoperative hyphaema that resolved with anterior chamber tissue plasminogen activator injection. Both patients required explantation OU, one eye has required trabeculectomy, and one eye with bullous keratopathy is being evaluated for Descemet’s stripping endothelial keratoplasty. Conclusions: Implantation of the NewColorIris cosmetic implant can lead to serious complications including hyphaema, uncontrolled IOP, severe endothelial cell loss, bullous keratopathy and anterior uveitis. Explantation may lead to improvement, but permanent damage to the trabecular meshwork and corneal endothelium persists.