Serious complications of cosmetic NewColorIris implantation
Version of Record online: 2 JUN 2009
© 2009 The Authors. Journal compilation © 2009 Acta Ophthalmol
Volume 88, Issue 6, pages 700–704, September 2010
How to Cite
Anderson, J. E., Grippo, T. M., Sbeity, Z. and Ritch, R. (2010), Serious complications of cosmetic NewColorIris implantation. Acta Ophthalmologica, 88: 700–704. doi: 10.1111/j.1755-3768.2008.01499.x
- Issue online: 27 AUG 2010
- Version of Record online: 2 JUN 2009
- Received on June 10th, 2008. Accepted on November 5th, 2008.
- cosmetic surgery;
Acta Ophthalmol. 2010: 88: 700–704
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.