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Updated: Jun 4, 2026
05:22
Iris Fixation via External Pentagram Suturing
Published on: May 5, 2022
[Complications after cosmetic iris implantation].
N J Jonsson1, M C Sahlmüller, P C Ruokonen
1Klinik für Augenheilkunde, Charité - Universitätsmedizin Berlin, Deutschland. nj.jonsson@gmail.com
Summary
Cosmetic iris implants can cause severe vision problems, including optic nerve damage and cataracts. Early removal is often necessary to prevent permanent vision loss from elevated intraocular pressure (IOP).
Area of Science:
- Ophthalmology
- Ophthalmic Surgery
Background:
- Cosmetic iris implants, used since 2004 to alter eye color, involve implanting silicone diaphragms into the anterior chamber.
- Limited data exists on the long-term side effects and potential complications associated with these cosmetic procedures.
Observation:
- A 37-year-old patient developed significant ocular complications five months after cosmetic iris implant surgery.
- The patient presented with optic nerve damage secondary to elevated intraocular pressure (IOP), nuclear opacity in both lenses, and a reduced number of corneal endothelial cells.
Findings:
- Recurrent IOP elevation, despite maximal glaucoma therapy, necessitated the explantation of the iris implants.
- Histopathological examination revealed damage to the trabecular meshwork, confirming a direct link to the implants.
Implications:
- The observed ocular complications, including trabecular meshwork damage, lens opacity, and endothelial cell loss, are permanent.
- These permanent changes increase the risk of future complications such as corneal decompensation and progressive glaucoma, highlighting the risks of cosmetic iris implantation.
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