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BrightOcular® Cosmetic Iris Implant: A Spectrum from Tolerability to Severe Morbidity
Mona K Koaik1, Ahmad M Mansour1,2, Alain Saad1,3
1Department of Ophthalmology, American University of Beirut, Beirut, Lebanon.
Purpose:
The BrightOcular® implants are the newest model of cosmetic iris devices that are currently advertised as safe. The previous generation known as NewColorIris® have had severe ocular side effects and were subsequently withdrawn from the market. There is little literature on the safety profile of BrightOcular® implants.
Case Report:
Herein we describe two cases with varying degrees of ocular tolerability. The first case had a normal ocular exam 1 year after implantation, whereas the second case had unilateral severe corneal edema requiring explantation of the iris device and Descemet membrane endothelial keratoplasty 9 months after bilateral implantation.
Conclusions:
These two cases attest to the unpredictability of the results of these cosmetic surgeries. Patients should be counseled about the vision-threatening complications of iris implants.
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