Cosmetic iris prosthesis and severe visual loss

Abstract

We report a case of a 39-year-old male who presented with bilateral severe diminution of vision, raised intraocular pressures despite maximal therapy, and corneal edema with endothelial decompensation six years following cosmetic iris prosthesis implantation. Right eye had progressed to glaucomatous optic atrophy, while the left eye showed advanced glaucomatous damage. The patient underwent iris implant removal with Ahmed glaucoma valve implantation in the left eye to achieve adequate control of the intraocular pressures. This case report highlights the dangers and risk of serious vision-threatening complications associated with these implants. Patients must be made aware of the possible complications, and their use should be discouraged in normal eyes.

Glaucoma secondary to cosmetic iris implants in congenital iris coloboma

“…11 Dayal et al described secondary glaucoma requiring Ahmed valve placement and implant explantation 6 years after bilateral BrightOcular implantation; the fellow eye already had progressed to blindness at the time of presentation. 12 Another report presented a case of angle closure after BrightOcular implantation; however, the patient was effectively treated with medical therapy. 13 By contrast, our patient required surgery to manage the IOP elevation after failing maximal medical therapy alone.…”