title: Complications and management of cosmetic anterior chamber iris implants.
abstract: OBJECTIVE
  To report the management of complications due to cosmetic iris implantation.
  
  
  METHODS
  Interventional case report.
  
  
  METHODS
  A 27-year-old female underwent bilateral anterior chamber NewColorIris implants in Panama to cosmetically change her eye colour. Two weeks later she presented as an eye emergency in London with corneal decompensation, raised intraocular pressure and significantly reduced vision. Bilateral explantation was performed with good postoperative recovery.
  
  
  RESULTS
  Three months following explantation, visual acuity had normalized and intraocular pressure was within the normal range without medication.
  
  
  CONCLUSIONS
  Cosmetic iris implantation can lead to potentially sight threatening complications. This is the first case to be reported in the United Kingdom. There is a lack of published safety data and their cosmetic application should be cautioned against.
authors.affiliation: Ophthalmology Department, Imperial College Healthcare NHS Trust, Charing Cross Hospital, Fulham Palace Road, London, UK.
authors.forename: Sarah
authors.initials: S
authors.lastname: Hull
authors.forename: Hari
authors.initials: H
authors.lastname: Jayaram
authors.forename: Ali A
authors.initials: AA
authors.lastname: Mearza
mesh_terms: D000328:Adult; D000867:Anterior Chamber / Q000601:surgery*; D003316:Corneal Diseases / Q000209:etiology; D020878:Device Removal; D005128:Eye Diseases / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D005137:Eye, Artificial / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007498:Iris / Q000601:surgery*; D009798:Ocular Hypertension / Q000209:etiology; D013508:Ophthalmologic Surgical Procedures / Q000009:adverse effects*; D011184:Postoperative Period; D017797:Prosthesis Coloring; D012086:Reoperation; D013518:Surgery, Plastic / Q000009:adverse effects*; D014786:Vision Disorders / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D014792:Visual Acuity