title: Iritis, glaucoma and corneal decompensation associated with BrightOcular cosmetic iris implant.
abstract: NewColorIris cosmetic iris implants have a record of high ocular morbidity and are no longer in use. Newer generation of iris implants, BrightOcular, have patented posterior grooves in order to decrease iris touch and facilitate aqueous flow around the implant. However, little is known about their safety despite their implantations in 10 countries.
  
  
  
  Collaborative case series of patients who had bilateral implantation of cosmetic iris implants solely for cosmetic reasons.
  
  
  
  12 cases were collected being distributed as Caucasian (10) and Asian (2), women (11) and man (1) and with a mean age of 32 years. Ocular manifestations were present in 11 subjects and included anterior uveitis (10 of 12; 83.3%), glaucoma (7 of 12; 58.3%) and corneal decompensation (6 of 12; 50%). Visual acuity was normal in seven, decreased in five with two having visual recovery following explantation of the implant. Glaucoma could not be controlled medically in two patients.
  
  
  
  Cosmetic iris implants carry the risk of ocular damage when implanted in the anterior chamber of normal phakic eyes.
authors.affiliation: Department of Ophthalmology, American University of Beirut, Beirut, Lebanon Department of Ophthalmology, Rafic Hariri University Hospital, Beirut, Lebanon.
authors.forename: Ahmad M
authors.initials: AM
authors.lastname: Mansour
authors.affiliation: Department of Ophthalmology, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Iqbal Ike K
authors.initials: II
authors.lastname: Ahmed
authors.affiliation: Department of Ophthalmology, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Brennan
authors.initials: B
authors.lastname: Eadie
authors.affiliation: Department of Ophthalmology, Hotel Dieu de France, Beirut, Lebanon.
authors.forename: Elias
authors.initials: E
authors.lastname: Chelala
authors.affiliation: Department of Ophthalmology, American University of Beirut, Beirut, Lebanon.
authors.forename: Joanna S
authors.initials: JS
authors.lastname: Saade
authors.affiliation: The Laser Center, Houston, Texas, USA.
authors.forename: Stephen G
authors.initials: SG
authors.lastname: Slade
authors.affiliation: Department of Ophthalmology, Imperial College, London, UK.
authors.forename: Ali A
authors.initials: AA
authors.lastname: Mearza
authors.affiliation: Department of Ophthalmology, Whipps Cross University Hospital, London, UK.
authors.forename: Dipak
authors.initials: D
authors.lastname: Parmar
authors.affiliation: Department of Ophthalmology, Whipps Cross University Hospital, London, UK.
authors.forename: Marwan
authors.initials: M
authors.lastname: Ghabra
authors.affiliation: Department of Ophthalmology, Western Eye Hospital, London, UK.
authors.forename: Sheila
authors.initials: S
authors.lastname: Luk
authors.affiliation: Department of Ophthalmology and Visual Neurosciences, University of Minnesota, Minneapolis, Minnesota, USA.
authors.forename: Alla
authors.initials: A
authors.lastname: Kelly
authors.affiliation: Department of Ophthalmology and Visual Neurosciences, University of Minnesota, Minneapolis, Minnesota, USA Department of Ophthalmology, State University of New York Downstate, Brooklyn, New York, USA.
authors.forename: Stephen C
authors.initials: SC
authors.lastname: Kaufman
mesh_terms: D000328:Adult; D055954:Corneal Endothelial Cell Loss / Q000175:diagnosis / Q000209:etiology*; D020878:Device Removal; D005127:Eye Color; D005260:Female; D005901:Glaucoma / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007429:Intraocular Pressure; D007498:Iris / Q000601:surgery*; D007500:Iritis / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D011183:Postoperative Complications; D019736:Prostheses and Implants / Q000009:adverse effects*; D011475:Prosthesis Failure; D014792:Visual Acuity; D055815:Young Adult
keywords: Angle; Anterior chamber; Cornea; Cosmesis; Glaucoma