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Chapter-22 Cosmetic Iris Implant Complications: Managed by Triple Procedure of Cataract, SPFT Pupilloplasty and PDEK

BOOK TITLE: Pre-Descemet’s Endothelial Keratoplasty (PDEK)

Author
1. Agarwal Amar
2. Narang Priya
ISBN
9789352703036
DOI
10.5005/jp/books/14154_23
Edition
1/e
Publishing Year
2018
Pages
9
Author Affiliations
1. Dr. Agarwal’s Group of Eye Hospitals Chennai, India, Dr Agarwal’s Group of Eye Hospitals and Eye Research Centre, 19 Cathedral Road Chennai, Tamil Nadu, India, Dr Agarwal’s Eye Hospital, 9, Cathedral Road, C,hennai, India, Dr Agarwal’s Eye Institute, 13 Cathedral Road, Chennai, India, Dr. Agarwal’s Eye Hospital, 19 Cathedral Road, Chennai, India, 15 Eagle Street, Langford Town Bangalore, India, Villa No. 2, Roundhouse 3, Al Wasl Road, Dubai PB 9168, Dubai, Dr. Agarwal’s Eye Hospital, 19 Cathedral Road, Chennai, India, 15 Eagle Street, Langford Town Bangalore, India, Villa No. 2, Roundhouse 3, Al Wasl Road, Dubai PB, Dubai, Dr Agarwal’s Group of Eye Hospitals, and Eye Research Centre, Chennai, India., Dr. Agarwal’s group of eye hospitals at Chennai, Bangalore, Jaipur, Salem and Trichy, India, Dr. Agarwal’s Eye Hospital, 19, Cathedral Road, Chennai-600086, India, Dr Agarwal’s Group of Eye Hospitals and Eye Research Centre 19, Cathedral Road, Chennai - 600 086, India, Dr Agarwal’s Group of
2. Narang Eye Clinic, Ahmedabad (India), Narang Eye Clinic, Ahmedabad, India, M and I Institute of Ophthalmology, Ahmedabad, Narang Eye Hospital, Ahmedabad, Gujarat, India, Narang Eye Hospital Ahmedabad, Gujarat, India, Narang Eye Care and Laser Center, Ahmedabad, Gujarat, India
Chapter keywords
Intraocular pressure, IOP, cosmetic iris implant, SPFT pupilloplasty, pre-Descemet’s endothelial keratoplasty, trocar-anterior chamber maintainer, T-ACM

Abstract

This chapter discusses on management of cosmetic iris implant complications by triple procedure of cataract, single-pass four-throw (SPFT) pupilloplasty, and pre-Descemet’s endothelial keratoplasty (PDEK). Anterior chamber angle supported iris implants were first described in 2004 for the treatment of oculocutaneous syndrome. Subsequently, these artificial implants were marketed for iris color change in normal individuals solely for the purpose of cosmetic appearance. These implants were made of silicon and were available in single size with 15 mm diameter. Several theories have been cited for the damage caused by these implants, the common reasoning being that as the peripheral edges of the implants are mounted in the anterior chamber angle they lead to constant friction and mechanical trauma to the corneal endothelium and the angle structures. This leads to pigment dispersion and development of peripheral anterior synechias that eventually leads to raised intraocular pressure (IOP) and development of glaucoma.

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