• Medicine · Mar 2024

    Case Reports

    Bilateral total iris atrophy, corneal decompensation and glaucoma following bilateral cosmetic artificial iris implantation: A case report of severe sequela and successful management.

    • Wisam Shihadeh, Abdelwahab Aleshawi, Yara Aburamadan, and Mohammed Al-Shalakhti.
    • Division of Ophthalmology, Department of Special Surgery, Faculty of Medicine Jordan University of Science and Technology, Irbid, Jordan.
    • Medicine (Baltimore). 2024 Mar 22; 103 (12): e37457e37457.

    PurposeCosmetic iris implants have a record of high ocular complications and are no longer in use. These complications include glaucoma, corneal decompensation, iris atrophy, uveitis, cataract and retinal detachment.Case PresentationWe report a case of a 44-year-old lady presented with bilateral total iris atrophy, glaucoma and corneal decompensation after cosmetic artificial iris implantation. The patient underwent bilateral artificial iris removal, glaucoma drainage device for the right eye, and micropulse laser for the left eye. In addition, she underwent phacoemulsification with iris-diaphragm intraocular lens implant for the right. The cornea of the right eye ended up with successful Boston keratoprosthesis after rejection of previous 2 grafts.ConclusionsTo the best of our knowledge, we describe the first report of bilateral total iris atrophy following a cosmetic iris implant accompanied by bilateral glaucoma and corneal decompensation.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

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