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    Cosmetic iris implants dubbed ‘public safety hazard’

     

    “Most disheartening, however, is that a small percentage of implant patients refuse explantation despite uncontrolled IOP, iritis, and diminishing vision,” he said.

    In another case series of 12 patients with the BrightOcular implanted, four of 12 refused removal, even though they had uncontrolled uveitis or IOP in the 40s.

    “When they show up in your office, their chief complaint is that they’ve run out of drops,” he said. “Do not hesitate to tell your patients how dangerous these are.”

    Explanting the devices

    There are different reported techniques to describe how to explant these silicone prostheses, Dr. Raviv said.

    Most techniques involve cutting the implant into three pieces, but Dr. Raviv prefers a one-cut removal technique using a 23-gauge micro-grasper and micro-scissors to make a single radiant cut into the implant close to the corneal entry.

    Then, Dr. Raviv advised removing the implant with “copious amounts of ophthalmic viscosurgical device and a really gentle I/A. Be in the eye as little as possible.”

    “These unapproved, unstudied cosmetic iris implants are a public safety hazard,” he said, yet they continue to be promoted and implanted unabated in less-regulated countries.

    “Our national implant societies need to publish a joint, unambiguous, public health warning about these implants,” Dr. Stein said. “The lay press needs to be corrected about the dangers these implants pose rather than continuing to label them ‘controversial.’ We need to officially condemn them.”

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