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Five-slice technique for the explantation of complicated BrightOcular© cosmetic iris implants

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Abstract

Purpose

Our purpose is to describe a safe and easy technique for the removal of the BrightOcular cosmetic iris implants. Our technique involves cutting the implant into five parts rather than removal as a whole with less intraocular manipulation and no rotation of the implant.

Methods

We have used this technique in two eyes of a 28-year-old patient who presented to us with progressive drop of vision and acute attacks of ocular pain. Best-corrected distance visual acuity (BCVA) was found to be 6/18 and 6/9 on Snellen chart in her right and left eyes, respectively. Intraocular pressure was 40 mmHg and 20 mmHg in the right and left eyes, respectively, with visual field and retinal nerve fiber layer changes in the right eye.

Results

After removal of both implants, 1-week post-operative BCVA improved to 6/6 bilaterally. After 3 months of regular follow-ups, IOP remains uncontrolled in the right eye despite medical treatment, and surgical intervention is planned.

Conclusion

Our five-slice technique for removal of iris implants can be done effectively through a small corneal wound thus avoiding most wound-related problems. Our technique also includes no rotation or excessive manipulation inside the anterior chamber and can be carried out easily and safely with both the NewColorIris and BrightOcular implant designs.

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Availability of data and materials

All data and material are available for confirmation and review.

Abbreviations

PID:

Prosthetic iris device

FDA:

Food and drug association

IOL:

Intraocular lens

OVD:

Ophthalmic viscosurgical device

Mm:

Millimeter

G:

Gauge

AC:

Anterior chamber

BCVA:

Best-corrected distance visual acuity

RNFL:

Retinal nerve fiber layer

IOP:

Intraocular pressure

References

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Funding

This study did not receive any financial support or funding from any private or governmental institutions.

Author information

Authors and Affiliations

  1. Shalash LASIK and Eye Care Center, Cairo, Egypt

    Ahmed Shalash

  2. Platinum Eye Clinics, Cairo, Egypt

    Mohamed El Bahrawy

  3. Watany Research and Development Center (WRDC), Cairo, Egypt

    Mohamed El Bahrawy

  4. Maadi Lasik and Eye Care Center, 69 road 9, Maadi, Cairo, Egypt

    Ahmed Shalash

Authors
  1. Ahmed Shalash
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  2. Mohamed El Bahrawy
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Contributions

AS contributed to concept, method creation and development, and manuscript. ME contributed to study design, manuscript, and review.

Corresponding author

Correspondence to Ahmed Shalash.

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Conflict of interest

None of the authors has any financial conflict of interest.

Ethics approval and consent to participate

Ethics committee approval was obtained from the Watany Research and Development Center (WRDC), and the study was conducted under the GCP-ICH guidelines, under the declaration of Helsinki.

Consent for publication

A full written consent for use of patient data was completed by all the subjects of the study, including the use of photographs of the patients’ eyes, copies of investigations performed before and after the surgical procedure and video recording for teaching and learning purposes. A full explanation of the nature of the procedures and interventions was done, including possible adverse effects and complications.

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Electronic supplementary material

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Stepwise description of our five slice technique for removal of cosmetic iris implants. (MP4 111764 kb)

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Shalash, A., El Bahrawy, M. Five-slice technique for the explantation of complicated BrightOcular© cosmetic iris implants. Int Ophthalmol 40, 1565–1570 (2020). https://doi.org/10.1007/s10792-020-01328-1

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  • DOI: https://doi.org/10.1007/s10792-020-01328-1

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