Extraocular implant

Heart shaped
"Extraocular Implant"

It is of all times for people to wear jewelry. Earrings, make-up and more recently tattoos and piercings are accepted forms of body cosmetics. Surprisingly, no jewelry is available for the organ that is most important in social interactions, the eye.

Surgical technique

In 2002 the Netherlands Institute for Innovative Ocular Surgery developed a cosmetic extraocular implant (CEI) that can be implanted within the superficial, interpalpebral conjunctiva. The implant does not interfere with the ocular functions, ie the visual performance and motility. The CEI is made of a specially designed material that can be molded in all kinds of desired shapes and sizes.

• The eye is anesthesized with routine eye-drop anesthesia medication.
• The eye is decontaminated and draped with routine techniques used in ocular s surgery.
• An INTRAconjunctival bleb is created by injection of BSS in the most superficial conjunctival layer. The bleb may be positioned adjacent to the temporal limbus.
• With conjunctival scissors, the bleb is opened and a superficial intraconjunctival tunnel is made.
• The tunnel is checked to determine if it is wide enough to accomodate the CEI implantation device.
• The CEI is then loaded into the CEI implantation device, and the device is inserted into the tunnel up to the desired final position of the CEI.
• Using a routine fine-forceps, the CEI is removed from the CEI implantation device and the CEI implantation device is withdrawn from the conjunctival tunnel.
• With a spounge, all excess BSS is removed from the implantation area.
• At the end of the procedure, antibiotic drops are applied onto the eye.
• Postoperative management includes antibiotic eyedrops for 1-2 week(s).

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The CEI is called 'JewelEye' and is manufactured and distributed by Hippocratech b.v., Rotterdam, The Netherlands. The 'JewelEye' available in the following shapes:

• Heart
• Star
• Eurosign
• Four-leaved clover
• Music note
• Other shapes on request

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