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Thread: I-Brite

  1. #1

    I-Brite

    I am an MD/PhD ophthalmologist and cornea specialist. I have not seen the I-brite procedure conducted, nor have I done it myself. I did see a patient who had I-brite procedure done 4 months prior and came into my clinic with a scleral melt (ie. the surface of the eye is breaking down). Scleral melt is a severe condition and can lead to blindness and loss of the eyeball. In talking to my other colleagues, they reported also having seen patients who had had severe complications after I-brite. I do not know the rate of complications (number of complications versus number of procedures performed) and I know that these are anecdotal reports only, but I do think it represents that there can be significant risk from this procedure.

    In reading the forums, one person said that theye were worried that if they did not have the I-brite procedure, they would spend the rest of their life wondering how their life might have been if they had clear eyes. They felt there was no risk except living without clear eyes. There is a risk of blindness with any eye surgery and using mitomycin C (which I believe is used in the I-brite procedure) carries a risk of scleral melt. The literature of mitomycin C use (in glaucoma, pterygium, and refractive surgery) indicates that it has risk of scleral melt, so I do think that what we have seen in our clinic does represent a complication of this procedure. Please be informed about risk prior to considering any surgical approach.

  2. #2
    Join Date
    Dec 2009
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    London UK
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    EyeMD, Thank you so much for warning people, that was long overdue informed good advice here and truly kind and considerate of you ~ you are very welcome indeed
    Paediatric ocular rosacea ~ primum non nocere

  3. #3
    Join Date
    Apr 2011
    Location
    Pacific NW, USA
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    Ditto LittleMermaid. Thank you so much for posting. It can be tough having a chronic disease that leaves a noticeable mark (red eyes) and I think, particularly, for those who are just learning about their disease and learning to accept and feel comfortable, this type of procedure is very tempting. The websites wax on about how great it is but the risks aren't well known or reported since it's not a common procedure, like Lasik. Thank you for providing another perspective, one that isn't based on slick marketing but, medical experience.

  4. #4
    Look at this latest research on cosmetic conjunctivectomy with MMC +/- bevacizumab

    http://www.ncbi.nlm.nih.gov/pubmed/23570698

    If you download the actual article, it talks about a 60% complication rate of all sorts of things including fibrovascular proliferations, scleral thinning, pigmentation, dry eyes, etc.

    My question, is there a safe way to do a cosmetic procedure like this? I've wonder this and some opthalmologists use AMT or autograft tissue and avoid the post-op MMC altogether. But those surgeries do not have reported outcomes/studies.

  5. #5
    Join Date
    Dec 2011
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    Quote Originally Posted by littlemermaid View Post
    EyeMD, Thank you so much for warning people, that was long overdue informed good advice here and truly kind and considerate of you ~ you are very welcome indeed
    I second that! Too many medical professionals are putting patients in harms way for profit or experimentation, so glad to hear that good professionals, especially opthamologists still exist. Always do your own research people, get second and third opinions etc... before any type of medical treatment or drug use. I remember a few doctors and opthamologists being harsh in the past and looking back some did me a huge favour because they were protecting me from more harm and sometimes we all need a good telling off!

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