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This procedure has been performed in Mexico, Central America, Africa, and India has experienced its fair share of backlash due to the unwanted effects some have experienced after undergoing the surgery. In 2018, the United States FDA approved its first ever prosthetic iris: the CustomFlex Artificial Iris, intended to focus on individuals needing the procedure for medical purposes as opposed to purely cosmetic causes.

The surgery is not currently legal or recommended in the United States. US citizens travel to countries such as Mexico, Panama, and India to undergo the procedure. In many cases, it is marketed as a simple surgery, similar to cataract removal. The complications and risks are downplayed giving interested parties a false sense of security.

"This is inaccurate as well as misleading," says ophthalmologist James Tsai, M.D., a clinical spokesperson for the American Academy of Oph...