Anterior segment reconstruction: when one structure isn't the only problem.
Complex cases where the cornea, iris, and lens have all been damaged need a surgeon who handles all three at the same table. Dr. Shaarawy combines DALK / DMEK with iris repair, artificial iris, and secondary IOL implantation, often in a single combined session, for trauma, prior failed surgery, and aniridia patients.
Why choose us
International standard. Regional access.
Three sub-specialties, one surgeon
Cornea, iris, and lens, all handled in one OR visit. Most centers send you to three different specialists.
Devers-trained on complex anterior segment
Fellowship at Devers Eye Institute (Portland, OR) included rotations on combined surgery cases.
Genuine HumanOptics artificial iris
We use original HumanOptics CustomFlex Artificial Iris (CE-marked, FDA-approved). Each iris is photographed and color-matched to your other eye.
Published technique innovations
Smart Splash and Graft Exchange DALK techniques were developed for these complex revision cases.
Procedures & pricing
Transparent USD pricing.
Final cost is set after clinical examination. Local-currency equivalents available on request. Insurance reports issued for international patients.
| Procedure | Best for | From (USD) |
|---|---|---|
| Iris repair (suturing) | For traumatic iris defects | $800 - $1,500 |
| Artificial iris implant | Customized prosthetic iris (HumanOptics) | $5,000 - $8,000 |
| Secondary IOL (sutured / scleral fixation) | When the lens capsule is damaged | $1,800 - $3,000 |
| Combined cornea + iris + IOL | Single-session triple procedure | $6,000 - $10,000 |
Common questions
Frequently asked.
Can iris and cornea repair be done in one session?
How long is the recovery?
What about trauma cases: is there a time window?
Send your case file. Complex cases get same-day review.
Trauma and revision cases are reviewed personally by Dr. Shaarawy. Send your topography, OCT, and prior op notes. We respond within 24 hours with a treatment plan and the all-in cost.
Medical references
- Ang M, Tan D. "Anterior segment reconstruction with artificial iris and Descemet membrane endothelial keratoplasty: a staged surgical approach." Br J Ophthalmol. 2022;106(7):908-913. PMID: 33637621. Retrospective series of five complex eyes with corneal decompensation, reconstructed in stages with the artificial iris secured before DMEK.
- Dr. Ahmed Shaarawy: 20+ years of corneal and refractive surgery, Devers Eye Institute fellowship (Portland, Oregon), two surgical techniques published in the AAO video series. This clinic publishes no audited outcome series, so no figure on this page is a measurement of its own patients.