Eye Color Change Surgeries: Why They’re More Dangerous Than You Think

The Dangerous Trend of Eye Color Change Surgeries: An Expert’s Warning

In the pursuit of beauty, people often push the boundaries of what's considered acceptable in terms of cosmetic procedures. Whether it's fat injections, veneers for perfect teeth, or scalp reduction surgeries for baldness, the world of aesthetic enhancement knows no bounds. However, in recent years, an alarming trend has emerged that could have life-altering consequences: surgeries to permanently change the color of the eyes.


Eye color change surgeries, which include procedures like implants, laser depigmentation, and keratopigmentation, are being promoted as an opportunity for people to achieve their ideal look. While these surgeries promise to deliver dramatic and lasting results, they come with significant risks, including potential blindness.

As a doctor, I’ve seen firsthand the dangers of these unregulated procedures. Eye color change surgery, a procedure that was once reserved for medical conditions, is now being performed as a cosmetic option—often with severe consequences. Below, we’ll dive into the science of the eye, the specifics of these procedures, and the dangerous complications that can arise from them.

The Anatomy of the Eye: Why Eye Color is More Than Just Aesthetic

Before we explore the risks of these procedures, it's essential to understand the complexity of the eye itself. The iris, the colored part of the eye, plays an essential role in vision. It’s made up of two distinct layers of smooth muscle that control the size of the pupil, regulating how much light enters the eye. This process is critical in protecting the delicate receptors in the retina from damage due to excessive light exposure.

Moreover, the color of the iris is determined by melanin, the pigment responsible for the color of your skin, hair, and eyes. The amount and distribution of melanin in the two layers of the iris dictate your eye color. People with darker eyes, such as brown, have more melanin in both layers. Conversely, people with lighter eyes, such as blue or grey, have significantly less melanin.

This simple fact is critical because changing the color of the iris goes beyond superficial appearance—it involves manipulating the delicate structures that control light exposure and protect the retina. With that in mind, let’s explore some of the most common methods people use to change their eye color.

The Procedures: What Are People Doing to Change Their Eye Color?

1. Keratopigmentation (Scleral Tattooing):
Keratopigmentation is one of the most common eye color change procedures. In this surgery, small incisions are made in the cornea (the transparent outer layer of the eye), and pigments are injected to change the color of the iris. Historically, pigments such as soot were used, but now more modern pigments are being trialed. This procedure is permanent, but it carries significant risks, especially because the cornea is vital to the eye's transparency and overall function.

2. Laser Depigmentation:
Laser depigmentation is a procedure where a laser is used to remove the pigment from the iris. This technique can turn brown eyes into blue or grey by destroying the pigment-producing cells in the iris. However, this method has one major limitation—it only works to lighten eyes, not darken them. More importantly, it poses several risks, including permanent vision problems such as glare, light sensitivity, and even permanent blindness.

3. Silicone Implants:
A particularly alarming form of eye color change surgery involves inserting silicone implants into the iris. These implants are typically used for cosmetic purposes, but they can cause major complications. There have been multiple reports of patients suffering from severe consequences, including the loss of up to 80% of their vision and even the complete loss of eyesight. Silicone implants can lead to increased pressure in the eye, potentially causing glaucoma and damaging the optic nerve, which controls vision.

The Risks and Complications: Is It Worth It?

While these procedures may seem appealing to some, the risks associated with altering the color of your eyes are severe. Below are some of the most common complications:

1. Infections
Eye surgeries, especially those involving the cornea or iris, increase the risk of infections. The eye is a sensitive organ, and even minor infections can lead to significant, long-term damage. Infection following keratopigmentation or laser depigmentation can lead to corneal scarring, vision loss, and permanent damage to the eye.

2. Glaucoma
Both keratopigmentation and silicone implant surgeries carry a risk of increased intraocular pressure (IOP), which can lead to glaucoma. Glaucoma is a condition where the pressure inside the eye damages the optic nerve, which transmits visual information to the brain. If left untreated, glaucoma can lead to irreversible blindness.

3. Cataracts
Another potential complication is cataract formation. Cataracts occur when the lens of the eye becomes cloudy, impairing vision. Cataracts are more common in older adults but can be accelerated by surgeries involving the iris, particularly those that damage the corneal layers.

4. Retinal Damage
The retina is the part of the eye responsible for sending visual information to the brain. Any procedure that disrupts the iris or the cornea can increase the risk of retinal damage, particularly if there is a significant change in eye pressure or if the eye is exposed to high-intensity lasers.

5. Blindness
The most severe risk of these surgeries is complete blindness. Procedures that alter the iris and cornea can result in a range of complications, including optic nerve damage, retinal detachment, and irreversible vision loss.

6. Other Vision Changes
Patients who undergo these surgeries often report experiencing significant changes in their vision, such as reduced contrast sensitivity, halos around lights, and an increase in glare. These issues can make it difficult to perform everyday activities, especially driving at night.

Why Are People Choosing This Risky Trend?

The desire to have unique eye colors is not new. For centuries, people have used cosmetics, contacts, and even surgery to alter their appearance. However, what makes eye color change surgeries so dangerous is the irreversible nature of the procedures and the high risks involved. Some people are driven by cosmetic desires, while others may see it as an enhancement to their personal identity or image. Social media and influencer culture have also fueled the desire for “perfect” physical attributes, including eye color, contributing to the rise of these dangerous procedures.

Unfortunately, the allure of instant, dramatic results overshadows the long-term consequences that could follow. It's essential to remember that the cosmetic changes we pursue should never come at the cost of our health.

The Safe Alternatives: Cosmetic Contact Lenses

For those who wish to change their eye color temporarily and safely, coloured contact lenses are the best option. With prescription lenses available, individuals can achieve a new eye color without the need for invasive surgery. Unlike eye color change surgeries, contact lenses come with minimal risks, as long as they are properly fitted and maintained.

The Bottom Line: Proceed with Caution

While the desire to change one’s eye color is understandable, it’s crucial to weigh the risks against the rewards. The procedures used to alter eye color may be tempting, but they come with significant risks, including potential vision loss. Eye surgery, especially cosmetic eye surgery, should never be taken lightly. There is a good reason that altering the eye's structure is usually reserved for medical purposes, such as treating cataracts or correcting certain types of damage.

If you are considering changing the color of your eyes, it is important to seek professional advice and carefully consider whether the short-term aesthetic change is worth the risk of permanent damage to your vision.