Juvenile Iridoschisis and Incomplete Plateau Iris Configuration

Chapman, Kristin; Demetriades, Anna M.

doi:10.1097/ijg.0000000000000161

Cited by 8 publications

(3 citation statements)

References 7 publications

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“…One series identified complete or partial angle closure in 12 consecutive patients with iridoschisis leading to the conclusion that symptomatic or subclinical intraocular pressure spikes were contributory to its development [ 1 ]. The association of iridoschisis and plateau iris syndrome has recently been described in a young patient [ 10 ]. Gonioscopy and Scheimpflug imaging excluded primary angle closure in our patient.…”

Section: Discussionmentioning

confidence: 99%

Iridoschisis and keratoconus in a patient with severe allergic eye disease and compulsive eye rubbing: a case report

Yusuf

Salmon

2016

J Med Case Reports

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BackgroundIridoschisis is a rare disorder characterized by splitting of the anterior and posterior iris stroma, resulting in disintegrated iris fibrils which float freely in the anterior chamber. We report an exceptional case of bilateral iridoschisis occurring in conjunction with keratoconus and severe allergic eye disease.Case presentationA 24-year-old white man had had periocular contact dermatitis and allergic eye disease from the age of 3 years. He was allergic to grass, animal hair, and pollen and worked grooming horses. He compulsively rubbed his eyes. There was no history of previous blunt trauma to either eye. There were signs of bilateral iridoschisis and keratoconus with allergic conjunctivitis, all of which were more severe in his right eye. An open drainage angle was identified bilaterally on gonioscopy, excluding primary angle closure. There was no evidence of glaucoma in either eye.ConclusionsThere are two previous cases reporting the combination of iridoschisis and keratoconus, but no clear common etiology has been identified. In this case there was no evidence of angle closure but there were signs of allergic conjunctivitis. This amalgamation of signs might be explained on the basis of habitual eye rubbing. Treating the allergic eye disease has attenuated this behavior.

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Section: Discussionmentioning

confidence: 99%

Iridoschisis and keratoconus in a patient with severe allergic eye disease and compulsive eye rubbing: a case report

Yusuf

Salmon

2016

J Med Case Reports

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“…According to the authors, elevated intraocular pressure might be the main precipitating factor for the development of NAION in their patient [ 26 ]. Iridoschisis can also coexist with plateau iris configuration [ 28 , 43 ]. We also found one case report on juvenile iridoschisis with incomplete plateau iris configuration and without evidence of glaucoma [ 27 ].…”

Section: Glaucoma and Other Associated Ocular Pathologiesmentioning

confidence: 99%

Iridoschisis—A Systematic Review

Pieklarz

Grochowski

Saeed

et al. 2020

JCM

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Iridoschisis is a rare condition defined as a separation of the anterior iris stroma from the posterior stroma and muscle layers. In this paper, we review current data about the epidemiology, pathophysiology, clinical characteristics and differential diagnoses of this condition and discuss the specificity of surgical treatment of concomitant ocular diseases in iridoschisis patients. Iridoschisis may pose a challenge for both an ophthalmologist in an outpatient setting and an ophthalmic surgeon. Glaucoma, primarily angle-closure glaucoma, is the most often described condition concomitant to iridoschisis. Other ocular abnormalities found relatively often in iridoschisis patients include cataract, lens subluxation and corneal abnormalities. Special attention has been paid to potential complications of cataract surgery and prevention thereof. Beside addressing the practical aspects, we point to discrepancies and suggest topics for further investigation.

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“…Iridoschisis was first described by Schmitt in 1922, 1 and encompasses the detachment of the anterior and posterior iris leaf. Etiology and pathogenesis are not clearly defined, but iridoschisis is often associated with angle closure glaucoma, 2,3 endothelial cell loss, 4 cataract, and rarely keratoconus. 5–8 It is not very clear if those are related conditions with linked pathogenesis or complications of the iridoschisis itself.…”

Section: Introductionmentioning

confidence: 99%

Massive iridoschisis after penetrating keratoplasty successfully managed with nd:Yag punctures: A case report

Petrović

Kymionis

2019

European Journal of Ophthalmology

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Background: To describe the successful management of a massive iridoschisis after penetrating keratoplasty for keratoconus, using the nd:YAG punctures. Case presentation: A 73-year-old male patient has undergone four penetrating keratoplasties for keratoconus. Nine months after the last surgery, patient presented with massive iridoschisis involving the visual axis. Patient was successfully treated with nd:YAG laser iridopunctures. Conclusion: Massive iridoschisis could be a potential complication of keratoconus, especially after penetrating keratoplasty. This condition can be potentially treated with nd:YAG iridopunctures.

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Juvenile Iridoschisis and Incomplete Plateau Iris Configuration

Cited by 8 publications

References 7 publications

Iridoschisis and keratoconus in a patient with severe allergic eye disease and compulsive eye rubbing: a case report

Iridoschisis and keratoconus in a patient with severe allergic eye disease and compulsive eye rubbing: a case report

Iridoschisis—A Systematic Review

Massive iridoschisis after penetrating keratoplasty successfully managed with nd:Yag punctures: A case report

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