Posters

Heterochromia iridis; a case series with literature review

Poster Details

First Author: H.Hasani IRAN

Co Author(s):    S. Shamsoddinimotlagh   .                  

Abstract Details

Purpose:

To report three cases of heterochromia iridis, asymmetry of iris pigmentation, which are categorized in three main groups: idiopathic, congenital and acquired type.

Setting:

Rassoul Akram Hospital, Iran University of Medical Sciences

Methods:

First case was a 25y/o female, referred to our clinic complaining of different colors of both eyes since childhood. On examination, right eye was green and the fellow eye was brown. Other ophthalmic examinations were normal. She had idiopathic type of heterochromia.The second case was a 20y/o medical student complaining of her right upper lid droop and lighter color since birth.Visual acuity was 20/20 in both eyes.Levator function was good on both sides.The right pupil was miotic. By performing phenylephrine test, congenital Horner’s syndrome was confirmed.

Results:

The last case was a 36-year-old male came to our clinic complaining of decreased visual acuity and color change of his left eye gradually since 27 years ago, with occasionally redness of his left eye. No systemic disease was noted. His right eye was green and the fellow eye was blue. Examinations of her left eye revealed stellate keratic precipitates over corneal endothelium, 1+ cell presence in anterior chamber, 2+ vitritis and significant posterior subcapsular cataract. Confocal scanning confirmed the diagnosis of Fuchs' Heterochromic Iridocyclitis. His vision improved to 10/10 after cataract surgery.

Conclusions:

Comprehensive ocular and systemic evaluations are vital to differentiate the various types of heterochromia and facilitate the treatment of hypo or hyper-chromic eye.

Financial Disclosure:

None