Posters

Bilateral iridoschisis associated with glaucoma and cataract: a case report

Poster Details

First Author: H.Brarou MOROCCO

Co Author(s): N. Laaribi   L. Eriga   W. Akioud   F. El Asri   K. Reda   A. Oubaaz     

Abstract Details

Purpose:

To report a case of bilateral iridoschisis associated with cataract and glaucoma.

Setting:

Ophthalmology department of Mohammed V Medical Training Hospital

Methods:

Iridoschisis is a rare degenerative disease in which the anterior iris stroma spontaneously cleaves from the posterior layer. The anterior leaflet then disintegrates into fibrils floating in the aqueous humor. It is frequently associated with glaucoma and  cataract. We report a case of a 77 year old woman, suffering from asthma for 34 years and treated for glaucoma for 4 years. She underwent cataract surgery in his left eye (LE) one year earlier. She presentend for a progressive blurred vision in her right eye (RE).

Results:

An eye examination indicated that best corrected visual acuities were 6/10 and 7/10 in the right and left eyes, respectively. Slit lamp examination revealed bilateral iridoschisis. The pupil was round and centered in the RE and distorted in the LE.  It also revealed a corticonuclear cataract in the RE and and a pseudophakic LE. The optical coherence tomography showed cross-sections with associated "shredded" appearance of the iris. The diagnosis of senile iridoschisis was estabilished considering the patient’s age, the bilateral aspect, the corneal transparency and the normal aspect of the pupil in the nonoperated eye.

Conclusions:

Iridoschisis is an age-related condition that is usually accompanied by cataracts and secondary glaucoma.The finding of iridoschisis is a warning for the ophthalmologist to exclude any association with glaucoma, because two-thirds of patients with iridoschisis have glaucoma. Furthermore, patients with iridoschisis that is complicated by cataracts should receive cataract surgery sooner than usual to achieve better outcomes.

Financial Disclosure:

None