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Juvenile iridoschisis and incomplete plateau iris configuration
Kristin O Chapman1, Anna M Demetriades
1Department of Ophthalmology, Weill Cornell Medical Center, New York, NY.
Journal of Glaucoma
|October 12, 2014
Summary
This study presents a rare case of bilateral iridoschisis and incomplete plateau iris in a young adult, a condition typically seen in older individuals. Early detection and regular follow-up are crucial due to potential glaucoma risks.
Area of Science:
- Ophthalmology
- Genetics
- Iris Anatomy
Background:
- Iridoschisis is a rare iris stromal cleavage condition.
- Typically presents bilaterally in older adults.
- Associated with various glaucoma types and plateau iris.
Observation:
- A 22-year-old male presented with bilateral sensorineural hearing loss.
- Examination revealed bilateral iridoschisis with incomplete plateau iris.
- No prior ocular history; otherwise unremarkable ocular exam.
Findings:
- Bilateral iridoschisis and incomplete plateau iris in a young adult.
- Normal glaucoma work-up (optic disc, visual fields, imaging).
- Bilateral retinal pigment epithelium mottling noted.
Implications:
- This case highlights unusual early-onset iridoschisis.
- Suggests review of congenital causes and associations.
- Emphasizes need for long-term glaucoma monitoring in young patients.
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