Iridoschisis: Spectrum of Presentation

Area of Science:

• Ophthalmology
• Anterior Segment Diseases

Background:

• Iridoschisis is a rare condition involving iris atrophy and fibril formation.
• It can lead to significant visual impairment and ocular complications.

Observation:

• A 5-year retrospective review identified patients diagnosed with iridoschisis.
• The average age of presentation was 49 years, with a wide range (23-85 years).
• The condition was bilateral in 57% of cases.

Findings:

• The most common presenting symptoms included angle closure glaucoma and cataract.
• Iridoschisis can manifest in younger patient populations.
• It may be an incidental finding during ophthalmic examinations.

Implications:

• Routine gonioscopy is recommended for all patients with iridoschisis.
• Early detection of occludable or synechial angle closure is vital.
• Prompt management can prevent secondary glaucoma and vision loss.