Iris Bombe due to Soemmering's Ring: Anterior Segment Optical Coherence Tomography-Guided Diagnosis and Resolved with...

To report a case of iris bombe caused by an enlarged Soemmering's ring in a pseudophakic eye, highlighting the diagnostic and therapeutic approach.

A detailed case involving a 91-year-old woman with a history of cataract surgery 20 years prior, who presented with acute vision loss and ocular pain in the right eye. Examination revealed corneal edema, shallow anterior chamber, and elevated intraocular pressure (IOP). Anterior segment optical coherence tomography (AS-OCT) was used to confirm iris bombe in the presence of a Soemmering's ring. Laser peripheral iridotomy (LPI) was performed as a therapeutic intervention.

The performance of LPI resulted in immediate deepening of the anterior chamber and normalization of IOP. Follow-up confirmed the patency of the iridotomy and resolution of the iris bombe. The patient's condition remained stable with good vision and controlled IOP.

This case underscores the importance of considering Soemmering's ring in the differential diagnosis of acute angle closure in pseudophakic eyes. Early diagnosis and timely treatment with laser iridotomy can effectively manage this rare condition.