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Iris retraction syndrome after intraocular surgery

D S Greenfield1, A R Bellows, G K Asdourian

  • 1New England Eye Center, New England Medical Center Hospitals, Tufts University School of Medicine, Boston.

Ophthalmology
|January 1, 1995
PubMed
Summary

Iris retraction syndrome can occur after eye surgery, sometimes masking an occult retinal detachment. Prompt diagnosis and treatment with scleral buckling and iridectomy are effective.

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Area of Science:

  • Ophthalmology
  • Retinal Surgery
  • Ocular Inflammation

Background:

  • Iris retraction syndrome is a rare condition.
  • It can present with pupillary block following unrepaired rhegmatogenous retinal detachment.

Observation:

  • Two patients developed iris retraction syndrome postoperatively.
  • One patient experienced pupillary block 6 months after cataract surgery with intraocular lens implantation.
  • The second patient developed uveitis, hypotony, and pupillary seclusion 4 weeks after pars plana vitrectomy.

Findings:

  • Both patients were successfully treated with scleral buckling and peripheral iridectomy.
  • Iris retraction syndrome can occur in the presence of a pseudophakos (artificial lens).
  • The syndrome can manifest rapidly after retinal detachment and mimic persistent postoperative uveitis.

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Implications:

  • Postoperative uveitis with iris retraction and pupillary seclusion suggests an occult retinal detachment.
  • A thorough dilated funduscopic examination is warranted in such cases.
  • Early recognition and intervention are crucial for favorable outcomes in managing this rare complication.