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Iridoschisis

Iridoschisis is a rare condition in which a localised area of iris stroma is cleaved in two with the anterior atrophic portion disintegrating into fibrils.  The most common presentation of iridoschisis is as an age-related iris atrophy in association with glaucoma.  The association includes angle-closure glaucoma, angle-recession glaucoma and open-angle glaucoma.  A finding of iridoschisis is a warning to the clinician to assess the patient for pre-existing glaucoma and to monitor for glaucomatous changes as it is unclear if iridoschisis is a cause or an effect of raised intraocular pressure (IOP).

Clin Exp Optom 1999;82:1:29-33

Paul Gregory Schoneveld BOptom BSc DipEd MSc
Konrad Pesudovs BScOptom FVCO FAAO

Department of Ophthalmology, Flinders Medical Centre and Flinders University of South Australia

Accepted for publication: 1 April 1999

Also published July 13, 2001 Optom Today

Also published in
Pesudovs K, Schoneveld PG
Iridoschisis - ein Fallbericht
Die Kontaktlinse 2001; 35(11): 6-10


Figure 2

 

Key words: glaucoma, iridoschisis, iris, iris atrophy

Slitlamp view of iridoschisis showing loose ends of broken anterior stromal leaf fibrils floating freely in the anterior chamber

 

CEOCEO link     PDFIridoschisis in OT   as PDF (88 Kb)

 

 

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