1
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Katipoğlu Z, Turan M. A case report of iridoschisis and cataract: a challenging diagnosis. Int Ophthalmol 2024; 44:26. [PMID: 38326697 DOI: 10.1007/s10792-024-03001-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2023] [Accepted: 10/19/2023] [Indexed: 02/09/2024]
Abstract
PURPOSE To report the cataract surgery of a 79-year-old female patient with iridoschisis and senile nuclear cataracts. OBSERVATIONS Ophthalmologic examination of the 79-year-old female patient who came to our clinic with complaints of decreased vision in the right eye was observed to have a grade-3 senile nuclear cataract and iridoschisis in quadrants 2-3, 4-7, and 10-11 of the iris in the right eye and a grade-2 senile nuclear cataract and iridoschisis in quadrants 5-7 in the left eye to a lesser extent compared to the right eye. The iris fibrils were not connected to the corneal endothelium. A safe surgical area was created by administering the viscoelastic material several times during cataract surgery. CONCLUSIONS AND IMPORTANCE Although iridoschisis has a low incidence rate, it is important to also consider comorbid ocular pathologies when treating iridoschisis patients. Since cataract surgery for these patients is more specialized than for uncomplicated cases, the necessary surgical planning must be paid due diligence.
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Affiliation(s)
- Zeynep Katipoğlu
- Department of Ophthalmology, Balıkesir Atatürk City Hospital, Balıkesir, Turkey.
| | - Meydan Turan
- University of Health Sciences University Balıkesir Atatürk City Hospital, Balıkesir, Turkey
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2
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Potop V, Coviltir V, Schmitzer S, Dragosloveanu CDM, Ionescu CI, Burcel MG, Corbu MC, Dăscălescu DMC. Ultrasound biomicroscopy in glaucoma assessment. Rom J Ophthalmol 2021; 65:114-119. [PMID: 34179574 PMCID: PMC8207866 DOI: 10.22336/rjo.2021.24] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/09/2021] [Indexed: 12/12/2022] Open
Abstract
Ultrasound biomicroscopy (UBM) is an important tool in the diagnosis, evaluation and follow up of glaucoma patients. Even if we are dealing with a primary angle closure glaucoma (PACG) or a primary open angle glaucoma (POAG) patient, the mechanism of angle closure can be revealed by performing an UBM. The device can help differentiate between the two types of glaucoma even in patients with opaque corneas when gonioscopy cannot be performed. Knowing the type of glaucoma is vital, especially regarding an individualized treatment, since each patient is unique and needs to be treated accordingly, in order to prevent glaucomatous optic neuropathy and visual field loss. Abbreviations: AC = anterior chamber, ICE = iridocorneal endothelial syndrome, IOP = intraocular pressure, NTG = normal tension glaucoma, PACG = primary angle closure glaucoma, PC = posterior chamber, PEX = pseudoexfoliation syndrome, POAG = primary open angle glaucoma, UBM = ultrasound biomicroscopy.
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Affiliation(s)
- Vasile Potop
- Ophthalmology Department, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
- Ophthalmology Department, Clinical Hospital of Ophthalmologic Emergencies, Bucharest, Romania
| | - Valeria Coviltir
- Ophthalmology Department, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
- Ophthalmology Department, Clinical Hospital of Ophthalmologic Emergencies, Bucharest, Romania
| | - Speranţa Schmitzer
- Ophthalmology Department, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
- Ophthalmology Department, Clinical Hospital of Ophthalmologic Emergencies, Bucharest, Romania
| | - Christiana Diana Maria Dragosloveanu
- Ophthalmology Department, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
- Ophthalmology Department, Clinical Hospital of Ophthalmologic Emergencies, Bucharest, Romania
| | | | | | - Maria Cristina Corbu
- Ophthalmology Department, Clinical Hospital of Ophthalmologic Emergencies, Bucharest, Romania
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3
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Mahjoub A, Haddar S, Ben Mrad S, Ben Abdesslem N, Knani L, Ghorbel M, Mahjoub H. [Bilateral iridoschisis: Case report]. J Fr Ophtalmol 2020; 44:287-289. [PMID: 33554870 DOI: 10.1016/j.jfo.2020.02.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2020] [Accepted: 02/25/2020] [Indexed: 10/23/2022]
Affiliation(s)
- A Mahjoub
- Service d'Ophtalmologie, CHU Farhat Hached de Sousse, 4000 Sousse, Tunisie
| | - S Haddar
- Service d'Ophtalmologie, CHU Farhat Hached de Sousse, 4000 Sousse, Tunisie.
| | - S Ben Mrad
- Service d'Ophtalmologie, CHU Farhat Hached de Sousse, 4000 Sousse, Tunisie
| | - N Ben Abdesslem
- Service d'Ophtalmologie, CHU Farhat Hached de Sousse, 4000 Sousse, Tunisie
| | - L Knani
- Service d'Ophtalmologie, CHU Farhat Hached de Sousse, 4000 Sousse, Tunisie
| | - M Ghorbel
- Service d'Ophtalmologie, CHU Farhat Hached de Sousse, 4000 Sousse, Tunisie
| | - H Mahjoub
- Service d'Ophtalmologie, CHU Farhat Hached de Sousse, 4000 Sousse, Tunisie
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4
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Iridoschisis-A Systematic Review. J Clin Med 2020; 9:jcm9103324. [PMID: 33081187 PMCID: PMC7602847 DOI: 10.3390/jcm9103324] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2020] [Revised: 10/12/2020] [Accepted: 10/14/2020] [Indexed: 11/16/2022] Open
Abstract
Iridoschisis is a rare condition defined as a separation of the anterior iris stroma from the posterior stroma and muscle layers. In this paper, we review current data about the epidemiology, pathophysiology, clinical characteristics and differential diagnoses of this condition and discuss the specificity of surgical treatment of concomitant ocular diseases in iridoschisis patients. Iridoschisis may pose a challenge for both an ophthalmologist in an outpatient setting and an ophthalmic surgeon. Glaucoma, primarily angle-closure glaucoma, is the most often described condition concomitant to iridoschisis. Other ocular abnormalities found relatively often in iridoschisis patients include cataract, lens subluxation and corneal abnormalities. Special attention has been paid to potential complications of cataract surgery and prevention thereof. Beside addressing the practical aspects, we point to discrepancies and suggest topics for further investigation.
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5
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Abdellaoui T, Malek Y, Akioud W, Belfaiza S, Elasri F, Reda K, Oubaaz A. Unilateral iridoschisis. J Fr Ophtalmol 2020; 43:1103-1104. [PMID: 32921523 DOI: 10.1016/j.jfo.2020.01.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/25/2019] [Revised: 01/07/2020] [Accepted: 01/14/2020] [Indexed: 10/23/2022]
Affiliation(s)
- T Abdellaoui
- Department of ophthalmology, Military teaching hospital Med-V, Rabat, Morocco.
| | - Y Malek
- Department of ophthalmology, Military teaching hospital Med-V, Rabat, Morocco
| | - W Akioud
- Department of ophthalmology, Military teaching hospital Med-V, Rabat, Morocco
| | - S Belfaiza
- Department of ophthalmology, Military teaching hospital Med-V, Rabat, Morocco
| | - F Elasri
- Department of ophthalmology, Military teaching hospital Med-V, Rabat, Morocco
| | - K Reda
- Department of ophthalmology, Military teaching hospital Med-V, Rabat, Morocco
| | - A Oubaaz
- Department of ophthalmology, Military teaching hospital Med-V, Rabat, Morocco
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6
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Ruff E, Pokeza N, Dersu I. Iridoschisis: visual outcome in treated versus untreated eye. GMS OPHTHALMOLOGY CASES 2020; 10:Doc39. [PMID: 32884893 PMCID: PMC7452951 DOI: 10.3205/oc000166] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
A 67-year-old man was referred for iris color change. He was noted to have narrow angles with atrophic iris appearance and visually significant cataracts. The iris findings were consistent with iridoschisis. The patient was recommended to have cataract surgery. Unfortunately, he was lost to follow-up. One year later, he presented with chronic angle closure glaucoma on the right eye with very high pressure and very poor remaining vision. Left-eye vision was also compromised with cataract. Despite the presence of small pupil, abnormal iris stroma, and dense cataract, the patient underwent successful cataract surgery and achieved 20/20 vision post-operatively. Iridoschisis can cause substantial ocular morbidity if not treated timely.
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Affiliation(s)
- Eric Ruff
- SUNY Albany Medical Center, Albany, New York, United States
| | - Nataliya Pokeza
- Eye Center of Southern Connecticut, Hamden, Connecticut, United States
| | - Inci Dersu
- SUNY Downstate Medical Center, Brooklyn, New York, United States
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7
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Laaribi N, Ajhoun Y, Ouattassi NE, Chammout FZ, Hanafi Y, Asri FE, Reda K, Oubaaz A. [Iridoschisis: A glaucoma to screen for and an unusual phacoemulsification]. J Fr Ophtalmol 2017; 40:e299-e301. [PMID: 28889906 DOI: 10.1016/j.jfo.2017.04.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2017] [Accepted: 04/03/2017] [Indexed: 10/18/2022]
Affiliation(s)
- N Laaribi
- Service d'ophtalmologie, hôpital militaire d'instruction Mohammed V, faculté de médecine et de pharmacie, université Mohamed V, Rabat, Maroc.
| | - Y Ajhoun
- Service d'ophtalmologie, hôpital militaire d'instruction Mohammed V, faculté de médecine et de pharmacie, université Mohamed V, Rabat, Maroc
| | - N El Ouattassi
- Service d'ophtalmologie, hôpital militaire d'instruction Mohammed V, faculté de médecine et de pharmacie, université Mohamed V, Rabat, Maroc
| | - F Z Chammout
- Service d'ophtalmologie, hôpital militaire d'instruction Mohammed V, faculté de médecine et de pharmacie, université Mohamed V, Rabat, Maroc
| | - Y Hanafi
- Service d'ophtalmologie, hôpital militaire d'instruction Mohammed V, faculté de médecine et de pharmacie, université Mohamed V, Rabat, Maroc
| | - F El Asri
- Service d'ophtalmologie, hôpital militaire d'instruction Mohammed V, faculté de médecine et de pharmacie, université Mohamed V, Rabat, Maroc
| | - K Reda
- Service d'ophtalmologie, hôpital militaire d'instruction Mohammed V, faculté de médecine et de pharmacie, université Mohamed V, Rabat, Maroc
| | - A Oubaaz
- Service d'ophtalmologie, hôpital militaire d'instruction Mohammed V, faculté de médecine et de pharmacie, université Mohamed V, Rabat, Maroc
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8
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Mohamed K, Lhousseine A, Youssef B, Youssef B. [Isolated bilateral Iridoschisis]. Pan Afr Med J 2016; 24:210. [PMID: 27795805 PMCID: PMC5072853 DOI: 10.11604/pamj.2016.24.210.3628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2013] [Accepted: 05/01/2014] [Indexed: 11/28/2022] Open
Abstract
L’iridoschisis est une pathologie dégénérative rare au cours de laquelle le stroma irien antérieur se clive spontanément du feuillet postérieur. Le feuillet antérieur se dissocie alors en fibrilles flottant dans l’humeur aqueuse. Nous rapportons le cas d’une patiente de 70 ans, consulta pour une baisse d’acuité visuelle progressive et chez qui l’examen biomicroscopique a pu mettre évidence une cataracte sénile évolutive avec un iridoschisis bilatérale isolé. Les causes fréquentes d’atrophie irienne acquises (herpès, dispersion pigmentaire, traumatisme…) sont éliminées. Au cours du suivi, l’atrophie évolue avec multiplication des foyers d’atrophie de deux coté. Le tonus oculaire et le champ visuel restaient normaux. Le diagnostic de cette entité est important puisque son association fréquente au glaucome en impose son dépistage dans le même temps et suivi à long terme.
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Affiliation(s)
- Kriet Mohamed
- Service d'Ophtalmologie, Hôpital Militaire Avicenne, Marrakech, Maroc
| | | | - Bouia Youssef
- Service d'Ophtalmologie, Hôpital Militaire Avicenne, Marrakech, Maroc
| | - Bennouk Youssef
- Service d'Ophtalmologie, Hôpital Militaire Avicenne, Marrakech, Maroc
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9
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Mannino G, Abdolrahimzadeh B, Calafiore S, Anselmi G, Mannino C, Lambiase A. A review of the role of ultrasound biomicroscopy in glaucoma associated with rare diseases of the anterior segment. Clin Ophthalmol 2016; 10:1453-9. [PMID: 27536058 PMCID: PMC4975163 DOI: 10.2147/opth.s112166] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
Ultrasound biomicroscopy is a non-invasive imaging technique, which allows high-resolution evaluation of the anatomical features of the anterior segment of the eye regardless of optical media transparency. This technique provides diagnostically significant information in vivo for the cornea, anterior chamber, chamber angle, iris, posterior chamber, zonules, ciliary body, and lens, and is of great value in assessment of the mechanisms of glaucoma onset. The purpose of this paper is to review the use of ultrasound biomicroscopy in the diagnosis and management of rare diseases of the anterior segment such as mesodermal dysgenesis of the neural crest, iridocorneal endothelial syndrome, phakomatoses, and metabolic disorders.
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Affiliation(s)
- Giuseppe Mannino
- Ophthalmology Unit, Saint Andrea Hospital, Department of Neurosciences, Mental Health and Sense Organs, University of Rome "Sapienza", Rome, Italy
| | | | - Silvia Calafiore
- Ophthalmology Unit, Saint Andrea Hospital, Department of Neurosciences, Mental Health and Sense Organs, University of Rome "Sapienza", Rome, Italy
| | - Gianmario Anselmi
- Ophthalmology Unit, Saint Andrea Hospital, Department of Neurosciences, Mental Health and Sense Organs, University of Rome "Sapienza", Rome, Italy
| | - Cristina Mannino
- Ophthalmology Unit, Saint Andrea Hospital, Department of Neurosciences, Mental Health and Sense Organs, University of Rome "Sapienza", Rome, Italy
| | - Alessandro Lambiase
- Department of Sense Organs, Ophthalmology Unit, University of Rome "Sapienza", Rome, Italy
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10
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Paniagua L, Bande MF, Rodríguez-Ares MT, Piñeiro A. A presentation of iridoschisis with plateau iris: an imaging study. Clin Exp Optom 2015; 98:290-1. [PMID: 25728064 DOI: 10.1111/cxo.12250] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2014] [Revised: 10/15/2014] [Accepted: 10/23/2014] [Indexed: 11/30/2022] Open
Affiliation(s)
- Laura Paniagua
- Servizo de Oftalmoloxía, Complexo Hospitalario Universitario de Santiago, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
| | - Manuel F Bande
- Servizo de Oftalmoloxía, Complexo Hospitalario Universitario de Santiago, Universidade de Santiago de Compostela, Santiago de Compostela, Spain.
| | - María Teresa Rodríguez-Ares
- Servizo de Oftalmoloxía, Complexo Hospitalario Universitario de Santiago, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
| | - Antonio Piñeiro
- Servizo de Oftalmoloxía, Complexo Hospitalario Universitario de Santiago, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
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