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Iris bombe due to pupillary block by silicone oil.

  • Clinical features:
    • Symptoms:
      • Mild to severe decrease of vision
      • Ocular pain caused by acute or subacute angle closure glaucoma attack
    • Anterior bowing of iris stroma either due to inflammation-associated pupilllary margin adhesions to the lens or pupillary block by vitreous body prolapse or posterior chamber silicone oil from retinopexy procedures.
  • Treatment:
    • Topical or systemic glaucoma medications.
    • Cycloplegic / mydriatic agents or miotic agents (dependent on etiology).
    • Aggressive intraocular inflammation treatment.
    • Surgical treatment includes YAG or Argon laser iridotomy to create communication between anterior and posterior chamber.

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