- Rupture of the iris at its iris root frequently occurs following
blunt trauma or penetrating injuries to the globe.
- Clinical features:
- Symptoms:
- Minimal with small iridodialyses
- With larger iridodyalises, patients may experience double pupil
effect, monocular diplopia, glare and phophobia
-
Signs:
- Commonly associated with hyphema and an irregular pupil
- May be single or multiple, small or extensive radially
- Damage of the trabecular meshwork and peripheral anterior synechiae
may cause IOP elevation
- Management:
- Bed rest and observation.
- Sunglasses, tinted contact lenses
or those with artificial pupil may help reduce the symptoms.
- Surgical repair may be considered in cases of large dialyses
or persistent monocular diplopia.
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