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Year : 2019  |  Volume : 67  |  Issue : 5  |  Page : 691

Double dialysis of the iris

Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Date of Web Publication22-Apr-2019

Correspondence Address:
Dr. Jagat Ram
Post Graduate Institute of Medical Education and Research, Advanced Eye Centre, Sector 12, Chandigarh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_1965_18

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How to cite this article:
Yangzes S, Singh SR, Ram J. Double dialysis of the iris. Indian J Ophthalmol 2019;67:691

How to cite this URL:
Yangzes S, Singh SR, Ram J. Double dialysis of the iris. Indian J Ophthalmol [serial online] 2019 [cited 2020 Jun 1];67:691. Available from: http://www.ijo.in/text.asp?2019/67/5/691/256681

A 45-year-old male presented to the ophthalmologist with decreased vision in his right eye for 6 months. There was history of blunt trauma to the eye 6 months back. The visual acuity in the right eye was hand-motions close to face and the intraocular pressure was 16 mmHg. On slit-lamp biomicroscopy, there was disinsertion of the iris from its root [Figure 1] along with separation of the posterior pigmented epithelium (arrow) from the anterior pigmented epithelium and stroma (double-arrow), giving the appearance of double dialysis of the iris. The separation of the iris layers also led to the formation of pseudo-polycoria. Gonioscopy revealed the presence of angle recession. Ultrasonography of the posterior segment was normal. Blunt trauma can lead to varied manifestations in the eye, and it is important to identify the anatomy clearly before planning surgery.[1] This patient underwent cataract surgery with iridodialysis repair[2],[3] and regained 6/9 vision postoperatively.
Figure 1: Anterior segment photograph of the right eye demonstrating iridodialysis with separation of the posterior (arrow) and anterior (double-arrow) epithelium of the iris, pseudo-polycoria, and traumatic cataract

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

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Conflicts of interest

There are no conflicts of interest.

  References Top

Kuhn F, Morris R, Witherspoon CD, Mester V. The birmingham eye trauma terminology system (BETT). J Fr Ophtalmol 2004;27:206-10.  Back to cited text no. 1
Paton D, Craig J. Management of iridodialysis. Ophtalmic Surg 1973;4:38-9.  Back to cited text no. 2
Pandav SS, Gupta PC, Singh RR, Das K, Kaushik S, Raj S, et al. Cobbler's technique for Iridodialysis repair. Middle East Afr J Ophthalmol 2016;23:142-4.  Back to cited text no. 3
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