Indian Journal of Ophthalmology

OPHTHALMIC IMAGE
Year
: 2019  |  Volume : 67  |  Issue : 5  |  Page : 691-

Double dialysis of the iris


Sonam Yangzes, Simar Rajan Singh, Jagat Ram 
 Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Correspondence Address:
Dr. Jagat Ram
Post Graduate Institute of Medical Education and Research, Advanced Eye Centre, Sector 12, Chandigarh
India




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


How to cite this URL:
Yangzes S, Singh SR, Ram J. Double dialysis of the iris. Indian J Ophthalmol [serial online] 2019 [cited 2019 Oct 17 ];67:691-691
Available from: http://www.ijo.in/text.asp?2019/67/5/691/256681


Full Text



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}

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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

1Kuhn F, Morris R, Witherspoon CD, Mester V. The birmingham eye trauma terminology system (BETT). J Fr Ophtalmol 2004;27:206-10.
2Paton D, Craig J. Management of iridodialysis. Ophtalmic Surg 1973;4:38-9.
3Pandav 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.