The Injured Iris!

𝘐𝘳𝘪𝘥𝘰𝘥𝘪𝘢𝘭𝘺𝘴𝘪𝘴⁣ ⁣ Localised separation/detachment of iris root from its attachment to the ciliary body ⁣



⁣ 𝘊𝘢𝘶𝘴𝘦𝘴:⁣ ● Blunt trauma⁣ ● Penetrating trauma⁣ ● Iatrogenic during intraocular surgery⁣ ⁣ 𝘚𝘺𝘮𝘱𝘵𝘰𝘮𝘴:⁣ ● Small iridodialysis may be asymptomatic⁣ ● Superior iridodialysis will be covered by upper eyelid and can be asymptomatic⁣ ● Large and Temporal iridodialysis are usually symptomatic: Monocular diplopia, glare,photophobia ⁣ ⁣ 𝘚𝘪𝘨𝘯𝘴:⁣ ● Black area at the periphery of the iris with D shaped pupil⁣ ● Visible red reflex through the black area⁣ ● Corectopia/polycoria⁣ ⁣ 𝘐𝘵 𝘪𝘴 𝘱𝘢𝘳𝘵 𝘰𝘧 𝘵𝘩𝘦 𝟽 𝘳𝘪𝘯𝘨𝘴 𝘰𝘧 𝘵𝘳𝘢𝘶𝘮𝘢:⁣ ● Sphincter pupillae tears⁣ ● Iridodialysis⁣ ● Angle recession⁣ ● Cyclodialysis⁣ ● Trabecular meshwork tear⁣ ● Zonular dialysis⁣ ● Retinal dialysis⁣ ⁣ Can be associated with angle recession, glaucoma, hyphema, lens dislocation ⁣ ⁣ Traumatic iridodialysis→ high risk of angle recession→ glaucoma⁣ ⁣ 𝘛𝘳𝘦𝘢𝘵𝘮𝘦𝘯𝘵:⁣ ● Tinted contact lenses⁣ ● Surgical repair⁣ ● Management of hyphema and glaucoma⁣ ⁣ www.ophthalmobytes.com⁣ ⁣ Image from Rajan Eye Care Hospital #ophthalmology #ophthal #doctor #health #medical #vision #education #optometry #medicalstudent #optometrist #medicine #eye #ophtho #ophthalmologist #ophthalmo #med #medicaleducation #ophthalmologyresident #ophthalmologyresidency #iris #iridodialysis #oculartrauma#oculartrauma #anglerecession#anglerecession #glaucoma#glaucoma #hyphema#hyphema

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