Massive iridoschisis after penetrating keratoplasty successfully managed with nd:Yag punctures: A case report

Abstract

Background:

To describe the successful management of a massive iridoschisis after penetrating keratoplasty for keratoconus, using the nd:YAG punctures.

Case presentation:

A 73-year-old male patient has undergone four penetrating keratoplasties for keratoconus. Nine months after the last surgery, patient presented with massive iridoschisis involving the visual axis. Patient was successfully treated with nd:YAG laser iridopunctures.

Conclusion:

Massive iridoschisis could be a potential complication of keratoconus, especially after penetrating keratoplasty. This condition can be potentially treated with nd:YAG iridopunctures.

Keywords

Penetrating keratoplasty iridoschisis keratoconus nd:YAG laser

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References

Schmitt

Ablosung des vorderen irisblattes. Augenh Klin Mbl 1922; 68: 214–215.

Salmon

Murray

AD.

The association of iridoschisis and primary angle-closure glaucoma. Eye (Lond) 1992; 6(Pt. 3): 267–272.

Chapman

Demetriades

AM.

Juvenile iridoschisis and incomplete plateau iris configuration. J Glaucoma 2015; 24(5): e142–e144.

Weseley

Freeman

WR.

Iridoschisis and the corneal endothelium. Ann Ophthalmol 1983; 15(10): 955–9963.

Krohn

Garrett

EE.

Iridoschisis and keratoconus; report of case in a twenty-year-old man. AMA Arch Ophthalmol 1954; 52(3): 426–432.

Eiferman

Law

Lane

. Iridoschisis and keratoconus. Cornea 1994; 13: 78–79.

Yusuf

Salmon

JF.

Iridoschisis and keratoconus in a patient with severe allergic eye disease and compulsive eye rubbing: a case report. J Med Case Rep 2016; 10(1): 134.

Hersh

PS.

Iridoschisis following penetrating keratoplasty for keratoconus. Cornea 1994; 13(6): 545–546.

Loewenstein

Foster

Iridoschisis with multiple rupture of stromal threads. Br J Ophthalmol 1945; 29(6): 277–282.