Bilateral Corneal Decompensation Caused by Iridoschisis

Abstract

The etiology is not fully understood. It is seen primarily due to iris atrophy caused by aging, secondary to surgical complications and trauma. The free floating anterior fibers may cause corneal problems. We describe the case of a 75-year-old female with bilateral iridoschisis who presented to our department with vision loss. A slit-lamp examination showed bilateral asymmetric corneal edema caused by iridocorneal touch and a left dense nuclear cataract. The intraocular pressures were normal, and there was no history of trauma or heritable ocular diseases. In both eyes, the iris fibers were excised using an anterior vitreocutter. Phacoemulsification was also performed in the left eye. During follow-up, significant im-provement in corneal edema and visual acuity were noticed in both eyes.