Iridoschisis in Latin America: a Case Report and Literature Review

Background: Iridoschisis is a rare condition characterized by the thinning and cleavage of the anterior stroma of the Iris; usually bilateral and associated with narrow angles, ocular hypertension and glaucomatous optic neuropathy. We report the case of three Latin American patients with iridoschisi...

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Main Authors: Hector Fernando Gomez Goyeneche, Jeanneth Toquica Osorio, Luz Catherine Martinez Malo
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:The Pan-American Journal of Ophthalmology
Subjects:
Online Access:http://www.thepajo.org/article.asp?issn=2666-4909;year=2018;volume=17;issue=2;spage=84;epage=88;aulast=Gomez;type=0
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author Hector Fernando Gomez Goyeneche
Jeanneth Toquica Osorio
Luz Catherine Martinez Malo
author_facet Hector Fernando Gomez Goyeneche
Jeanneth Toquica Osorio
Luz Catherine Martinez Malo
author_sort Hector Fernando Gomez Goyeneche
collection DOAJ
description Background: Iridoschisis is a rare condition characterized by the thinning and cleavage of the anterior stroma of the Iris; usually bilateral and associated with narrow angles, ocular hypertension and glaucomatous optic neuropathy. We report the case of three Latin American patients with iridoschisis; all of them associated with narrow angles, and one with history of chronic angle closure glaucoma. The patients had no previous history of ocular trauma or inherited ocular disease. As a new finding, we present a case of unilateral hyphema as the presenting sign of this entity. Conclusions: Chronic open-angle glaucoma, as well as intermittent angle-closure glaucoma, should be excluded in all patients with iridoschisis, and regular follow-up should be established after diagnosis. After having presented an unusual way of presentation such as unilateral hyphema (with no previous documented reference of this sign), we have widened the spectrum of clinical findings for the suspicion and diagnosis of this pathology.
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spelling doaj.art-72a0003061d34e809d636b9f0506b78b2022-12-21T22:28:12ZengWolters Kluwer Medknow PublicationsThe Pan-American Journal of Ophthalmology2666-49092666-49092018-01-011728488Iridoschisis in Latin America: a Case Report and Literature ReviewHector Fernando Gomez GoyenecheJeanneth Toquica OsorioLuz Catherine Martinez MaloBackground: Iridoschisis is a rare condition characterized by the thinning and cleavage of the anterior stroma of the Iris; usually bilateral and associated with narrow angles, ocular hypertension and glaucomatous optic neuropathy. We report the case of three Latin American patients with iridoschisis; all of them associated with narrow angles, and one with history of chronic angle closure glaucoma. The patients had no previous history of ocular trauma or inherited ocular disease. As a new finding, we present a case of unilateral hyphema as the presenting sign of this entity. Conclusions: Chronic open-angle glaucoma, as well as intermittent angle-closure glaucoma, should be excluded in all patients with iridoschisis, and regular follow-up should be established after diagnosis. After having presented an unusual way of presentation such as unilateral hyphema (with no previous documented reference of this sign), we have widened the spectrum of clinical findings for the suspicion and diagnosis of this pathology.http://www.thepajo.org/article.asp?issn=2666-4909;year=2018;volume=17;issue=2;spage=84;epage=88;aulast=Gomez;type=0iridoschisisangle-closure glaucomairis degeneration.
spellingShingle Hector Fernando Gomez Goyeneche
Jeanneth Toquica Osorio
Luz Catherine Martinez Malo
Iridoschisis in Latin America: a Case Report and Literature Review
The Pan-American Journal of Ophthalmology
iridoschisis
angle-closure glaucoma
iris degeneration.
title Iridoschisis in Latin America: a Case Report and Literature Review
title_full Iridoschisis in Latin America: a Case Report and Literature Review
title_fullStr Iridoschisis in Latin America: a Case Report and Literature Review
title_full_unstemmed Iridoschisis in Latin America: a Case Report and Literature Review
title_short Iridoschisis in Latin America: a Case Report and Literature Review
title_sort iridoschisis in latin america a case report and literature review
topic iridoschisis
angle-closure glaucoma
iris degeneration.
url http://www.thepajo.org/article.asp?issn=2666-4909;year=2018;volume=17;issue=2;spage=84;epage=88;aulast=Gomez;type=0
work_keys_str_mv AT hectorfernandogomezgoyeneche iridoschisisinlatinamericaacasereportandliteraturereview
AT jeannethtoquicaosorio iridoschisisinlatinamericaacasereportandliteraturereview
AT luzcatherinemartinezmalo iridoschisisinlatinamericaacasereportandliteraturereview