Iridoschisis and keratoconus in a patient with severe allergic eye disease and compulsive eye rubbing: a case report.

<h4>Background</h4> <p>Iridoschisis is a rare disorder characterized by splitting of the anterior and posterior iris stroma, resulting in disintegrated iris fibrils which float freely in the anterior chamber. We report an exceptional case of bilateral iridoschisis occurring in con...

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Main Authors: Yusuf, I, Salmon, J
Format: Journal article
Language:English
Published: BioMed Central 2016
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author Yusuf, I
Salmon, J
author_facet Yusuf, I
Salmon, J
author_sort Yusuf, I
collection OXFORD
description <h4>Background</h4> <p>Iridoschisis is a rare disorder characterized by splitting of the anterior and posterior iris stroma, resulting in disintegrated iris fibrils which float freely in the anterior chamber. We report an exceptional case of bilateral iridoschisis occurring in conjunction with keratoconus and severe allergic eye disease.</p> <h4>Case Presentation</h4> <p>A 24-year-old white man had had periocular contact dermatitis and allergic eye disease from the age of 3 years. He was allergic to grass, animal hair, and pollen and worked grooming horses. He compulsively rubbed his eyes. There was no history of previous blunt trauma to either eye. There were signs of bilateral iridoschisis and keratoconus with allergic conjunctivitis, all of which were more severe in his right eye. An open drainage angle was identified bilaterally on gonioscopy, excluding primary angle closure. There was no evidence of glaucoma in either eye.</p> <h4>Conclusions</h4> <p>There are two previous cases reporting the combination of iridoschisis and keratoconus, but no clear common etiology has been identified. In this case there was no evidence of angle closure but there were signs of allergic conjunctivitis. This amalgamation of signs might be explained on the basis of habitual eye rubbing. Treating the allergic eye disease has attenuated this behavior.</p>
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spelling oxford-uuid:1916c801-9bfc-4b42-8256-28b3201f63f62022-03-26T10:46:59ZIridoschisis and keratoconus in a patient with severe allergic eye disease and compulsive eye rubbing: a case report.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:1916c801-9bfc-4b42-8256-28b3201f63f6EnglishSymplectic Elements at OxfordBioMed Central2016Yusuf, ISalmon, J <h4>Background</h4> <p>Iridoschisis is a rare disorder characterized by splitting of the anterior and posterior iris stroma, resulting in disintegrated iris fibrils which float freely in the anterior chamber. We report an exceptional case of bilateral iridoschisis occurring in conjunction with keratoconus and severe allergic eye disease.</p> <h4>Case Presentation</h4> <p>A 24-year-old white man had had periocular contact dermatitis and allergic eye disease from the age of 3 years. He was allergic to grass, animal hair, and pollen and worked grooming horses. He compulsively rubbed his eyes. There was no history of previous blunt trauma to either eye. There were signs of bilateral iridoschisis and keratoconus with allergic conjunctivitis, all of which were more severe in his right eye. An open drainage angle was identified bilaterally on gonioscopy, excluding primary angle closure. There was no evidence of glaucoma in either eye.</p> <h4>Conclusions</h4> <p>There are two previous cases reporting the combination of iridoschisis and keratoconus, but no clear common etiology has been identified. In this case there was no evidence of angle closure but there were signs of allergic conjunctivitis. This amalgamation of signs might be explained on the basis of habitual eye rubbing. Treating the allergic eye disease has attenuated this behavior.</p>
spellingShingle Yusuf, I
Salmon, J
Iridoschisis and keratoconus in a patient with severe allergic eye disease and compulsive eye rubbing: a case report.
title Iridoschisis and keratoconus in a patient with severe allergic eye disease and compulsive eye rubbing: a case report.
title_full Iridoschisis and keratoconus in a patient with severe allergic eye disease and compulsive eye rubbing: a case report.
title_fullStr Iridoschisis and keratoconus in a patient with severe allergic eye disease and compulsive eye rubbing: a case report.
title_full_unstemmed Iridoschisis and keratoconus in a patient with severe allergic eye disease and compulsive eye rubbing: a case report.
title_short Iridoschisis and keratoconus in a patient with severe allergic eye disease and compulsive eye rubbing: a case report.
title_sort iridoschisis and keratoconus in a patient with severe allergic eye disease and compulsive eye rubbing a case report
work_keys_str_mv AT yusufi iridoschisisandkeratoconusinapatientwithsevereallergiceyediseaseandcompulsiveeyerubbingacasereport
AT salmonj iridoschisisandkeratoconusinapatientwithsevereallergiceyediseaseandcompulsiveeyerubbingacasereport