Iridodialysis

• Rupture of the iris at its iris root frequently occurs following blunt trauma or penetrating injuries to the globe.

Clinical Features

• Symptoms:
  • Minimal with small iridodialyses
  • With larger iridodyalises, patients may experience double pupil effect, monocular diplopia, glare and phophobia
  • Signs:
    • Commonly associated with hyphema and an irregular pupil
    • May be single or multiple, small or extensive radially
    • Damage of the trabecular meshwork and peripheral anterior synechiae may cause IOP elevation

Management

• Bed rest and observation.
• Sunglasses, tinted contact lenses or those with artificial pupil may help reduce the symptoms.
• Surgical repair may be considered in cases of large dialyses or persistent monocular diplopia.