Traumatic Iris Coloboma

Traumatic iris coloboma associated with localized lens opacity. 

  • Can be caused by penetrating or non-penetrating injuries to the globe.

Clinical features:

  • Symptoms:
    • Glare
    • Blurry vision
    • Monocular diplopia
  • Signs:
    • Absence of sectoral iris tissue
    • Often associated with cataract
    • In an emergency case, it is often associated with hyphema and other ocular structures defects such as rupture globe, conjunctival or corneal laceration and cataract

Management:

  • Careful routine examination of ocular injuries.
  • Supportive with sunglasses, tinted contact lens or contact lens with artificial pupil.
  • Surgical iridoplasty in patients with severe and intolerable symptoms.