Iris Bombe

Iris bombe due to pupillary block by silicone oil. 

Clinical features:

  • Symptoms:
    • Mild to severe decrease of vision
    • Ocular pain caused by acute or subacute angle closure glaucoma attack
  • Anterior bowing of iris stroma either due to inflammation-associated pupilllary margin adhesions to the lens or pupillary block by vitreous body prolapse or posterior chamber silicone oil from retinopexy procedures.

Treatment:

  • Topical or systemic glaucoma medications.
  • Cycloplegic / mydriatic agents or miotic agents (dependent on etiology).
  • Aggressive intraocular inflammation treatment.
  • Surgical treatment includes YAG or Argon laser iridotomy to create communication between anterior and posterior chamber.