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Year : 2018  |  Volume : 17  |  Issue : 2  |  Page : 84-88

Iridoschisis in Latin America: a Case Report and Literature Review

1 Professor of Ophthalmology, Glaucoma Specialist, Unidad Médica Clínica del Country, Bogotá, DC, Colombia
2 Professor of Ophthalmology, Glaucoma Specialist, Hospital Militar Central, Bogotá, DC, Colombia
3 Resident in Ophthalmology, Universidad Industrial de Santander, Fundación Oftalmológica de Santander FOSCAL, Bucaramanga, Colombia

Correspondence Address:
MD Hector Fernando Gomez Goyeneche
Unidad Médica del Country, Carrera 16 No. 82-95, Consultorio 701, Bogotá
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Source of Support: None, Conflict of Interest: None

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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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