skip to content
Dovepress - Open Access to Scientific and Medical Research
View our mobile site

8830

A case of iridoschisis associated with lens displacement into the vitreous cavity

Case report

(2214) Views  (776) Full article downloads

Authors: Tetsuya Mutoh, Yukihiro Matsumoto, Makoto Chikuda

Published Date May 2010 Volume 2010:4 Pages 487 - 491
DOI: http://dx.doi.org/10.2147/OPTH.S9885

Tetsuya Mutoh1, Yukihiro Matsumoto1, Makoto Chikuda1

1Department of Ophthalmology, Dokkyo Medical University Koshigaya Hospital, Saitama, Japan

Abstract: We report the case of a 67-year-old woman with a lens that was displaced into the vitreous cavity in one eye and ipsilateral iridoschisis. She was free from a history of ocular trauma or of heritable ocular disease. Her best-corrected visual acuity was 1.2 bilaterally and right eye showed signs of iridoschisis. The corneal endothelial cell density decreased to 1,263 cells/mm2 in the right eye preoperatively. We speculated that iris tissue flowing in the anterior chamber might have intermittently touched the corneal endothelium. 25-gauge pars plana vitrectomy and lens removal were performed immediately. Free-floating iris tissue was cut during surgery with care not to injure the corneal endothelial cells. The postoperative progress was satisfactory and scleral fixation of an intraocular lens is planned. Iridoschisis is an uncommon cause of lens displacement into the vitreous cavity.

Keywords: lens displacement, vitreous cavity, iridoschisis, corneal endothelial cell density, free-floating iris tissue






 

Other articles by Dr Tetsuya Mutoh



Readers of this article also read:

Periosteoplasty for covering gingival recessions: Clinical results
Radiolucency below the crown of mandibular horizontal incompletely impacted third molars and acute inflammation in men with diabetes
Role of aliskiren in cardio-renal protection and use in hypertensives with multiple risk factors
Mirtogenol® potentiates latanoprost in lowering intraocular pressure and improves ocular blood flow in asymptomatic subjects
Enucleation following treatment with intravenous pentamidine for Acanthamoeba sclerokeratitis
Perception of risk and benefit in patient-centered communication and care
The relationship between deliberate self-harm behavior, body dissatisfaction, and suicide in adolescents: current concepts
Zinc oxide nanoparticles as selective killers of proliferating cells
Cumulative clinical experience from over a decade of use of levofloxacin in community-acquired pneumonia: critical appraisal and role in therapy
Erratum