Iris retraction syndrome associated with nonrhegmatogenous retinal detachment

Orna Geyer*, Meira Neudorfer, Levi Rothkoff, Adi Michaeli-Cohen, Moshe Lazar

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To present the first documentation of iris retraction syndrome in eyes with nonrhegmatogenous retinal detachment. Patients and Methods: One patient with age-related macular degeneration and another with panuveitis developed exudative retinal detachment with iris retraction configuration. Ultrasound biomicroscopy was performed to investigate the anatomic relationship of structures in the anterior segment of the eye. Results: Ultrasound biomicroscopy demonstrated a severe backward bowing of the peripheral iris with irido-ciliary body and irido-zonular contact as well as broad iris lens touch. The iris retraction syndrome resolved after pupil dilation and disruption of the pupillary adhesions in both cases. The retinal detachment resolved several months later, without surgery. Conclusion: Iris retraction syndrome appears not to be exclusive to rhegmatogenous retinal detachment but can present in eyes with exudative - nonrhegmatogenous retinal detachment. Thus, when the configuration of the iris shows bowing in patients with retinal detachment, iris retraction syndrome should be considered and prompt pupil dilation should be carried out.

Original languageEnglish
Pages (from-to)617-619
Number of pages3
JournalActa Ophthalmologica Scandinavica
Volume76
Issue number5
DOIs
StatePublished - Oct 1998

Keywords

  • Anterior-eye-segment-ultrasonography
  • Iris retraction syndrome (IRS)
  • Retinal detachment
  • Ultrasound biomicroscopy (UBM)

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