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The chafing of mispositioned intraocular lens over iris, ciliary body or iridocorneal angle cause elevated intraocular pressure (IOP) anterior uveitis and hyphema. It is most commonly caused by anterior chamber IOLs and sulcus IOLs but, the condition can be seen with any type of IOL, including posterior chamber lenses and cosmetic iris implants.
Patients are often asymptomatic and the disease is often discovered through investigation of the cause of the heterochromia or cataract. Neovascularisation (growth of new abnormal vessels) is possible and any eye surgery, such as cataract surgery, can cause bleeding from the fragile vessels in the atrophic iris causing accumulation of blood in ...
Many cases are asymptomatic, however patients many have decreased vision, glare, monocular diplopia or polyopia, and noticeable iris changes. [2] [5] On exam patients have normal to decreased visual acuity, and a "beaten metal appearance" of the corneal endothelium, corneal edema, increased intraocular pressure, peripheral anterior synechiae, and iris changes.
Those with small iridodialyses may be asymptomatic and require no treatment, but those with larger dialyses may have corectopia or polycoria and experience monocular diplopia, glare, or photophobia. [3] [4] [5] Iridodialyses often accompany angle recession [6] and may cause glaucoma [7] or hyphema. [8] Hypotony may also occur. [9]
Mechanical anisocoria: Occasionally, previous trauma, eye surgery, or inflammation (uveitis, angle closure glaucoma) can lead to adhesions between the iris and the lens. Adie tonic pupil: Tonic pupil is usually an isolated benign entity, presenting in young women. It may be associated with loss of deep tendon reflex (Adie's syndrome). Tonic ...
Polycoria is a pathological condition of the eye characterized by more than one pupillary opening in the iris. [1] It may be congenital or result from a disease affecting the iris. [1] It results in decreased function of the iris and pupil, affecting the physical eye and visualization.
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Hyphema is the medical condition of bleeding in the anterior chamber of the eye between the iris and the cornea. [1] People usually first notice a loss or decrease in vision. [1] The eye may also appear to have a reddish tinge, or it may appear as a small pool of blood at the bottom of the iris in the cornea.