Iridodialysis: Difference between revisions
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==Background== | ==Background== | ||
*Localized | *Localized separation of the iris from the ciliary body | ||
*Most commonly caused by blunt trauma to the eye<ref name="Pandav">Pandav, S. S., Gupta, P. C., Singh, R. R., Das, K., Kaushik, S., Raj, S., & Ram, J. (2016). Cobbler’s Technique for Iridodialysis Repair. Middle East African Journal of Ophthalmology, 23(1), 142–144. http://doi.org/10.4103/0974-9233.171770</ref> | *Most commonly caused by blunt [[ocular Trauma|trauma]] to the eye<ref name="Pandav">Pandav, S. S., Gupta, P. C., Singh, R. R., Das, K., Kaushik, S., Raj, S., & Ram, J. (2016). Cobbler’s Technique for Iridodialysis Repair. Middle East African Journal of Ophthalmology, 23(1), 142–144. http://doi.org/10.4103/0974-9233.171770</ref> | ||
*May also be caused by penetrating eye trauma or as an iatrogenic injury during ophthalmologic procedures | *May also be caused by penetrating eye trauma or as an iatrogenic injury during ophthalmologic procedures | ||
| Line 8: | Line 8: | ||
==Clinical Features<ref name="Pandav" /><ref name="Omar">Omar Yousif, M. (2016). Single suture customized loop for large iridodialysis repair. Clinical Ophthalmology (Auckland, N.Z.), 10, 1883–1890. http://doi.org/10.2147/OPTH.S111322</ref>== | ==Clinical Features<ref name="Pandav" /><ref name="Omar">Omar Yousif, M. (2016). Single suture customized loop for large iridodialysis repair. Clinical Ophthalmology (Auckland, N.Z.), 10, 1883–1890. http://doi.org/10.2147/OPTH.S111322</ref>== | ||
*Small localized iridodialysis may be asymptomatic | *Small localized iridodialysis may be asymptomatic | ||
*Eye pain | *[[Eye pain]] | ||
*Diplopia | *[[Diplopia]] | ||
*Photophobia | *Photophobia | ||
*Glare | *Glare | ||
| Line 24: | Line 24: | ||
*Simple iridodialysis requires no specific ED treatment | *Simple iridodialysis requires no specific ED treatment | ||
*Small iridodialysis often managed conservatively - if large and/or symptomatic, generally requires surgical repair<ref name="Pandav" /> | *Small iridodialysis often managed conservatively - if large and/or symptomatic, generally requires surgical repair<ref name="Pandav" /> | ||
*If associated with hyphema, see [[ | *If associated with hyphema, see [[Traumatic_hyphema#Managment|hyphema management]] | ||
==Disposition== | ==Disposition== | ||
Latest revision as of 17:07, 5 October 2019
Background
- Localized separation of the iris from the ciliary body
- Most commonly caused by blunt trauma to the eye[1]
- May also be caused by penetrating eye trauma or as an iatrogenic injury during ophthalmologic procedures
Clinical Features[1][2]
- Small localized iridodialysis may be asymptomatic
- Eye pain
- Diplopia
- Photophobia
- Glare
- Hyphema
- Glaucoma
Differential Diagnosis
Orbital trauma
Acute
- Caustic keratoconjunctivitis^^
- Conjunctival hemorrhage
- Conjunctival laceration
- Corneal abrasion, Corneal laceration
- Globe rupture^
- Iridodialysis
- Lens dislocation
- Ocular foreign body
- Orbital fracture
- Frontal sinus fracture
- Naso-ethmoid fracture
- Inferior orbial wall fracture
- Medial orbital wall fracture
- Posterior vitreous detachment
- Retinal detachment
- Retrobulbar hemorrhage/hematoma
- Subconjunctival hemorrhage
- Traumatic hyphema
- Traumatic iritis
- Traumatic mydriasis
- Traumatic optic neuropathy
- Vitreous detachment
- Vitreous hemorrhage
- Ultraviolet keratitis
Subacute/Delayed
Evaluation
- Clinical diagnosis
Management
- Simple iridodialysis requires no specific ED treatment
- Small iridodialysis often managed conservatively - if large and/or symptomatic, generally requires surgical repair[1]
- If associated with hyphema, see hyphema management
Disposition
- Based on discussion with ophthalmology
See Also
External Links
References
- ↑ 1.0 1.1 1.2 Pandav, S. S., Gupta, P. C., Singh, R. R., Das, K., Kaushik, S., Raj, S., & Ram, J. (2016). Cobbler’s Technique for Iridodialysis Repair. Middle East African Journal of Ophthalmology, 23(1), 142–144. http://doi.org/10.4103/0974-9233.171770
- ↑ Omar Yousif, M. (2016). Single suture customized loop for large iridodialysis repair. Clinical Ophthalmology (Auckland, N.Z.), 10, 1883–1890. http://doi.org/10.2147/OPTH.S111322