Iridodialysis: Difference between revisions
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==Background== | ==Background== | ||
*Localized seperation 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> | |||
*May also be caused by penetrating eye trauma or as an iatrogenic injury during ophthalmologic procedures | |||
[[File:Iridodialysis.jpg|thumb|Iridodialysis]] | |||
==Clinical Features== | ==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 | |||
*Eye pain | |||
*Diplopia | |||
*Photophobia | |||
*Glare | |||
*[[Hyphema]] | |||
*[[Glaucoma]] | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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==Evaluation== | ==Evaluation== | ||
*Clinical diagnosis | |||
==Management== | ==Management== | ||
*Simple iridodialysis requires no specific ED treatment | |||
*Small iridodialysis often managed conservatively - if large and/or symptomatic, generally requires surgical repair<ref name="Pandav" /> | |||
*If associated with hyphema, see [[hyphema management|Traumatic_hyphema#Managment]] | |||
==Disposition== | ==Disposition== | ||
*Based on discussion with ophthalmology | |||
==See Also== | ==See Also== | ||
*[[Orbital trauma]] | |||
==External Links== | ==External Links== | ||
Revision as of 10:25, 18 November 2017
Background
- Localized seperation 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 Traumatic_hyphema#Managment
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