Iridodialysis

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
Iridodialysis

Clinical Features[1][2]

Differential Diagnosis

Orbital trauma

Acute

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. 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
  2. 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