Abstract

IRISOSCHISIS IS A RARE CONDITION OF THE IRIS IN WHICH, THE ANTERIOR STROMAL LAYER IS SEPARATED FROM THE POSTERIOR STROMAL LAYER AND THE MUSCLE LAYER. ABOUT TWO-THIRDS OF PATIENTS WITH IRIDOSCHISIS MAY PRESENT WITH GLAUCOMA , ANGLE CLOSURE BEING MOST COMMON. WE PRESENT A CASE OF 53 YEAR OLD FEMALE WITH PERSISTENT HEADACHE. HER BEST CORRECTED VISUAL ACUITY WAS 6/6, N6 IN BOTH EYES. THE INTRAOCULAR PRESSURE WAS 42 MM HG IN RIGHT EYE AND 44 MM HG IN LEFT EYE. BOTH EYES INDENTATION GONIOSCOPY REVEALED OPENING OF THE CLOSED ANGLES IN ALL FOUR QUADRANTS. NO OPTIC DISC CUPPING WAS NOTED IN EITHER EYE. INTRAVENOUS MANNITOL WAS GIVEN. IMMEDIATE POST MANNITOL, THE INTRAOCULAR PRESSURE REDUCED TO 12 MM HG IN RIGHT EYE AND 14 MM HG IN LEFT EYE. ANTI-GLAUCOMA MEDICATIONS WERE STARTED IN BOTH EYES AND BILATERAL YAG PERIPHERAL IRIDOTOMY WAS PERFORMED. PATIENT WAS MAINTAINED ON ANTI-GLAUCOMA MEDICATIONS AND ADVISED CLOSE FOLLOW-UP. THIS CASE EXEMPLIFIES EFFECTIVE INTERVENTION AND ONGOING CARE.