Traumatic-Irido-Schiso dialysis

A 60-year-old female presented trauma with a stone to her right eye (RE) 2 weeks back, and her best-corrected visual acuity was hand movement, left eye (6/6). RE had a shallow anterior chamber with inferior iridoschisis and splitting of pigmented and non-pigmented iris epithelium layers. There was iridodialysis of anterior layers with posterior synechiae formation along with traumatic cataract [Fig. 1a]. The surgical procedure was performed to reposit the anterior layers back after synechiolysis, and the iridodialysis repair was done and subsequently pupilloplasty.[1,2] Schisis was settled by anatomical reapposition of anterior layers. Phacoemulsification with intraocular lens implanted. Iridoschisis is the splitting of anterior and posterior iris layers at the iris stroma.[3] Postoperative there was a vision of 6/36 with good iris anatomical restoration [Fig. 1b]. The coexistence of schisis with dialysis of anterior layers has not been reported by far.Figure 1: (a) Traumatic iridodialysis of anterior iris layers with simultaneous splitting and cataract. (b) Postsurgery iridodialysis repair with pupilloplasty and well-centered intraocular lensDeclaration of patient consent The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed. Financial support and sponsorship: Nil. Conflicts of interest: There are no conflicts of interest.