To present two cases of iridoschisis where combined surgical management of cataract extraction and goniosynechialysis was performed and to report the outcomes.
Approach:
Case 1: An 81-year-old woman with bilateral iridoschisis and cataract underwent laser peripheral iridotomy followed by combined phacoemulsification and goniosynechialysis. Post-surgery, intraocular pressure (IOP) normalized, and visual improvement was noted over an 18-month follow-up.
Case 2: An 82-year-old man with bilateral iridoschisis had standard cataract surgery on one eye. During surgery on the second eye, intraoperative gonioscopy revealed peripheral anterior synechiae, leading to the addition of goniosynechialysis. This resulted in excellent visual outcomes and stable IOP.
Key Findings:
Iridoschisis is a rare condition primarily affecting older adults, often associated with angle-closure glaucoma and cataracts.
The dual procedure of phacoemulsification and goniosynechialysis effectively addresses both cataract and angle closure in iridoschisis patients, as demonstrated in the presented cases.
Interpretation:
The combined surgical approach offers a method for managing complex cases of iridoschisis, as evidenced by the outcomes in the two cases.
Limitations:
The report is based on only two cases, which limits the generalizability of the findings.
Long-term outcomes beyond 18 months were not assessed, which may affect the understanding of the procedure's durability.
Conclusion:
The dual surgical approach was performed in two cases, showing effectiveness in managing cataracts and angle closure in patients with iridoschisis.
