Iris retraction syndrome after intraocular surgery.
BACKGROUND
The authors report the postoperative development of iris retraction syndrome in two individuals. This is a rare syndrome that can present with pupillary block after an unrepaired rhegmatogenous retinal detachment.


METHODS
The authors report two patients who had the iris retraction syndrome shortly after intraocular surgery. One patient had pupillary block that developed 6 months after cataract extraction and posterior chamber intraocular lens implantation. A second patient had uveitis, hypotony, and pupillary seclusion 4 weeks after pars plana vitrectomy.


RESULTS
Both patients were treated successfully with a scleral buckling procedure and peripheral iridectomy.


CONCLUSIONS
Postoperative uveitis that occurs with iris retraction and pupillary seclusion should alert the physician of an occult retinal detachment and warrant a thorough dilated funduscopic examination. Features unique to this report include the development of iris retraction syndrome in the presence of a pseudophakos, the rapidity of onset of this disorder after retinal detachment, and its masquerade as a persistent postoperative uveitis.
New England Eye Center, New England Medical Center Hospitals, Tufts University School of Medicine, Boston.
D S
DS
Greenfield
A R
AR
Bellows
G K
GK
Asdourian
H A
HA
Kachadoorian
D000368:Aged; D002387:Cataract Extraction; D005260:Female; D006801:Humans; D007499:Iris Diseases / Q000150:complications / Q000209:etiology* / Q000473:pathology; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D015814:Ocular Hypotension / Q000209:etiology; D011183:Postoperative Complications; D011681:Pupil Disorders / Q000209:etiology; D012086:Reoperation; D013577:Syndrome; D014605:Uveitis / Q000209:etiology; D014821:Vitrectomy