Iris retraction syndrome associated with nonrhegmatogenous retinal detachment.
OBJECTIVE
To present the first documentation of iris retraction syndrome in eyes with nonrhegmatogenous retinal detachment.


METHODS
One patient with age-related macular degeneration and another with panuveitis developed exudative retinal detachment with iris retraction configuration. Ultrasound biomicroscopy was performed to investigate the anatomic relationship of structures in the anterior segment of the eye.


RESULTS
Ultrasound biomicroscopy demonstrated a severe backward bowing of the peripheral iris with irido-ciliary body and irido-zonular contact as well as broad iris lens touch. The iris retraction syndrome resolved after pupil dilation and disruption of the pupillary adhesions in both cases. The retinal detachment resolved several months later, without surgery.


CONCLUSIONS
Iris retraction syndrome appears not to be exclusive to rhegmatogenous retinal detachment but can present in eyes with exudative - nonrhegmatogenous retinal detachment. Thus, when the configuration of the iris shows bowing in patients with retinal detachment, iris retraction syndrome should be considered and prompt pupil dilation should be carried out.
Geyer
O
O
Department of Ophthalmology, Tel-Aviv Sourasky Medical Centre and the Sackler Faculty of Medicine, Tel-Aviv University, Israel.
Neudorfer
M
M
Rothkoff
L
L
Michaeli-Cohen
A
A
Lazar
M
M
D000368:Aged; D000869:Anterior Eye Segment / Q000000981:diagnostic imaging / Q000473:pathology; D002924:Ciliary Body / Q000000981:diagnostic imaging / Q000473:pathology; D005122:Exudates and Transudates; D005500:Follow-Up Studies; D006801:Humans; D007498:Iris / Q000000981:diagnostic imaging / Q000473:pathology; D007499:Iris Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D008268:Macular Degeneration / Q000150:complications / Q000175:diagnosis; D008297:Male; D015864:Panuveitis / Q000150:complications / Q000175:diagnosis; D012163:Retinal Detachment / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D013577:Syndrome; D014463:Ultrasonography