title: Multifocal iris sphincter ruptures: new sign of the lens-iris diaphragm retropulsion syndrome.
abstract: We describe the case of a 78-year-old highly myopic woman who had bilateral phacoemulsification with posterior chamber intraocular lens implantation. During surgery, the anterior chamber was extremely deep and the pupil was excessively dilated, consistent with lens-iris diaphragm retropulsion syndrome (LIDRS). Subsequent biomicroscopy revealed multifocal iris sphincter ruptures, a new finding associated with LIDRS.
authors.affiliation: University of Cincinnati, College of Medicine, Cincinnati Eye Institute, Cincinnati, Ohio 45242, USA. rhosher@cincinnatieye.com
authors.forename: Robert H
authors.initials: RH
authors.lastname: Osher
authors.forename: James M
authors.initials: JM
authors.lastname: Osher
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Cionni
mesh_terms: D000368:Aged; D000867:Anterior Chamber / Q000473:pathology; D005260:Female; D006801:Humans; D007499:Iris Diseases / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D007905:Lens Diseases / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D019654:Lens Implantation, Intraocular; D009130:Muscle, Smooth / Q000293:injuries*; D018918:Phacoemulsification / Q000009:adverse effects*; D011680:Pupil; D011681:Pupil Disorders / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D012421:Rupture; D013577:Syndrome; D014792:Visual Acuity