Traumatic Iris Coloboma

• Can be caused by penetrating or non-penetrating injuries to the globe.

Clinical Features

• Symptoms:
  • Glare
  • Blurry vision
  • Monocular diplopia
• Signs:
  • Absence of sectoral iris tissue
  • Often associated with cataract
  • In an emergency case, it is often associated with hyphema and other ocular structures defects such as rupture globe, conjunctival or corneal laceration and cataract

Management

• Careful routine examination of ocular injuries.
• Supportive with sunglasses, tinted contact lens or contact lens with artificial pupil.
• Surgical iridoplasty in patients with severe and intolerable symptoms.