Iris Bombe

Clinical Features

• Symptoms:
  • Mild to severe decrease of vision
  • Ocular pain caused by acute or subacute angle closure glaucoma attack
• Anterior bowing of iris stroma either due to inflammation-associated pupilllary margin adhesions to the lens or pupillary block by vitreous body prolapse or posterior chamber silicone oil from retinopexy procedures.

Treatment

• Topical or systemic glaucoma medications.
• Cycloplegic / mydriatic agents or miotic agents (dependent on etiology).
• Aggressive intraocular inflammation treatment.
• Surgical treatment includes YAG or Argon laser iridotomy to create communication between anterior and posterior chamber.