Rare Case of Bilateral Essential Iris Atrophy in the Iridocorneal Endothelial Syndrome

Rare Case of Bilateral Essential Iris Atrophy in the Iridocorneal Endothelial Syndrome

B. Ouidani*, A. ELadrari1, M. El filali2, M. Kriet, H3. Ait lhaj, F.Elasri4

*Correspondence to: B. Ouidani, Morocco.


© 2023 B. Ouidani This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original    work is properly cited.

Received: 07 December 2023

Published: 14 December 2023

Rare Case of Bilateral Essential Iris Atrophy in the Iridocorneal Endothelial Syndrome

Case Report

A 54 year-old man without any medical or surgical history, who consulted for bilateral progressive blurry vision and photophobia. Clinical findings objected a visual acuity at 0,3 LogMAR in the right eye and 0,4 LogMAR in the left eye. The slit lampe examination found a clear cornea with atrophic iris and melt holes, especialy in the left eye, and a bilateral moderate cataract.  The intraocular pressure was elevated as well. Gonioscopy examination had shown high peripheral synechia extending above Schwalbe line. The posterior segment was abnormal and found asymmetric axcavation at 5/10 in the right eye and 7/10 in the left eye.  Specular microscopy was done as a diagnostic tool, it enhanced the diagnosis of iridocorneal endothelial syndrome as we found a pleomorphic appearance of some areas in the cornea. The patient was immediately treated by the aqueous suppressants, as prostaglandins should be carefully considered due to reports of HSV recurrence. Luckuly, the patient didn’t have a significant corneal edema. A follow up is planned in one week to control the intraocular pressure and to complete the complementary exams especially optique nerve OCT and the visual field.

Figure 1: Right Eye

Figure 2: Left Eye

Figure 1

Figure 2

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