A 60-year-old female presented with BCVA of 6/36 and finger counting 1 m in RE and LE, respectively, with an IOP of 15 mm in both eyes. Iridoschisis was present from 4 to 5 o'clock hour in RE and pseudophakic bullous keratopathy (PBK) was seen in LE. Gonioscopy showed occludable angles in RE with nuclear sclerosis Grade 2. Fundus examination showed a cup-disc ratio of 0.4:1 in RE. She was diagnosed as a case of unilateral iridoschisis with occludable angles in RE and cataract and contralateral PBK (presence of iridoschisis could not be commented upon due to poor view due to PBK). Phacoemulsification with IOL implantation was done in RE. Postoperatively, vision was 6/9 with an IOP of 11 mm and normal visual fields. It is also a possibility that the other eye also had associated occludable angles, leading to a complicated surgery and eventually PBK.
A 35-year-old female presented with bilateral inferior iridoschisis with chronic angle closure glaucoma and cataract in both eyes. RE was prephthisical eye with IOP of 6 mmHg. PI followed by prescription of 2 AGMs was done in LE. On her 6th-year follow-up, IOP was 16 mm in RE and 14 mm in LE. She was advised to undergo combined cataract and glaucoma surgery in LE.