Case 3 involved a 66-year-old male who was referred to our clinic because of visual loss with congestion and intermittent pain in the left eye for the preceding six months. The patient had no history of ocular trauma or heritable ocular disease.\nThe result of a RPR test for syphilis was confirmed to be a false positive. The preoperative BCVAs were 20/125 OD and 20/50 OS. The IOPs were 22 mmHg OD and 35 mmHg OS. Slit-lamp examination revealed a local rupture in the temporal quadrant of the iris stroma of the right eye (Fig. ). In the left eye, the anterior layer was divided into a loose mixture in the temporal iris and the AC was of normal depth (Fig. ). A postmydriatic examination showed cortical opacity of the lens and dust turbidity of the vitreous body. Gonioscopy showed that the peripheral AC in the superior area of the right eye had a discontinuous synechia along together with pigment deposition (Fig. ). Scheimpflug images by Sirius showed that part of the peripheral AC was shallow and that the iridocorneal angle was still open in both eyes (Figs. ). The endothelial cell counts were 3,306 cells/mm2 OD and 3,011 cells/mm2 OS. The patient was diagnosed with secondary glaucoma with iridoschisis and received BAK-free travoprost 0.004% containing polyquaternium-1 (Travatan® preserved with POLYQUAD®, Alcon Laboratories, Fort Worth, TX, USA) once daily and brinzolamide (Azopt®, Alcon, Laboratories, Elkridge, MD), 2% carteolol (Mikelan®, China Dazhong pharmaceutical Co., Ltd, Tianjin, China), and alpha2-agonist (Alphagan®, Allergan, Inc., Irvine, CA) twice daily.\nOne month after admission, over which time the eye drops were used, the IOPs were 18 mmHg OD and 32 mmHg OS. The IOPs showed significant fluctuation with medical treatment. Notably, glaucoma surgery will be necessary for this patient in the future. The patient was advised to have frequent ophthalmologic examinations to monitor the IOPs in his eyes and to assess any progression of glaucomatous changes in both eyes.
An 85-year-old male presented with unilateral inferior iridoschisis with cataract and underwent phacoemulsification with PCIOL- Posterior chamber intraocular lens implantation. He had an IOP of 14 mm in both eyes with open angles on gonioscopy and a disc with a cup-disc ratio of 0.4:1 in both eyes. The contralateral eye was pseudophakic.