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 28-year-old male presented with unilateral superior iridoschisis detected incidentally on routine evaluation. There was no clinical evidence of glaucoma even after 5 years of follow-up.