A 23-year-old male presented for routine eye checkup with an IOP of 29 and 26 mm in RE and LE, respectively. On ocular evaluation, iridoschisis was present from 12 to 3 o'clock position in RE and multiple iridoschisis fibers were present at 6, 7, 10, and 11 o'clock in LE. Gonioscopy showed open angles in both eyes. Fundus evaluation showed a cup-disc ratio of 0.6:1 with bipolar thinning in both eyes with corresponding field defects. He was diagnosed as a case of iridoschisis with bilateral juvenile open angle glaucoma. The patient was started on 3 AGMs. On 5th-year follow-up, IOP was 14 mm in both eyes.
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.