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 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.