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What Is an Iris Perf?

An iris perf is a full-thickness hole in the iris that creates an abnormal opening separate from the pupil. It can follow trauma, inflammation, or surgical complications. People may notice glare, double images, or changes in light control. The hole's size and location influence symptoms. Exams help determine whether the defect affects vision or pressure.

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What Is an Iris Perf?

An iris perf is a full-thickness hole in the iris that creates an abnormal opening separate from the pupil. It can follow trauma, inflammation, or surgical complications. People may notice glare, double images, or changes in light control. The hole's size and location influence symptoms. Exams help determine whether the defect affects vision or pressure.

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What Causes an Iris Perf?

Penetrating injury is a common cause. Inflammation can thin the iris until a hole forms. Certain surgeries may unintentionally create a small defect. Severe iris atrophy can also lead to perforation. Identifying the cause helps guide treatment.

Symptoms of an Iris Perf

People may notice light entering through the hole, causing glare. Small defects may produce ghost images. Larger openings alter how the pupil regulates brightness. Some people see irregular shadows in dim light. Symptoms depend on the hole's location.

How Is an Iris Perf Diagnosed?

Slit lamp exam shows the opening and surrounding tissue. Doctors assess pupil function and iris stability. Imaging helps measure the defect's depth or shape. Eye pressure is checked to rule out related problems. Diagnosis guides decisions on repair.

How Is an Iris Perf Treated?

Small, stable holes often require no treatment. Surgery may close larger defects that affect clarity. Custom contact lenses help reduce glare. Management also focuses on treating the original cause. Follow-up monitors pressure and structural stability.

Frequently Asked Questions About Iris Perfs

Can it close on its own?

No. The iris does not regrow across a full-thickness hole.

Does it affect vision?

It can, especially if light leaks through the opening.

Can it be repaired?

Yes. Surgical closure is possible in selected cases.

When should I seek care?

Seek care if glare or double images appear.