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What Is Iridoschisis?

Iridoschisis is a condition in which the iris splits into thin, separated layers. The front layer becomes loose and may appear frayed, while the back layer stays attached. This change often begins in older adults and progresses slowly. People may not notice symptoms early on. Exams help detect structural changes and monitor angle health.

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What Is Iridoschisis?

Iridoschisis is a condition in which the iris splits into thin, separated layers. The front layer becomes loose and may appear frayed, while the back layer stays attached. This change often begins in older adults and progresses slowly. People may not notice symptoms early on. Exams help detect structural changes and monitor angle health.

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What Causes Iridoschisis?

Age-related weakening of iris tissue is the most common factor. Long-standing high pressure may contribute. Some cases appear alongside angle-closure disease. Genetic factors are possible but not well understood. Identifying associated conditions helps guide management.

Symptoms of Iridoschisis

People often have no early symptoms. As fibers loosen, glare or light sensitivity may increase. Peripheral vision can be affected if the angle narrows. The iris may look irregular or split under bright light. Symptoms tend to develop slowly.

How Is Iridoschisis Diagnosed?

Slit lamp exam reveals separated iris fibers. Gonioscopy checks whether loose fibers obstruct the angle. Imaging helps document progression. Doctors also check for high pressure or angle closure. Diagnosis helps determine monitoring frequency.

How Is Iridoschisis Treated?

Treatment focuses on controlling pressure and preserving angle function. Medication helps when pressure rises. Laser procedures may assist in selected cases. Surgery is considered if angle closure progresses. Regular follow-up monitors fiber changes.

Frequently Asked Questions About Iridoschisis

Is it common?

No. It is relatively rare.

Does it affect both eyes?

Often yes, though one eye may be more affected.

Can it worsen?

Yes, progression is gradual.

When should I seek care?

Seek care for rising pressure or new glare.