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What Is Iris Heterotopia (Corectopia)?

Iris heterotopia, or corectopia, is a displacement of the pupil away from its central position. The pupil may shift upward, downward, or to one side. People often notice cosmetic asymmetry or altered light entry. Vision may remain normal unless other eye structures are affected. Exams identify whether the shift is congenital or acquired.

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What Is Iris Heterotopia (Corectopia)?

Iris heterotopia, or corectopia, is a displacement of the pupil away from its central position. The pupil may shift upward, downward, or to one side. People often notice cosmetic asymmetry or altered light entry. Vision may remain normal unless other eye structures are affected. Exams identify whether the shift is congenital or acquired.

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What Causes Corectopia?

Some people are born with a displaced pupil due to developmental variations. Trauma can distort the iris and pull the pupil off-center. Scarring from inflammation may also shift the pupil. Certain syndromes include corectopia as a feature. Each cause influences management.

Symptoms of Corectopia

Some people have no symptoms and only notice the appearance. Others experience glare or distortion due to irregular light entry. Vision may fluctuate if the pupil moves near a damaged iris area. Depth perception issues are uncommon but possible. Symptoms depend on severity.

How Is Corectopia Diagnosed?

Doctors examine iris structure and pupil alignment. Imaging helps document deeper tissue involvement. History reveals trauma or inflammation. Lens and corneal evaluation helps rule out other causes of distortion. Diagnosis guides whether treatment is needed.

How Is Corectopia Treated?

Mild cases require no treatment. Cosmetic contact lenses can mask the displaced pupil. Surgery is used when the pupil interferes with clarity or function. Anti-inflammatory care is helpful when scarring is active. Regular exams monitor stability.

Frequently Asked Questions About Corectopia

Is it permanent?

Congenital cases usually remain stable.

Does it affect clarity?

Only when the displacement alters light entry.

Can cosmetic lenses help?

Yes. They improve appearance and reduce glare.

When should I seek care?

Seek care for new displacement or glare.