A case report of iridoschisis and cataract: a challenging diagnosis

To report the cataract surgery of a 79-year-old female patient with iridoschisis and senile nuclear cataracts.

Ophthalmologic examination of the 79-year-old female patient who came to our clinic with complaints of decreased vision in the right eye was observed to have a grade-3 senile nuclear cataract and iridoschisis in quadrants 2–3, 4–7, and 10–11 of the iris in the right eye and a grade-2 senile nuclear cataract and iridoschisis in quadrants 5–7 in the left eye to a lesser extent compared to the right eye. The iris fibrils were not connected to the corneal endothelium. A safe surgical area was created by administering the viscoelastic material several times during cataract surgery.

Although iridoschisis has a low incidence rate, it is important to also consider comorbid ocular pathologies when treating iridoschisis patients. Since cataract surgery for these patients is more specialized than for uncomplicated cases, the necessary surgical planning must be paid due diligence.