Initial presentation. a External photograph of the patient's right eye demonstrating green discoloration, ectropion uvea, and conjunctival injection. b External photograph of the patient's left eye. c Fundus photograph displaying a rhegmatogenous retinal detachment and choroidal detachment in the right eye.

Initial presentation. a External photograph of the patient's right eye demonstrating green discoloration, ectropion uvea, and conjunctival injection. b External photograph of the patient's left eye. c Fundus photograph displaying a rhegmatogenous retinal detachment and choroidal detachment in the right eye.

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Iris retraction syndrome (IRS) is an uncommon condition caused by retinal detachment that is characterized by back bowing of the peripheral iris, leading to a deep anterior chamber. It is commonly associated with ocular hypotony, ciliochoroidal detachment, and anterior proliferative vitreoretinopathy. We describe a case of a 66-year-old man present...

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Context 1
... eye pain, redness, and a nasal visual field defect. Past ocular history was significant for cataract surgery in the left eye. He had no history of previous trauma and was systemically healthy. Examination revealed a visual acuity of 20/400, ciliary flush, and iris heterochromia with a green right iris compared to the blue left iris (shown in Fig. 1). Posterior synechiae were present 360° in the right eye. Intraocular pressure (IOP) was 6 mm Hg in the right and 17 mm Hg in the left. Gonioscopy and slit-lamp examination demonstrated a very deep right anterior chamber with inferior posterior synechiae, 2+ flare, and no cell. Ultrasound biomicroscopy (UBM) demonstrated a posterior ...

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Article
A 53-year-old woman presented with 20/32 visual acuity and a reverse pupillary block in her left eye. The left anterior chamber was substantially deepened with a backbowing of the iris, and an inferior retinal detachment without any associated visible tear was present in the left eye. What would you do next?