The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Iris bombé

Photo by Professor Chua Chung Nen

This 25 year-old man presented with a two-week history of pain and poor vision in the right eye. Examination revealed severe anterior uveitis, a raised intraocular pressure of 40mmHg and 3600 of posterior synechiae. He was started on anti-inflammatory and pressure lowering therapy. A peripheral laser iridotomy was performed to break the iris bombé as the pressure remained persistent high.

 

Peripheral iridotomy to break the iris bombé.

 

Dilated iris vessels not to be mistaken for rubeotic iridis.

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