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September 1954

IRIDOSCHISIS AND KERATOCONUS: Report of Case in a Twenty-Year-Old Man

Author Affiliations

From the Ophthalmology Section, 7100th USAF Hospital, Wiesbaden, Germany.

AMA Arch Ophthalmol. 1954;52(3):426-432. doi:10.1001/archopht.1954.00920050428010

IRIDOSCHISIS is a term devised in 1945 by Loewenstein and Foster to describe the splitting off of the anterior leaf of the iris. The first description of this entity was by Schmitt,1 in 1922. A search of the literature has disclosed 21 mentioned and reported cases, in some of which the etiology seems clearly traumatic, in others to be a late result of chronic glaucoma in combination with senile degeneration. All patients have been well in the age group of degenerative diseases. The following case is reported on the basis of the rarity of the lesion, the youth of the patient, the clear absence of glaucoma, and the associated finding of keratoconus, which has not previously been reported.

PRESENTATION OF CASE  A 20-year-old airman 2/C complained of failing vision in the right eye, first noticed about three months before admission. There had been no pain or redness of either

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