Flower Iris: When an Ocular Blunt Trauma Leaves Its Mark

Clinical Image

A 67 years old patient who denies any specific medical history, presented to ophtalmological consultation with decreased visual acuity in her right eye along with a chronic onset of photophobia, the best corrected visual acuity at snellen chart was 5/10 in the right eye and 8/10 in the left eye; the slit lamp examination of the right eye surprisingly found multiple sphincter tears giving a specific shape of the iris with a nuclear cataract (Figure 1). No angle recession or retinal tears were found. The patient underwent a surgical procedure for her cataract with a good visual outcome.

    

    

    Figure 1: Slit lamp photo of the anterior segment of the right eye showing a
distorted pupillary margins due to multiple sphincter tears.