Iridodialysis - Slit lamp only

This patient was in a car that struck a deer. The left eye had count fingers visual acuity in the large iridodialysis seen here. The pressure was 4 mmHg and the lens was dislocated into the vitreous. The patient underwent a pars plana vitrectomy and McCannel sutures (times four). Ultimately an aniridic style intraocular lens was placed but the patient’s vision never improved over 20/400 due to retinal pathology.