Iris bombata (or iris bombé) is a condition where posterior synechiae at the pupil margin have completely sealed the posterior chamber from the anterior chamber, thereby preventing aqueous outflow. This can be seen in uveitic cases where the extensive inflammation and iritis have caused aggressive synechiae formation. With the aqueous unable to pass through the pupil and into the anterior chamber, the peripheral iris billows and comes forward thereby blocking the angle as well, further aggravating the situation. In this case our guest surgeon lyses the synechiae and then performs careful cataract surgery and restores the iris and angle anatomy. You will certainly face a case like this in your future, so it’s best to learn about it now.
