His ocular history was significant for a firecracker injury resulting in polycoria and dyscoria in the right eye (see Figure 3).
Figure 3a Polycoria and dyscoria in the patient's right eye following trauma; 3b Diagnostic lens on eye during fitting; 3c Photo of patient's eyes with good illumination and reference tab for appropriate colour matching; 3d Final lens received with opaque offset pupil
Common anterior segment abnormalities include [3-5] iris hypoplasia, corectopia, polycoria, iridocorneal adhesions, posterior embryotoxon, and glaucoma.
Corectopia and peripheral anterior synechia were seen in the right eye, and iris hypoplasia, corectopia, polycoria, and peripheral anterior synechia were seen in the left eye (Figure 3).
(2) Rieger described the patients with congenital iris abnormalities including iris hypoplasia, corectopia and polycoria as Rieger anomaly which in case associates with systemic findings such as dental, facial bone defects, umbilical, pituitary abnormalities, termed as Rieger Syndrome.
Correctopia, polycoria, ectropion uveae, posterior embryotoxon, and increased intraocular pressure are common ophthalmologic findings with ARS.
Posterior polymorphous dystrophy with polycoria and corectopia.
Congenital nonattachment of the retina with hydrophthalmia, hypoplastic vitreous body and true polycoria. Am J Ophthalmol.
Rieger described patients with congenital iris abnormalities including iris hypoplasia, corectopia, and polycoria, now referred as rieger anomaly, in 1935(2).
1), eye changes in the form of iris hypoplasia, polycoria (multiple pupils), corectopia (eccentrically placed pupil), posterior embryotoxon (white rim of cornea), which refers to displacement of schwalbe's line anterior to limbus in the cornea.
(multiple pupils) can be congenital or acquired as a result of trauma, iris atrophy or inflammation
(multiple pupils) can also be congenital, or a result of trauma, segmental iris atrophy or inflammation.