This is a gentleman, who once in the night 4 days back felt pain in the right eye. He claims neither trauma nor any disturbance to the eye. He is complaining of mild pain, photophobia, and diplopia.
Pubmed says: spontaneous iridodialysis truely exists. Spontaneous recovery with such a small dialysis is still possible, if mydriatics are attempted. So I prescribed atropine three times daily in that eye and will see him in a week for a follow-up.
He is phakic and that slightly complicates possible repair of iris, but otherwise – “sewing machine” technique for the repair is very much possible.