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Intermediate Technical IVT

iridodonesis

Pronunciation: ir-i-doh-doh-NEE-sis

Trembling or shimmering movement of the iris when the eye moves, typically due to lack of lens support.

Full Definition

Iridodonesis refers to the characteristic trembling or oscillating movement of the iris that occurs with eye movement when the normal support structure of the lens is absent or compromised. This sign is most commonly observed in aphakic eyes (after cataract extraction without IOL implantation) or in cases of lens subluxation or dislocation. The movement occurs because the iris lacks its normal posterior support from the crystalline lens, allowing it to move freely within the anterior chamber.

Usage

Usage note: Often confused with phacodonesis, which refers specifically to lens movement.

In Context

  • "Marked iridodonesis was observed in the aphakic eye during saccadic movements." — Clinical examination
  • "The presence of iridodonesis suggested subluxation of the crystalline lens." — Diagnostic assessment

Also known as

iris trembling

Don't confuse with

iridodialysis phacodonesis

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