Synechiae are abnormal adhesions between the iris and either the cornea anterior synechiae or the lens posterior synechiae. They usually develop after inflammation, trauma, or raised pressure in the eye.
Effects on the eye
Synechiae can disturb fluid flow and pupil movement. This may lead to further complications.
- Irregular or distorted pupil shape
- Risk of angle closure and raised intraocular pressure
- Potential for permanent glaucoma or corneal damage
- Often seen in uveitis or after severe injury
Treatment
Management focuses on controlling the underlying cause and preventing permanent adhesions.
- Topical steroids and cycloplegic drops during uveitis
- Occasional use of laser or surgery to break extensive synechiae
- Ongoing pressure monitoring and glaucoma treatment if needed
- Regular follow-up to watch for recurrence or progression
