Accessory iris membranes: Removing the veil

PURPOSE: To report a case of a young adult with dense bilateral accessory iris membranes (AIMs). OBSERVATIONS: AIMs can influence vision by multiple mechanisms. We discuss clinical examination and imaging considerations that can help parse optical and refractive complications to better guide intervention discussions. We also describe our surgical approach and perioperative management to help minimize trauma to the eye and maximize favorable surgical outcomes in these cases. CONCLUSIONS AND IMPORTANCE: This case highlights the excellent symptomatic, visual acuity and stereopsis gains that can be achieved following surgical intervention for this clinical entity, even in older patients.