Here $I_{p,q}$ is the unique-up-to-isometry unimodular lattice of signature $(p,q)$, whose Gram matrix is diagonal with $p$ 1s and $q$ -1s.
In his paper "ON GROUPS OF UNIT ELEMENTS OF CERTAIN QUADRATIC FORMS", Vinberg gives a description of the automorphism group of the lattice $I_{p,1}$. It is a semi-direct product of the subgroup generated by reflections, which is a hyperbolic Coxeter group that can be effectively described, and a subgroup of the symmetries of the fundamental polyhedron for this Coxeter group.
Are there similar descriptions of the orthogonal group of $I_{p,q}$? What about the special case $q=2$?