Plateau iris

Plateau iris is a medical condition of the eye resulting from anterior displacement of the peripheral iris by the ciliary body, causing angle closure glaucoma. First line treatment for all causes of narrow angle glaucoma is laser iridotomy. If narrow angle glaucoma persists after iridotomy, it is called plateau iris syndrome and subsequently managed either medically (miotics) or surgically (laser peripheral iridoplasty). This condition is sometimes discovered after an iridotomy causes a rapid increase in eye pressure.[1] Due to its rarity, few ophthalmologists have experience with treating those affected by plateau iris syndrome.

Plateau iris of a 22-year-old man

References
  1. Stefan, Cornel; Iliescu, Daniela Adriana; Batras, Mehdi; Timaru, Cristina Mihaela; De Simone, Algerino (2015). "Plateau iris – diagnosis and treatment". Romanian Journal of Ophthalmology. 59 (1): 14–18. PMC 5729809. PMID 27373109.

Further reading
  • Wand, M; Grant, WM; Simmons, RJ; Hutchinson, BT (January 1977). "Plateau iris syndrome". Transactions. Section on Ophthalmology. American Academy of Ophthalmology and Otolaryngology. 83 (1): 122–130. PMID 898466. NAID 10029605696.
  • Pavlin, Charles J.; Ritch, Robert; Foster, F. Stuart (April 1992). "Ultrasound Biomicroscopy in Plateau Iris Syndrome". American Journal of Ophthalmology. 113 (4): 390–395. doi:10.1016/s0002-9394(14)76160-4. PMID 1558112.
  • Ritch, Robert (April 1992). "Plateau Iris Is Caused by Abnormally Positioned Ciliary Processes". Journal of Glaucoma. 1 (1): 23–26. doi:10.1097/00061198-199204000-00006. S2CID 72047734.
  • Diniz Filho, Alberto; Cronemberger, Sebastião; Mérula, Rafael Vidal; Calixto, Nassim (October 2008). "Plateau iris". Arquivos Brasileiros de Oftalmologia. 71 (5): 752–758. doi:10.1590/S0004-27492008000500029. PMID 19039479.
  • Ritch, Robert; Tham, Clement C.Y; Lam, Dennis S.C (January 2004). "Long-term success of argon laser peripheral iridoplasty in the management of plateau iris syndrome". Ophthalmology. 111 (1): 104–108. doi:10.1016/j.ophtha.2003.05.001. PMID 14711720.
  • Kumar, Rajesh S.; Baskaran, Mani; Chew, Paul T.K.; Friedman, David S.; Handa, Swati; Lavanya, Raghavan; Sakata, Lisandro M.; Wong, Hon-Tym; Aung, Tin (March 2008). "Prevalence of Plateau Iris in Primary Angle Closure Suspects". Ophthalmology. 115 (3): 430–434. doi:10.1016/j.ophtha.2007.07.026. PMID 17900691.
  • Kumar, Rajesh S.; Tantisevi, Visanee; Wong, Melissa H.; Laohapojanart, Kobkuea; Chansanti, Orathai; Quek, Desmond T.; Koh, Victor T.; MohanRam, Lakshmana S.; Lee, Kelvin Y.; Rojanapongpun, Prin; Aung, Tin (12 October 2009). "Plateau Iris in Asian Subjects With Primary Angle Closure Glaucoma". Archives of Ophthalmology. 127 (10): 1269–1272. doi:10.1001/archophthalmol.2009.241. PMID 19822841.
  • Viet Tran, H; Liebmann, Jeffrey M; Ritch, Robert (January 2003). "Iridociliary apposition in plateau iris syndrome persists after cataract extraction". American Journal of Ophthalmology. 135 (1): 40–43. doi:10.1016/S0002-9394(02)01842-1. PMID 12504695.
  • Pavlin, Charles J; Foster, F.Stuart (September 1999). "Plateau iris syndrome: changes in angle opening associated with dark, light, and pilocarpine administration". American Journal of Ophthalmology. 128 (3): 288–291. doi:10.1016/s0002-9394(99)00149-x. PMID 10511021.
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