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Related Experiment Videos

Incomplete and complete plateau iris syndrome.

G Chandra Sekhar, K Sreelatha Onam, Vallam Kunjam

    Clinical & Experimental Ophthalmology
    |April 8, 2004
    PubMed
    Summary

    Plateau iris syndrome, a rare condition, presents complete and incomplete forms. This case highlights varying intraocular pressure responses to mydriasis, suggesting incomplete plateau iris syndrome may stem from circumferential angle closure differences.

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    Area of Science:

    • Ophthalmology
    • Anatomy
    • Physiology

    Background:

    • Plateau iris syndrome is a rare condition characterized by a specific iris anatomy.
    • It is classified into complete and incomplete subtypes based on intraocular pressure (IOP) response to mydriasis.

    Observation:

    • A case of plateau iris syndrome is presented with asymmetric presentation.
    • One eye exhibited a postmydriatic rise in IOP (complete syndrome).
    • The fellow eye showed no IOP increase after mydriasis (incomplete syndrome).
    • Ultrasound biomicroscopy (UBM) was performed before and after mydriasis.

    Findings:

    • UBM revealed distinct anatomical configurations in both eyes.
    • The findings suggest that incomplete plateau iris syndrome might result from variable circumferential closure of the iridocorneal angle.
    • This closure occurs over the entire 360 degrees of the angle.

    Implications:

    • This case expands the understanding of plateau iris syndrome's clinical spectrum.
    • It underscores the importance of assessing IOP response and angle dynamics in both eyes.
    • The findings may guide diagnostic and management strategies for plateau iris syndrome.

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