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Iris Fixation via External Pentagram Suturing
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Plateau iris.

Alberto Diniz Filho1, Sebastião Cronemberger, Rafael Vidal Mérula

  • 1Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil. adinizfilho@yahoo.com.br

Arquivos Brasileiros De Oftalmologia
|November 29, 2008
PubMed
Summary
This summary is machine-generated.

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Plateau iris is an anatomical variant where the iris periphery angles sharply, potentially causing angle-closure glaucoma. Definitive treatment involves argon laser peripheral iridoplasty for this condition.

Area of Science:

  • Ophthalmology
  • Anatomy

Background:

  • Plateau iris, first described in 1958, is an iris configuration characterized by a specific anatomical structure.
  • Classically defined in 1977, it involves a normal central anterior chamber depth but a narrow or closed angle on gonioscopy.
  • Plateau iris syndrome, an acute glaucoma crisis, presents with angle closure post-mydriasis despite a patent iridotomy.

Purpose of the Study:

  • To define the anatomical characteristics of plateau iris.
  • To differentiate plateau iris configuration from plateau iris syndrome.
  • To outline the clinical management and definitive treatment for plateau iris.

Main Methods:

  • Historical review of definitions and concepts related to plateau iris.
  • Ultrasound biomicroscopy (UBM) utilized in 1992 to study anatomical aspects.

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  • Gonioscopic examination to confirm angle status.
  • Main Results:

    • Plateau iris is an anatomical variant with sharp anterior and posterior angulation of the iris periphery.
    • Ultrasound biomicroscopy revealed anterior positioning of ciliary processes in plateau iris.
    • Acute angle closure in plateau iris syndrome can occur even with a patent iridotomy.

    Conclusions:

    • Plateau iris is an anatomical variant of iris structure.
    • Topical pilocarpine offers clinical management, but argon laser peripheral iridoplasty is the definitive treatment for plateau iris syndrome.