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Related Concept Videos

Angle Closure Glaucoma: Treatment01:28

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Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
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Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
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Iris Fixation via External Pentagram Suturing
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Plateau iris in children.

Graham W Belovay1, Talal Alabduljalil1, Charles J Pavlin2

  • 1Department of Ophthalmology and Vision Sciences, University of Toronto, Canada.

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
|August 5, 2015
PubMed
Summary
This summary is machine-generated.

Pediatric narrow iridocorneal angles, a rare cause of glaucoma, may be linked to plateau iris. This study identified plateau iris in five children, confirming it with ultrasound biomicroscopy and treating with iridotomy.

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Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Glaucoma Research

Background:

  • Narrow iridocorneal angles are uncommon in children and can lead to angle closure glaucoma.
  • Plateau iris is a potential diagnosis that must be considered in pediatric patients presenting with narrow angles.
  • Early identification and management are crucial to prevent vision loss.

Observation:

  • This study describes five pediatric cases of plateau iris.
  • The youngest patient diagnosed with plateau iris was 5 years old.
  • Ultrasound biomicroscopy was utilized for diagnosis confirmation in all cases.

Findings:

  • Plateau iris was confirmed in all five pediatric patients.
  • Ultrasound biomicroscopy proved effective in diagnosing plateau iris in this cohort.
  • Iridotomy was the chosen treatment modality for all affected children.

Implications:

  • Recognizing plateau iris in children with narrow angles is essential for timely glaucoma management.
  • Ultrasound biomicroscopy is a valuable tool for diagnosing pediatric plateau iris.
  • Iridotomy appears to be an effective treatment for plateau iris in pediatric patients, potentially preventing glaucoma progression.