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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

Insights

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.

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.

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