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PLATEAU IRIS--DIAGNOSIS AND TREATMENT
Romanian Journal of Ophthalmology
|July 5, 2016
Summary
Plateau iris syndrome, an angle closure glaucoma variant, stems from ciliary body abnormalities obstructing the trabecular meshwork. Argon laser peripheral iridoplasty is the preferred treatment for this condition.
Area of Science:
- Ophthalmology
- Glaucoma Research
Background:
- Plateau iris configuration is an anatomical variant.
- Plateau iris syndrome can lead to primary angle closure glaucoma.
Purpose of the Study:
- To review current knowledge on plateau iris configuration and syndrome.
- To summarize diagnostic and treatment options for plateau iris syndrome.
Main Methods:
- Systematic review of publications up to 2014.
- Focused on plateau iris and related conditions.
Main Results:
- Plateau iris syndrome involves a large or anteriorly positioned ciliary body.
- This anatomical feature obstructs the trabecular meshwork, causing angle closure.
- Diagnosis is aided by ultrasound biomicroscopy or anterior segment optical coherence tomography.
Conclusions:
- Plateau iris syndrome is a distinct cause of primary angle closure glaucoma.
- It is often diagnosed in younger individuals.
- Lack of angle opening response post-iridotomy suggests plateau iris syndrome.
- Argon laser peripheral iridoplasty is the recommended treatment.
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