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Plateau Iris: A Review.

Seyed Mehdi Tabatabaei1, Ghasem Fakhraie1, Shabnam Ansari1

  • 1Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Journal of Current Ophthalmology
|September 8, 2023
PubMed
Summary

Plateau iris involves nonpupillary block mechanisms causing elevated intraocular pressure and angle closure. Management strategies vary, with surgical options considered for unresponsive glaucoma.

Keywords:
Angle closureGlaucomaNonpupillary angle closurePlateau iris

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Area of Science:

  • Ophthalmology
  • Glaucoma Research

Background:

  • Plateau iris is a condition characterized by nonpupillary block mechanisms leading to angle closure.
  • An anteriorly positioned ciliary body obstructs the trabecular meshwork, causing elevated intraocular pressure.

Purpose of the Study:

  • To review the concept of plateau iris.
  • To summarize recent evidence on the diagnosis and management of plateau iris.

Main Methods:

  • Narrative review of literature.
  • Searches conducted in PubMed, Google Scholar, and Scopus databases.
  • Keywords included: angle-closure glaucoma, plateau iris, and plateau iris management.

Main Results:

  • Plateau iris is typically seen in younger patients with angle closure.
  • Diagnosis involves gonioscopy and imaging modalities like Ultrasound biomicroscopy.
  • Nonsurgical treatments (pilocarpine, laser iridoplasty) offer short-term effects.

Conclusions:

  • Plateau iris requires periodic examination for progression or recurrence.
  • Surgical options like cataract extraction, goniotomy, and cyclophotocoagulation are alternatives.
  • Trabeculectomy and drainage devices are considered for medically unresponsive glaucoma.