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Acute Angle Closure in an 18-Year-Old Due to Plateau Iris
Sohum Sheth1, Mollie Lagrew1, Charles Richard Blake1
1Ophthalmology, University of Florida College of Medicine, Gainesville, USA.
Cureus
|June 19, 2024
Summary
This case report details a rare instance of acute angle closure in an 18-year-old female, caused by plateau iris syndrome. Early diagnosis and treatment are crucial for preventing vision loss in such cases.
Area of Science:
- Ophthalmology
- Medical Case Reports
Background:
- Acute angle closure glaucoma (AACG) is a serious ophthalmic condition.
- Plateau iris syndrome is a less common anatomical variant that can predispose individuals to AACG.
Observation:
- An 18-year-old African-American female presented with symptoms of acute angle closure, including elevated intraocular pressure, headache, and blurred vision.
- Ocular examination revealed characteristic signs of angle closure, with gonioscopy showing a "double hump" sign and superior iris insertion.
- Ultrasound biomicroscopy confirmed the presence of plateau iris anatomy.
Findings:
- The patient's acute angle closure was attributed to plateau iris syndrome.
- Pharmacological management and bilateral peripheral laser iridoplasty were employed for treatment.
Implications:
- This case highlights the importance of considering plateau iris syndrome in the differential diagnosis of AACG, even in young patients.
- Prompt diagnosis and intervention are essential for preventing irreversible vision loss associated with angle closure glaucoma.
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