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Plateau iris syndrome

M Wand, W M Grant, R J Simmons

    Transactions. Section on Ophthalmology. American Academy of Ophthalmology and Otolaryngology
    |January 1, 1977
    PubMed
    Summary
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    Plateau iris syndrome, a rare postoperative condition, involves recurrent angle closure despite a patent iridectomy. This differs from plateau iris configuration and requires pilocarpine treatment.

    Area of Science:

    • Ophthalmology
    • Glaucoma Studies

    Background:

    • Distinguishing plateau iris syndrome from plateau iris configuration is crucial for appropriate clinical management.
    • Plateau iris configuration typically resolves with peripheral iridectomy, unlike the syndrome.

    Observation:

    • Plateau iris syndrome presents as a postoperative condition characterized by recurrent angle closure despite a patent peripheral iridectomy.
    • This syndrome occurs without axial shallowing of the anterior chamber, differentiating it from other angle-closure glaucomas.

    Findings:

    • The syndrome typically manifests in the early postoperative period or later upon pupillary dilation.
    • It affects a younger demographic compared to typical angle-closure glaucoma.
    • Recurrent gonioscopically confirmed angle closure occurs despite the iridectomy addressing pupillary block.

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    Implications:

    • Plateau iris syndrome necessitates consideration in the differential diagnosis of unexpected intraocular pressure spikes post-iridectomy.
    • Postoperative pilocarpine is the recommended treatment for managing this rare condition.
    • Understanding this syndrome aids in refining treatment strategies for angle-closure glaucoma.