Plateau iris explained

Plateau iris is a medical condition of the eye resulting from anterior displacement of the peripheral iris by the ciliary body, causing angle closure glaucoma. First line treatment for all causes of narrow angle glaucoma is laser iridotomy. If narrow angle glaucoma persists after iridotomy, it is called plateau iris syndrome and subsequently managed either medically (miotics) or surgically (laser peripheral iridoplasty). This condition is sometimes discovered after an iridotomy causes a rapid increase in eye pressure.^[1] Due to its rarity, few ophthalmologists have experience with treating those affected by plateau iris syndrome.

Further reading

• Wand . M . Grant . WM . Simmons . RJ . Hutchinson . BT . Plateau iris syndrome . Transactions. Section on Ophthalmology. American Academy of Ophthalmology and Otolaryngology . January 1977 . 83 . 1 . 122–130 . . 898466 .
• Pavlin . Charles J. . Ritch . Robert . Foster . F. Stuart . Ultrasound Biomicroscopy in Plateau Iris Syndrome . American Journal of Ophthalmology . April 1992 . 113 . 4 . 390–395 . 10.1016/s0002-9394(14)76160-4 . 1558112 .
• Ritch . Robert . Plateau Iris Is Caused by Abnormally Positioned Ciliary Processes . Journal of Glaucoma . April 1992 . 1 . 1 . 23–26 . 10.1097/00061198-199204000-00006 . 72047734 .
• Diniz Filho . Alberto . Cronemberger . Sebastião . Mérula . Rafael Vidal . Calixto . Nassim . Plateau iris . Arquivos Brasileiros de Oftalmologia . October 2008 . 71 . 5 . 752–758 . 10.1590/S0004-27492008000500029 . 19039479 . free .
• Ritch . Robert . Tham . Clement C.Y . Lam . Dennis S.C . Long-term success of argon laser peripheral iridoplasty in the management of plateau iris syndrome . Ophthalmology . January 2004 . 111 . 1 . 104–108 . 10.1016/j.ophtha.2003.05.001 . 14711720 .
• Kumar . Rajesh S. . Baskaran . Mani . Chew . Paul T.K. . Friedman . David S. . Handa . Swati . Lavanya . Raghavan . Sakata . Lisandro M. . Wong . Hon-Tym . Aung . Tin . Prevalence of Plateau Iris in Primary Angle Closure Suspects . Ophthalmology . March 2008 . 115 . 3 . 430–434 . 10.1016/j.ophtha.2007.07.026 . 17900691 .
• Kumar . Rajesh S. . Tantisevi . Visanee . Wong . Melissa H. . Laohapojanart . Kobkuea . Chansanti . Orathai . Quek . Desmond T. . Koh . Victor T. . MohanRam . Lakshmana S. . Lee . Kelvin Y. . Rojanapongpun . Prin . Aung . Tin . Plateau Iris in Asian Subjects With Primary Angle Closure Glaucoma . Archives of Ophthalmology . 12 October 2009 . 127 . 10 . 1269–1272 . 10.1001/archophthalmol.2009.241 . 19822841 .
• Viet Tran . H . Liebmann . Jeffrey M . Ritch . Robert . Iridociliary apposition in plateau iris syndrome persists after cataract extraction . American Journal of Ophthalmology . January 2003 . 135 . 1 . 40–43 . 10.1016/S0002-9394(02)01842-1 . 12504695 .
• Pavlin . Charles J . Foster . F.Stuart . Plateau iris syndrome: changes in angle opening associated with dark, light, and pilocarpine administration . American Journal of Ophthalmology . September 1999 . 128 . 3 . 288–291 . 10.1016/s0002-9394(99)00149-x . 10511021 .

Notes and References

1. Stefan . Cornel . Iliescu . Daniela Adriana . Batras . Mehdi . Timaru . Cristina Mihaela . De Simone . Algerino . Plateau iris – diagnosis and treatment . Romanian Journal of Ophthalmology . 2015 . 59 . 1 . 14–18 . 27373109 . 5729809 .