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Abstract #18424 Published in IGR 3-3
Long-term follow-up of plateau iris syndrome using the ultrasound biomicroscope
Miki A; Otori Y; Morimura H; Iwasaki N; Tano YFolia Ophthalmologica Japonica / Nihon Ganka Kiyo 2001; 52: 404-408
The authors report a case of plateau iris syndrome followed up over a long time using the ultrasound biomicroscope (UBM). The patient was a 39-year-old female who experienced an acute glaucoma attack in the left eye and underwent laser iridotomy (LI) in both eyes at the age of 33 years. Examination with UBM showed progressive anterior dislocation of the ciliary body and progressive disappearance of the ciliary sulcus in the right eye. Peripheral anterior synechiae (PAS) in the right eye had progressed to cover about 75% of the angle, and intraocular pressure (IOP) could not be controlled with the antiglaucoma medications the patient was able to tolerate. The authors performed combined phacoemulcification, intraocular lens implantation, trabeculotomy on the superotemporal area where there was no PAS, and goniosynechiolysis. Although IOP increased transiently, it decreased to less than 15 mmHg and remained at this value for 1.5 years after the operation. UBM is a useful tool for diagnosing plateau iris syndrome. If IOP cannot be controlled in patients with this disease, it is necessary to consider glaucoma surgery, which can avoid complications such as malignant glaucoma. LA: Japanese
Dr A. Miki, Department of Ophthalmology, Kinan General Hospital, 510 Minato, Tanabe 646-0031, Japan
Classification:
9.3.3 Plateau iris syndrome (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)