Plateau iris syndrome: Epidemiology, diagnosis, and treatment: A narrative review

Author:

Hoyos Carlos Eduardo Rivera1234,Ferreira Maria Catalina125,Libreros-Peña Laura12,Shah Muhammad Ahsan1,Aristizabal Juan Carlos12,Muñoz Edgar16,Seth Ankur1345

Affiliation:

1. Collective Innovations, Cali, Colombia

2. Departament of Ophthalmology Research, Pontificia Universidad Javeriana

3. Mc Williams Collective, Research Departament, University of Tennessee Health Science Center, Memphis, USA

4. GSR Medical Center, Cali, Colombia

5. Department of Medicine, University of Tennessee Health Science Center, Memphis, USA

6. Institute for Health Promotion Research, UT Health San Antonio, San Antonio, Texas, USA

Abstract

Plateau iris syndrome (PIS) was first coined in 1958 to describe the iris configuration of a patient, 2 years later; the concept of plateau iris was published. In 1992, the anatomic aspects of plateau iris were studied using ultrasound biomicroscopy (UBM) determining it as a form of primary angle-closure glaucoma caused by a large or anteriorly positioned ciliary body that leads to mechanical obstruction of the trabecular meshwork, this condition is most often found in young patients. We aim to review the current literature and knowledge on the diagnosis and treatment options of PIS; the search was conducted in PubMed, LILACS, and BIREME internet search sites using keywords and snowball search strategy of articles published until 2022, focusing on PIS history, epidemiology, clinical diagnosis, UBM feature, and treatment.

Publisher

Medknow

Reference24 articles.

1. Primary glaucomas. Gonioscopy, ophthalmoscopy and perimetry;Shaffer;Trans Am Acad Ophthalmol Otolaryngol,1960

2. Case of plateau iris;Kitazawa;Ganka,1970

3. Plateau iris is caused by abnormally positioned ciliary processes;Ritch;J Glaucoma,1992

4. Plateau iris;Diniz Filho;Arq Bras Oftalmol,2008

5. European Glaucoma Society Terminology and guidelines for glaucoma, 4th Edition – Chapter 3: Treatment principles and options supported by the EGS foundation: Part 1: Foreword; introduction; glossary; chapter 3 treatment principles and options;Br J Ophthalmol,2017

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