Argon laser peripheral iridoplasty for plateau iris associated with iridociliary cysts: a case report

Author:

Ang Ghee Soon,Bochmann Frank,Azuara-Blanco Augusto

Abstract

Abstract Introduction Plateau iris is recognised as an important cause of primary angle closure glaucoma. The management of this condition generally comprises laser peripheral iridotomy and iridoplasty, to remove any component of relative pupillary block and to widen the iridotrabecular drainage angle respectively. However, plateau iris may be associated with multiple iris cysts at the iridociliary junction, which then presents diagnostic and management problems. Case presentation We present a fifty-three year old Caucasian gentleman with plateau iris associated with peripheral iris cysts, in which the iridotrabecular angle did not widen despite having had both laser peripheral iridotomy and iridoplasty. The patient has remained asymptomatic over 12 months, and is under close follow-up to monitor for signs of glaucoma. Conclusion Plateau iris with iridociliary cysts can be difficult to diagnose and manage. Ultrasound biomicroscopy should be performed on patients with appositional iridotrabecular angle closure on gonioscopy, especially if the angle closure is not relieved with either laser peripheral iridotomy or iridoplasty. Question marks can be raised as to the benefit of laser iridotomy when plateau iris without pupillary block has already been conclusively diagnosed on ultrasound biomicroscopy.

Publisher

Springer Science and Business Media LLC

Subject

General Medicine

Cited by 11 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Multiple iridociliary cysts: One entity with various clinical presentations;American Journal of Ophthalmology Case Reports;2022-12

2. Analysis of Primary Iris and Ciliary Body Cysts in Chinese Patients With Primary Angle Closure Disease;Frontiers in Medicine;2021-08-26

3. Laser Peripheral Iridoplasty;Primary Angle Closure Glaucoma (PACG);2020-12-10

4. Ciliary body cysts associated with glaucoma in a Great Dane;Journal of the Hellenic Veterinary Medical Society;2019-04-24

5. Glaucoma due to ciliary body cysts and pseudoplateau iris: a systematic review of the literature;Arquivos Brasileiros de Oftalmologia;2018

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