Argon laser peripheral iridoplasty for plateau iris associated with iridociliary cysts: a case reportReport as inadecuate




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Cases Journal

, 1:368

First Online: 02 December 2008Received: 18 November 2008Accepted: 02 December 2008DOI: 10.1186-1757-1626-1-368

Cite this article as: Ang, G.S., Bochmann, F. & Azuara-Blanco, A. Cases Journal 2008 1: 368. doi:10.1186-1757-1626-1-368

Abstract

IntroductionPlateau 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 presentationWe 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.

ConclusionPlateau 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.

Electronic supplementary materialThe online version of this article doi:10.1186-1757-1626-1-368 contains supplementary material, which is available to authorized users.

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Author: Ghee Soon Ang - Frank Bochmann - Augusto Azuara-Blanco

Source: https://link.springer.com/



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