Plateau Iris Syndrome 9
General: Rare; occurs in younger age group; presumably due in part to an anterior insertion of the iris; pupillary block is not a significant part of the mechanism leading to angle closure.
Ocular: Spontaneous or mydriasis-induced angle closure despite a patent iridectomy; anterior chamber is of normal depth axially and the iris e is flat, but a peripheral roll of iris can close the angle either when the pupil dilates spontaneously or after mydriatic drugs are administered.
Clinical: Nausea; vomiting.
Ritch R, Tham CC, Lam DS: Long-term success of argon laser peripheral iridoplasty in the management of plateau iris syndrome. Ophthalmology 2004; 111: 104-
Shaffer RM. Gonioscopy, ophthalmoscopy and perimetry. Trans Am Acad Ophthalmol Otolaryngol 1960; 64: 112-l27.
Shields BM. Textbook of glaucoma, 3rd ed. Baltimore: Williams & Wilkins, 1992.
Wand M, et al. Plateau iris syndrome. Trans Ophthalmol Otolaryngol 1977; 83:122-l29.
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