What does plateau iris look like?

Plateau iris configuration is characterized by an appositional angle with a flat iris configuration, in contrast to an anterior bowing of the iris seen in a “typical” angle closure glaucoma in which there is a more crowded anterior chamber due to a hyperopic/short eye.

What causes plateau iris?

This form of primary angle-closure glaucoma is caused by an anteriorly positioned ciliary body, which displaces the peripheral iris forward. The plateau narrows the angle and can lead to mechanical obstruction of the trabecular meshwork, although the anterior chamber will appear deep.

What is an iris bombe?

Iris bombe is a condition in which there is apposition of the iris to the lens or anterior vitreous, preventing aqueous from flowing from the posterior to the anterior chamber. The pressure in the posterior chamber rises, resulting in anterior bowing of the peripheral iris and obstruction of the trabecular meshwork.

What is a GoNIOPLASTY?

“GoNIOPLASTY” is the name given to a new surgical procedure which may be used in different forms of glaucoma: a plastic tube (made of polyvinyl) is inserted sub-sclerally to carry the aqueous from the anterior chamber to the sub-choroidal and sub-Tenon’s spaces.

What is a plateau iris configuration?

Plateau iris configuration refers to the situation in which the anterior chamber has a normal depth but the iris is plane. In this anatomical variation, the root of the iris is short and anteriorly inserted on the surface of the ciliary body.

What causes narrow-angle glaucoma?

Causes of narrow-angle glaucoma Generally, narrow-angle glaucoma is caused by the iris (the colored part of the eye that surrounds the pupil) being bowed forward, restricting the space between the clear cornea and the iris where the drainage angle of the eye is located.

What is plateau iris configuration?

How do you treat iris bombe?

Treatment:

1. Topical or systemic glaucoma medications.
2. Cycloplegic / mydriatic agents or miotic agents (dependent on etiology).
3. Aggressive intraocular inflammation treatment.
4. Surgical treatment includes YAG or Argon laser iridotomy to create communication between anterior and posterior chamber.

What is Goniosynechialysis?

Goniosynechialysis is the process of physically separating peripheral anterior synechiae (PAS), which can develop in the trabecular meshwork when the angle is appo-sitionally closed, contributing to the blockage of aqueous outflow.

What is the difference between iridotomy and iridectomy?

Iridectomy is a similar procedure to iridotomy, and it is usually performed for similar reasons. The difference is that rather than creating a hole in the iris, the surgeon removes part of it.

What is an iridotomy procedure?

Laser iridotomy is a treatment for narrow-angle glaucoma. In laser iridotomy, a small hole is placed in the iris to create a hole for fluid to drain from the back of the eye to the front of the eye.

What is the best vitamin to take for glaucoma?

As previously mentioned, vitamin A and vitamin C are beneficial to our eyes, but vitamin E has also been shown to boost vision. Vitamin E can be found in wheat and cereal, seafood, avocados, nuts, egg yolks, and more. Zinc, Lutein and Zeaxanthin are also great for your eyes and can reduce your risk of glaucoma.

What is plateau iris?

Plateau iris is a type of narrow angle more commonly seen in younger adults that can lead to chronic angle closure glaucoma.

How is plateau iris syndrome diagnosed?

Plateau iris has been considered an abnormal anatomic variant of the iris that can be diagnosed on ultrasound biomicroscopy or optical coherence tomography of anterior segment. Patients with plateau iris syndrome can be recognized by the lack of response in angle opening after iridotomy.

What is the prognosis of narrow angle and plateau iris configuration?

Patients with narrow angle and plateau iris configuration can develop acute or chronic angle closure. It is very important for these cases to have periodic follow-up screening for the assessment of an eventual angle narrowing.

How does peripheral laser iridoplasty open angle in Plateau iris?

Liu J, Lamba T, Belyea D. Peripheral laser iridoplasty opens angle in plateau iris by thinning the cross-sectional tissues. Clinical Ophthalmology. 2013;7:1895–1897.