Plateau iris syndrome: A case report

IF 3 3区医学 Q1 OPHTHALMOLOGY Acta Ophthalmologica Pub Date : 2025-01-19 DOI:10.1111/aos.17095

Amira Mabrouk, Amine Zahaf, Houda Lajmi, Besma Ben Achour, Wassim Hmaied

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引用次数: 0

Abstract

Purpose: We report the case of plateau iris syndrome (PIS) in a middle-aged woman, controlled by medical treatment.

Methods: Case report

Results: A 37-year-old woman, presented to our department with paroxysmal periorbital pain and progressive decline in VA in the left eye.Best corrected VA was 10/10 in both eyes.Anterior chamber(AC) was peripherally shallowed,but normal in the center bilaterally.Intra ocular pressure (IOP) was normal in OD and 38 in OS. C/d ratio was 0.3 in OD,0.4 in OS.On gonioscopy,angle was occludable in OD.In OS,it revealed convex iris,closed angle/360°,opening by indentation with double hump sign.Visual field showed no abnormalities. Bilateral laser peripheral iridotomy (LPI) was performed.Angle depth improved only in OD.The diagnosis of IPS was made.An UBM made revealed a lens volt (LV)measuring 1.11mm with an occludable angle in the OD.In the OS, LV was elevated 1.20mm, the angle was closed with peripheral anterior synechiae.Iridoplasty wasn't done.We discussed the phacoemulsification but as the patient was controlled by medical treatment and hadn't cataract, we opted to treat medically with regular controls.

Conclusions: Although PIS represents a diagnostic trap,based on a cautious anamnesis and a thorough gonioscopy,the accurate diagnosis can be made.Treatment may be challenging in some cases with many considerations.

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来源期刊

Acta Ophthalmologica 医学-眼科学

CiteScore

7.60

自引率

5.90%

发文量

433

审稿时长

6 months

期刊介绍： Acta Ophthalmologica is published on behalf of the Acta Ophthalmologica Scandinavica Foundation and is the official scientific publication of the following societies: The Danish Ophthalmological Society, The Finnish Ophthalmological Society, The Icelandic Ophthalmological Society, The Norwegian Ophthalmological Society and The Swedish Ophthalmological Society, and also the European Association for Vision and Eye Research (EVER). Acta Ophthalmologica publishes clinical and experimental original articles, reviews, editorials, educational photo essays (Diagnosis and Therapy in Ophthalmology), case reports and case series, letters to the editor and doctoral theses.