1 Slide in 5 Minutes: Plateau Iris Syndrome (Malik Y. Kahook, MD)

Plateau Iris Syndrome is a form of angle closure more common in younger female patients. The pathology is thought to be due to anteriorly positioned ciliary processes pushing the peripheral iris forward leading to angle closure. A double hump sign is seen on indentation gonioscopy. During indentation, the peripheral iris drapes over the anteriorly displaced ciliary processes and creates a sign wave formation with elevation, followed by a downward slope in the mid-periphery of the iris and then a second elevation along the iris towards the pupillary margin. Our treatment of choice is to perform cataract extraction with endocyclophotocoagulation which appears to be a more definitive treatment of the root cause of this disease process.
#glaucoma #eye #cataract #PlateauIrisSyndrome #ophthalmology #surgery #laser #gonioscopy #ultrasound

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