Plateau iris syndrome (post-iridectomy) (postprocedural) Save

Understanding Plateau Iris Syndrome (Post-iridectomy) (Postprocedural)

Plateau iris syndrome is a condition that occurs after iridectomy or any other type of ocular surgery. It is a rare condition that happens when the irises are positioned too far forward in the eye, leading to a narrowing of the drainage angle. This can cause an increase in intraocular pressure, which can lead to glaucoma.

The condition is usually detected during a routine eye exam, where the ophthalmologist will note the presence of a narrow drainage angle. Patients may also experience symptoms such as eye pain, blurred vision, and headaches.

Symptoms of Plateau Iris Syndrome

The symptoms of plateau iris syndrome can be similar to those of other eye conditions. Patients may experience eye pain, blurred vision, and headaches. They may also notice a change in the color of their iris or a sudden increase in the size of their pupil. In some cases, patients may also experience nausea and vomiting.

Diagnosis of Plateau Iris Syndrome

Diagnosis of plateau iris syndrome is usually made during a routine eye exam. The ophthalmologist will examine the drainage angle and note any narrowing or blockage. Other tests such as gonioscopy, which involves using a special lens to view the drainage angle, may also be performed.

Treatment of Plateau Iris Syndrome

Treatment of plateau iris syndrome usually involves lowering intraocular pressure to prevent glaucoma. This may be done through the use of eye drops, laser therapy, or surgery. In some cases, a second iridectomy may be necessary to relieve the symptoms of plateau iris syndrome.

1. Eye drops: These are used to reduce intraocular pressure by decreasing the production of aqueous humor or increasing its outflow from the eye.
2. Laser therapy: This involves using a laser to create a small opening in the iris, which allows the aqueous humor to flow more freely.
3. Surgery: In some cases, surgery may be necessary to reduce intraocular pressure. This may involve removing part of the iris or creating a new drainage channel in the eye.

Conclusion

Plateau iris syndrome is a rare condition that can occur after ocular surgery. It is caused by a narrowing of the drainage angle, which can lead to an increase in intraocular pressure and glaucoma. Treatment usually involves lowering intraocular pressure through the use of eye drops, laser therapy, or surgery. If you experience any symptoms of plateau iris syndrome, it is important to seek medical attention immediately to prevent further damage to your eyesight.