Plateau iris secondary to iridociliary cysts

Arch Soc Esp Oftalmol. 2015 Nov;90(11):542-5. doi: 10.1016/j.oftal.2015.02.021. Epub 2015 Apr 22.
[Article in English, Spanish]

Abstract

Case report: We present a case of plateau iris and glaucoma due to multiple unilateral iridociliary cysts. The patient was treated with iridotomy Nd: YAG laser and 360° iridoplasty, without achieving pressure control. Phacoemulsification improved the hypertension. Dynamic gonioscopy and OCT of the anterior chamber was also performed before and after treatment.

Discussion: Iridociliary cysts are a benign condition that can cause iris plateau configuration, and can produce a difficult to treat ocular hypertension. Cystotomy, peripheral iridoplasty, and other treatments have been proposed.

Keywords: Angle closure; Cierre angular; Glaucoma secundario; Iridociliary cysts; Iris; Iris meseta; Plateau iris; Quistes iridociliares; Secondary glaucoma.

Publication types

  • Case Reports

MeSH terms

  • Ciliary Body / diagnostic imaging
  • Ciliary Body / pathology*
  • Ciliary Body / surgery
  • Cysts / complications*
  • Cysts / surgery
  • Female
  • Glaucoma, Angle-Closure / etiology*
  • Humans
  • Iris / pathology*
  • Iris / surgery
  • Iris Neoplasms / complications*
  • Iris Neoplasms / diagnostic imaging
  • Iris Neoplasms / surgery
  • Laser Therapy
  • Lasers, Solid-State
  • Middle Aged
  • Neoplasms, Multiple Primary / complications*
  • Neoplasms, Multiple Primary / diagnostic imaging
  • Neoplasms, Multiple Primary / surgery
  • Phacoemulsification
  • Tomography, Optical Coherence
  • Uveal Neoplasms / complications*
  • Uveal Neoplasms / diagnostic imaging
  • Uveal Neoplasms / surgery