Angle-closure glaucoma with plateau iris
https://doi.org/10.25700/NJG.2018.04.07
Abstract
The article is a review of Russian and foreign literature on the problem of angle-closure glaucoma with a plateau iris, methods of its diagnostics and treatment. More than 80 sources of Russian and foreign literature about the problems of diagnostics and treatment of angle-closure glaucoma (PACG) with a plateau iris were analyzed. There are differences in the classification of this disease in foreign practice, namely the differentiation of plateau iris configuration and plateau iris syndrome, which influences the choice of treatment. The analysis pointed out the specifics of diagnostics of this form of glaucoma. The prevailing majority of authors note that patients with PACG with plateau iris have an average depth of the anterior chamber. However, there are studies that prove the opposite. The review also reveals features of the structure and position of the ciliary body and its processes based on the results of anterior segment optical coherence tomography and ultrasonic biomicroscopy. As for the treatment methods, in case of PACG with a plateau iris, hypotensive medication cannot be considered the therapy of choice. Preference is given to laser and surgical methods of treatment. However, at present, there is no consensus on the most effective and safe methods leading to the anterior chamber angle opening and intraocular pressure level stabilization.
About the Authors
A. A. Markova
Cheboksary branch of S. Fyodorov Eye Microsurgery Federal State Institution.
Russian Federation
Russian Federation
department of ambulatory surgery and conservative treatment.
10 pr. Tractorostroiteley, Cheboksary, 428028.
N. Y. Gorbunova
Cheboksary branch of S. Fyodorov Eye Microsurgery Federal State Institution; Postgraduate Medical Institute.
Russian Federation
Russian Federation
Ph.D., head of the glaucoma department.
10 pr. Tractorostroiteley, Cheboksary, 428028; 3 Red Square, Cheboksary, 428032.
N. A. Pozdeyeva
Cheboksary branch of S. Fyodorov Eye Microsurgery Federal State Institution; Postgraduate Medical Institute.
Russian Federation
Russian Federation
Med.Sc.D., deputy director for science.
10 pr. Tractorostroiteley, Cheboksary, 428028; 3 Red Square, Cheboksary, 428032.
References
1. Rhee D. Glaucoma. In: The Merck Manual Home Health Handbook. Wiley 2013; 2352.
2. Saladin K.S. Anatomy & Physiology: The Unity of Form and Function. 6th. New York: McGraw-Hill; 2011: 1136.
3. Alekseev V.N., Martynova E.B. New a pproaches to hypotensive ther¬apy of primary open-angle glaucoma. Cons Medicum Appendix. 2001; 12:3-9. (In Russ.).
4. Federal research institute «Health organization and informatics» of Ministry of Health of the Russian Federation. Morbidity of population of Russia in 2009. Statistical data. Part II. Moscow; 2010. (In Russ.).
5. Quigley H.A., Broman A.T. The number of people with glaucoma worldwide in 2010 and 2020. Br J Ophthalmol. 2006; 90(3):262-267. doi: org/10.1136/bjo.2005.081224.
6. Akpek E., Smith R. Overview of age-related ocular conditions. Am J Managed Care. 2013; 19(5):67-75.
7. Silva J.C., Bateman J.B., Counteras F. Eye disease and care in Latine America and the Caribbean. Surv Ophthalmol. 2002; 47(3):267-274.
8. Shmyreva V.F., Ziangirova G.G., Mazurova Yu.V., Petrov S.Yu. Clini¬cal and morphological characteristics of the sclera drainage zone with glaucoma of normal intraocular pressure. Vestn oftalmol. 2007; 123(6):32-35. (In Russ.).
9. Avetisov S.E. Oftal’mologiya. Natsional’noe rukovodstvo. [Ophthal¬mology. National guidelines]. Edited by: S.E. Avetisov, E.A. Egorov, L.K. Moshetova, V.V. Neroev, Kh.P. Takhchidi. Moscow, GEOTAR- Media Publ.; 2008:944 p. (In Russ.)].
10. Grishchuk A.S., Yur’eva T.N., Mishchenko T.S., Mikova O.I. The modern literature review on the prevalence, risk factors, detection and epide-miological forecasting of primary glaucoma is presented in the paper. Siberian Medical Journal. 2012; 113(6):23-26. (In Russ.).
11. Faizieva U.S. Angle-closure glaucoma: diagnosis, clinic and treatment. Rossiiskaya oftal’mologiya onlain. 2012. Available from: http://www. eyepress.ru/article.aspx?10291 (In Russ.).
12. Mansoori T., Sarvepally V.K., BalaKrishna N. Plateau iris in prima¬ry angle closure glaucoma: An Ultrasound Biomicroscopy Study. JGlaucoma. 2016; 25(2):82-86.
13. Yoshiaki K., Mochizuki H., Kusanagi K. Plateau Iris. В: Glaucoma. Basic and Clinical Concepts. InTech; 2011; 523-534. doi: org/10.5772/ 18917.
14. Filho D.A., Cronemberger S., Merula R.V., Calixto N. Plateau Iris. Arq Bras Oftalmol. 2008; 71(5):752-758. doi: org/10.1590/s0004- 27492008000500029.
15. Ritch R., Tham C.C., Lam D.S. Long-term success of argon laser peripheral iridoplasty in the management of plateau iris syndrome. Ophthalmol. 2004; 111(1):104-108.
16. Tornquist R. Angle-closure glaucoma in an eye with a plateau type of iris. Acta Ophthalmol (Copenh). 1958; 36(3):419-423.
17. Lowe R.F. Plateau iris. Aust J Ophthalmol. 1981; 9(1):71-73.
18. Barkan O. Narrow-angle glaucoma. Pupillary block and the narrow- angle mechanism. Am J Ophthalmol. 1954; 37(3): 332-350.
19. Chandler P.A., Grant W.M. Lectures on Glaucoma. Philadelphia: Lea and Febiger. 1965.
20. Lowe R.F. Primary angle-closure glaucoma. Postoperative acute glaucoma after phenylephrine eye-drops. Am J Ophthalmol. 1968; 65(4):552-554.
21. Wand M., Grant W.M., Simmons R.J., Hutchinson B.T. Plateau iris syndrome. Trans Sect Ophthalmol Am Acad Ophthalmol. Otolaryngol. 1977; 83(1):122-130.
22. Godel V., Stein R., Feiler-Ofry V. Angle-closure glaucoma follow¬ing peripheral iridectomy and mydriasis. Am J Ophthalmol. 1968; 65(4):555-560.
23. Lowe RF. Plateau iris. Aust J Ophthalmol. 1981; 9(1):71-73.
24. Lowe R.F., Ritch R. Angle-closure glaucoma: clinical types. In: Ritch R., Shields M.B., Krupin T. eds. The Glaucomas. V. 2. St. Louis: C.V. Mosby Co; 1996:823-840.
25. Kumar R.S., Baskaran M., Chew P.T., Friedman D.S., Handa S., Lava- nya R. Prevalence of plateau iris in primary angle closure suspects an ultrasound biomicroscopy study. Ophthalmology 2008; 115(3): 430-434.
26. Stieger R., Kniestedt C., Sutter F., Bachmann L., Stuermer J. Preva¬lence of plateau iris syndrome in young patients with recurrent angle closure. Clin Experiment Ophthalmol. 2007; 35(5):409-413.
Review
For citations:
Markova A.A., Gorbunova N.Y., Pozdeyeva N.A. Angle-closure glaucoma with plateau iris. National Journal glaucoma. 2018;17(4):80-90. (In Russ.) https://doi.org/10.25700/NJG.2018.04.07
Views:
1190
Email this article 