Ultrasound biomicroscopy in plateau iris syndrome

C. J. Pavlin, R. Ritch, F. S. Foster

Research output: Contribution to journalArticlepeer-review

258 Scopus citations

Abstract

Ultrasound biomicroscopy is a new technique that uses high-frequency ultrasound (50 to 100 MHz) to produce images of the entire anterior segment at high resolution (20 to 50 μm). The iridocorneal angle, iris, ciliary body, and posterior chamber can be imaged in detail and the dimensions and anatomic relationships of these structures determined. Plateau iris syndrome is a condition in which the angle remains appositionally closed or occludable after iridectomy for angle-closure glaucoma. How the iris remains in a position that allows it to occlude the angle has been uncertain. We performed ultrasound biomicroscopy eye examinations on eight patients with clinically diagnosed plateau iris syndrome. In all the patients, ciliary processes were situated anteriorly compared to the position in normal subjects and in patients with angle closure caused by pupillary block. The ciliary processes provide structural support beneath the peripheral iris, preventing the iris root from falling away from the trabecular meshwork after iridectomy.

Original languageEnglish
Pages (from-to)390-395
Number of pages6
JournalAmerican Journal of Ophthalmology
Volume113
Issue number4
DOIs
StatePublished - 1992
Externally publishedYes

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