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首页> 外文期刊>Cases Journal >Argon laser peripheral iridoplasty for plateau iris associated with iridociliary cysts: a case report
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Argon laser peripheral iridoplasty for plateau iris associated with iridociliary cysts: a case report

机译：氩激光周边虹膜成形术治疗高原虹膜合并虹膜睫状体囊肿1例

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Introduction Plateau iris is recognised as an important cause of primary angle closure glaucoma. The management of this condition generally comprises laser peripheral iridotomy and iridoplasty, to remove any component of relative pupillary block and to widen the iridotrabecular drainage angle respectively. However, plateau iris may be associated with multiple iris cysts at the iridociliary junction, which then presents diagnostic and management problems. Case presentation We present a fifty-three year old Caucasian gentleman with plateau iris associated with peripheral iris cysts, in which the iridotrabecular angle did not widen despite having had both laser peripheral iridotomy and iridoplasty. The patient has remained asymptomatic over 12 months, and is under close follow-up to monitor for signs of glaucoma. Conclusion Plateau iris with iridociliary cysts can be difficult to diagnose and manage. Ultrasound biomicroscopy should be performed on patients with appositional iridotrabecular angle closure on gonioscopy, especially if the angle closure is not relieved with either laser peripheral iridotomy or iridoplasty. Question marks can be raised as to the benefit of laser iridotomy when plateau iris without pupillary block has already been conclusively diagnosed on ultrasound biomicroscopy.
机译：简介高原虹膜被认为是原发性闭角型青光眼的重要原因。这种情况的处理通常包括激光周边虹膜切开术和虹膜成形术，以分别去除相对瞳孔阻滞的任何成分并扩大虹膜小梁引流角。然而，高原虹膜可能与虹膜睫状交界处的多个虹膜囊肿相关联，这随后带来了诊断和管理问题。病例介绍我们介绍了一位53岁的高加索绅士，其高原虹膜与周围虹膜囊肿相关，尽管同时进行了激光虹膜虹膜切开术和虹膜成形术，虹膜小梁角度仍未扩大。该患者在12个月内无症状，并正在密切随访以监测青光眼的体征。结论高原虹膜虹膜虹膜囊肿可能难以诊断和处理。进行角膜镜检查并发虹膜小梁闭锁的患者应进行超声生物显微镜检查，尤其是如果用激光周边虹膜切开术或虹膜成形术不能缓解闭角的情况。当已经在超声生物显微镜上最终诊断出无瞳孔阻滞的高原虹膜时，就可以提出关于激光虹膜切开术的益处的问号。

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