Plateau Iris

• Among the causes of subacute or chronic angle-closure glaucoma.

Clinical Features

• Symptoms: acute, intermittent attack or chronic angle closure glaucoma.
• Signs:
  • Plateau configuration of the iris with deeper central anterior chamber but shallow in periphery
  • Relative pupillary block
• Angle crowding by peripheral iris tissue.

Management

• Laser iridotomy
• Long-term miotic therapy
• Peripheral iridoplasty