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Wydanie 1/2005

Zespół płaskiej tęczówki ? opis przypadku

Plateau Iris Syndrome ? Case Report

Renata Zalewska, Paweł Kraśnicki, Ewa Proniewska-Skrętek, Zofia Mariak

Klinika Okulistyki Akademii Medycznej w Białymstoku Kierownik: dr hab. med. Zofia Mariak

Summary: Plateau iris syndrome is a condition rarely described in the Polish and foreign literature. Ultrasound biomicroscopy is the most effective diagnostic tool to properly recognize such syndrome, however this method is not commonly accessible in the every day practice of ophthalmologist. The aim of this paper is to present the case of 36 years old female patient treated for plateau iris syndrome. Argon laser peripheral iridoplasty resulted in the intraocular pressure decrease but without normalization effect. Inclusion of myotic agent resulted in intraocular pressure decrease to 16 mmHg. During follow-up visit too high (still within the normal range) intraocular pressure and advanced glaucoma neuropathy of both eyes were recognized. Beside the myotic agent prostaglandin-f2alpha-analogue was used in the treatment which resulted in intraocular pressure decrease to 12 mmHg. During 6 months follow-up IOP stabilization at this level was observed.

Keywords: glaucoma, plateau iris syndrome.

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