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    Plateau Iris Syndrome

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    Sagita Mulia
    Plateau Iris Syndrome is a condition where the iris is pushed backwards, partially or fully closing the anterior chamber angle. It is more common in women under age 60. Diagnosis involves gonioscopy to see the double hump sign. Treatment includes medications like pilocarpine to reduce pressure, as well as laser iridotomy or argon laser peripheral iridoplasty to open the angle. Prognosis is generally good if treated, but follow-up is needed to monitor the anterior chamber angle.

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    Plateau Iris Syndrome

    Uploaded by

    Sagita Mulia
    125 views25 pages
    Plateau Iris Syndrome is a condition where the iris is pushed backwards, partially or fully closing the anterior chamber angle. It is more common in women under age 60. Diagnosis involves gonioscopy to see the double hump sign. Treatment includes medications like pilocarpine to reduce pressure, as well as laser iridotomy or argon laser peripheral iridoplasty to open the angle. Prognosis is generally good if treated, but follow-up is needed to monitor the anterior chamber angle.

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    PRESENTASI PREPARAT SAGITA MULIA RAMBE FK UISU 7116089*** RSUD PIRNGADI MEDAN

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    Plateau Iris Syndrome is a condition where the iris is pushed backwards, partially or fully closing the anterior chamber angle. It is more common in women under age 60. Diagnosis involves gonioscopy to see the double hump sign. Treatment includes medications like pilocarpine to reduce pressure, as well as laser iridotomy or argon laser peripheral iridoplasty to open the angle. Prognosis is generally good if treated, but follow-up is needed to monitor the anterior chamber angle.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    125 views25 pages

    Plateau Iris Syndrome

    Uploaded by

    Sagita Mulia
    Plateau Iris Syndrome is a condition where the iris is pushed backwards, partially or fully closing the anterior chamber angle. It is more common in women under age 60. Diagnosis involves gonioscopy to see the double hump sign. Treatment includes medications like pilocarpine to reduce pressure, as well as laser iridotomy or argon laser peripheral iridoplasty to open the angle. Prognosis is generally good if treated, but follow-up is needed to monitor the anterior chamber angle.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 25

    PLATEAU IRIS SYNDROME

    SAGITA MULIA RAMBE 711608918855


    PUJA SARI ANUGRAH 1310070100002
    PEMBIMBING
    Dr. NOVA ARIANTI, Sp.M
    NIP. 19731002 201101 2 001
    Definisi
    • Plateau Iris Syndrome adalah suatu
    kelainan pada badan siliar bagian
    anterior yang menyebabkan iris
    terdorong kebelakang sehingga dapat
    menutup trabekular meshwork atau
    hanya menyebabkan penyemitan sudut
    camera oculi anterior dan keadaan klinis
    ini jarang dijumpai
    Epidemiologi
    Wanita (Thailand, Finlandia, Amerika
    Serikat)
    usia rerata 40 tahun,
    meningkat dibawah usia 60 tahun
    Sering terkena pada pasien usia muda
    Patofisiologi
    Plateau iris menyebabkan suatu
    penyempitan pada camera oculi anterior
    dikarenakan terdorongnya iris kebelakang
    oleh badan siliaris sehingga periferal iris
    menyebabkan penyempitan hinggan
    penutupan pada trabecular meshwork.
    Mata dengan kelainan ini jarang mengalami blokade
    pupil, tetapi dilatasi akan menyebabkan merapatnya
    iris perifer, sehingga menutup sudut (pendesakan
    sudut), sekalipun telah di lakukan iridektomi atau
    iridektomi perifer. Pengidap kelainan ini mengalami
    glaukoma sudut tertutup akut pada usia muda dan
    sering mengalami kekambuhan setelah tindakan
    iridektomi laser perifer atau iridektomi bedah.
    Diperlukan terapi miotik jangka panjang atau
    iridoplasti dengan laser.
    Klasifikasi
    • Pembagiaan Plateau Iris Syndrome
    berdasarkan kedalaman sudutnya dibagi
    menjadi dua: Incomplete Plateau Iris
    Syndrome dan complete Plateau Iris
    Syndrome
    • Incomplete Plateau Iris Syndrome akan
    terlihat sudut camera oculi anterior
    sebahagian tertutup tetapi trabecular
    meshwork bagian atas tetap terbuka
    sehingga sehingga aquous humour masih
    dapat mengalir keluar dan tekanan intra
    ocular masih dalam batas normal.
    • Complete Plateau Iris Syndrome akan
    terlihat sudut camera oculi anterior
    tertutup penuh dan trabecular
    meshwork terblok sehingga aquous
    humour tidak dapat mengalir keluar dan
    tekanan intra ocular mengalami
    peningkatan
    Diagnosis
    • Di dapat dari Anamnesis dan
    Pemeriksaan Fisik
    Anamnesis : Asimtomatis (Tersering)
    Hiperopia (Hipermiopia)
    Wanita > Pria
    Riwayat Keluarga dengan
    CGA
    Gonioskopi
    Double Hump Sign (sigma sign)
    Pemeriksaan fisik: Plateau Iris Syndrome
    dapat dilakukan beberapa uji:
    Uji Slit Lamp,
    Pemeriksaan Tonomeri,
    Pemeriksaan Ultrasound Biomicroscopy
    Pemeriksaan Goniometri. (Gold Standard)
    Differential Diagnosis
    • Pupillary Block
    • Plateu Iris Configuration
    • Pseudo Plateu Iris Syndrome (Iridociliary
    cysts):
    • Ciliary Body Oedema
    • Malign Glaucoma
    • Incomplete Iridotomy
    • Gas bubble setelah dilakukannya
    Vitreoretinal Surgery.
    Pseudo Plateau Iris (Iridociliary
    cysts)
    Malignant Glaucoma
    Ciliar Body Tumor
    Therapy
    Pengobatan Plateau Iris Syndrome terdiri dari
    pengobatan konservatif (medis) dan terapi
    bedah
    Pengobatan medis terdiri dari obat-obat an
    miotik seperti: Pilocarpine 1%,
    Aceclidine 2%,(agen muskarinik)
    Carbachol 0,75% (agen muskarinik dan
    nikotinik agen)
    Dapiprazole 0,5% (Alpha-Adrenergik agonist).
    • Pengobatan bedah dapat berupa:
    Laser Iridotomy (First Line Therapy)
    Argon Laser Peripheral Iridoplasty (ALPI)
    (Definitive Therapy)
    Alternative Therapy
    Pengobatan meliputi :
    Anterior Chamber Paracentesis,
    Trabeculectomy
    Goniosynechialysis
    Lens Extraction
    Endophoto Coagulation of Cilliary
    Proccess.
    Prognosis
    Secara keseluruhan prognosis Bonam.
    Diperlukan follow-up pemeriksaan sudut
    pada COA.
    Q&A

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