Endoscopic Cycloplasty (ECPL) and Lens Extraction in the Treatment of Severe Plateau Iris Syndrome

Journal of Glaucoma
Brian A FrancisRonald L Green

Abstract

To describe the anatomic and clinical results of the treatment of severe plateau iris syndrome with lens extraction and endoscopic cycloplasty (ECPL). A secondary aim was to describe 4 novel ultrasound biomicroscopy (UBM) measurements for plateau iris syndrome. Prospective case series with UBM evaluation. Included were 12 eyes of 6 patients with plateau iris refractory to laser iridotomy and iridoplasty, miotic and other glaucoma medical treatment, with appositional angle closure in at least 3 quadrants. Treatment consisted of lens extraction and ECPL, an endoscopic diode laser treatment of the ciliary processes in the superior, nasal, and inferior quadrants. UBM measurements were taken in all quadrants before and after surgery. The untreated temporal quadrants were used as controls. Measurement parameters included: anterior chamber depth (ACD), angle opening distance (AOD 500), trabecular ciliary process distance (TCPD), iris ciliary process distance (ICPD), iris depth (ID), iridocorneal angle (ICA), and sulcus angle (SA). Four novel measurements included: ciliary process thickness (CPT), ciliary process width (CPW), ciliary process area (CPA), and iris ciliary process contact length (ICPCL). Visual acuity, intraocular pressur...Continue Reading

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Citations

Mar 26, 2016·Oman Journal of Ophthalmology·Vanita Pathak-Ray, Iqbal Ike K Ahmed
Aug 1, 2016·Experimental Eye Research·David A HollanderJorge A Alvarado
Jun 6, 2018·International Ophthalmology Clinics·Jeanie D Ling, Robert M Feldman
Nov 30, 2018·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Vanita Pathak RayDivya P Rao
Jan 1, 2017·Expert Review of Ophthalmology·Emily M SchehleinOsamah J Saeedi
Nov 19, 2018·Advances in Therapy·Anna I DastiridouAnastasios-Georgios Konstas
Nov 20, 2020·International Ophthalmology·Bhawesh Chandra SahaSanjeev Kumar
May 21, 2021·Indian Journal of Ophthalmology·Vanita Pathak-Ray

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