Sheth Sohum, Lagrew Mollie, Blake Charles Richard
Ophthalmology, University of Florida College of Medicine, Gainesville, USA.
Cureus. 2024 May 19;16(5):e60608. doi: 10.7759/cureus.60608. eCollection 2024 May.
In this case report, we describe a rare case of acute angle closure in an 18-year-old African-American female, attributed to plateau iris. The patient had no significant medical or ocular history and presented with high right-eye pressure, headache, and blurred vision. Ocular examination revealed findings consistent with acute angle closure, with gonioscopy confirming superior iris insertion anterior to Schwalbe's line and a "double hump" sign. Ultrasound biomicroscopy confirmed plateau iris. Treatment involved pharmacological management and bilateral peripheral laser iridoplasty. This case underscores the importance of considering plateau iris syndrome in the differential diagnosis of acute angle closure, even in younger patients, and highlights the role of early diagnosis and appropriate intervention in preventing vision loss.
在本病例报告中，我们描述了一名18岁非裔美国女性因高原虹膜导致急性闭角型青光眼的罕见病例。该患者无重大内科或眼科病史，表现为右眼眼压升高、头痛和视力模糊。眼科检查发现与急性闭角型青光眼相符的体征，前房角镜检查证实虹膜上缘插入施瓦贝线前方，并有“双峰”征。超声生物显微镜检查证实为高原虹膜。治疗包括药物治疗和双侧周边激光虹膜成形术。该病例强调了在急性闭角型青光眼的鉴别诊断中考虑高原虹膜综合征的重要性，即使是在年轻患者中，也凸显了早期诊断和适当干预在预防视力丧失方面的作用。
