Angle-closure Glaucoma Due to Ciliary Body Cysts and Ppseudoplateau Iris: A Systematic Review of the Literature and Clinical Case

The article is a review of domestic and foreign literature devoted to the problem of angle-closure glaucoma (ACG) associated with pseudoplateau iris due to multiple iridociliary cysts, in addition, diagnostic and treatment methods were considered. The analysis of 46 sources on current nosology was carried out on the basis of data from domestic and foreign literature. Timely clinical examination and detection of a high index of suspicion in patients with an atypical structure of narrow or closed corners of the anterior chamber, especially in young patients without previous trauma or surgery, to identify ciliary body cysts is necessary. Based on the pathogenetic mechanisms of the disease, it is natural to make the statement, that laser iridectomy in most cases does not lead to the opening of the anterior chamber angle and cannot be recommended as the therapy of choice. According to published sources, there is currently no consensus on the most effective and safe treatment methods, and the therapy of choice for these patients is a wide range of interventions, including medication, laser and surgical treatment, depending on the extent of damage to the ciliary body by cysts and the stage of the disease. According to the literature data, we were unable to find recommendations for the prevention of the development of angle-closure glaucoma on the background of high risk and predictors of this disease. We present a clinical case of genetic bilateral ophthalmohypertension caused by bilateral multiple cysts of iridociliary processes. Changes in ultrasound parameters of biomicroscopy of the anterior segment of the eye and clinical observations after refractive lancetectomy suggest, that timely surgical intervention can improve the quality of life and reduce the risk of glaucoma in this category of patients. Longer observation periods are required for final conclusions.

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