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A slit lamp exam allows a detailed inspection of the conjunctiva and sclera and improves the detection of globe injury. Slit lamp exam findings like decreased anterior chamber depth or damage to posterior chamber structures indicate open-globe injury. [3] A seidel test detects more subtle or partially self-sealing open-globe injuries.
This image is of the angle of the eye as seen through a slit lamp. It is labelled as Grade 4 according to Van Herick's Grading system. The Van Herick's technique compares the depth of the peripheral anterior chamber with the cornea thickness, usually written as a fraction [6] however, it can also be expressed as a ratio (see table 3). [5]
Ocular hypertension (IOP 30 - 70 mmHg) with open angle of anterior chamber and unilateral mild granulomatous anterior uveitis are hallmark signs of Posner–Schlossman syndrome. [2] On slit-lamp examination, conjunctival injections, epithelial corneal edema, [ 3 ] small to medium-sized fine keratitic precipitates, aqueous cells and flare may ...
In ophthalmology, gonioscopy is a routine procedure that measures the angle between the iris and the cornea (the iridocorneal angle), using a goniolens (also known as a gonioscope) together with a slit lamp or operating microscope. [1] [2] Its use is important in diagnosing and monitoring various eye conditions associated with glaucoma.
In laser suture lysis a red light laser and a contact lens are used to penetrate noninvasively the overlying conjunctiva and cut the black nylon suture. Some surgeons prefer adjustable flap sutures during the trabeculectomy that can be loosened later on with forceps in a slit lamp office procedure.
Shallow anterior chamber depth may indicate a predisposition to one form of glaucoma (narrow angle) but requires slit-lamp examination or other special techniques to determine it. In the presence of a "red eye", a shallow anterior chamber may indicate acute glaucoma, which requires immediate attention.
Anterior chamber: fluid-filled space between the iris and the endothelium: AC 4/4: Grade 4 anterior chamber angle: open angle between cornea and iris AC 3/4: Grade 3 anterior chamber angle: AC 2/4: Grade 2 anterior chamber angle: AC 1/4: Grade 1 anterior chamber angle: AC 0/4: Grade 0 anterior chamber angle: closed angle between cornea and iris ...
The depth of the anterior chamber and position of the posterior capsule may be maintained during surgery by OVDs or an anterior chamber maintainer, which is an auxiliary cannula providing a sufficient flow of BSS to maintain the stability of the shape of the chamber and internal pressure. [4] [9] [clarification needed]