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A wide angle allows sufficient drainage of humour through the trabecular meshwork (unless obstructed), whereas a narrow angle may impede the drainage system and leave the patient susceptible to acute angle-closure glaucoma. Gonioscopy indicates the angular width of the iridocorneal angle by the number of ocular structures visible above the rim ...
It should not however, be used as a replacement for the gonioscopy examination but rather be used as a means of refuting or confirming the results of a gonioscopy examination. [ 3 ] The Van Herick's technique has become the most commonly used qualitative method of assessing the size of the anterior chamber angle (ACA).
The anterior chamber angle is a part of the eye located between the cornea and iris which contains the trabecular meshwork. The size of this angle is an important determinant of the rate aqueous humour flows out of the eye, and thus, the intraocular pressure. The anterior chamber angle is the structure which determines the anterior chamber depth.
Gonioscopy of the anterior chamber angle. Labeled structures: 1. Schwalbe's line, 2. Trabecular meshwork (TM), 3. Scleral spur, 4. Ciliary body, 5. Iris Gonioscopy of the anterior chamber angle. Schwalbe's line is the anatomical line found on the interior surface of the eye's cornea, and delineates the outer limit of the corneal endothelium layer.
The EZ ratio method is one way to calculate the estimated anterior chamber depth. [2] To start, the patient looks at a target in the distance with one eye covered. The examiner takes a digital photograph of the open, examined eye, from the side, perpendicular to the visual axis (a profile photograph).
In surface science, an instrument called a contact angle goniometer or tensiometer measures the static contact angle, advancing and receding contact angles, and sometimes surface tension. The first contact angle goniometer was designed by William Zisman of the United States Naval Research Laboratory in Washington, D.C. and manufactured by ramé ...
The angle of anterior chamber is seen open with gonioscopy. [2] Complications If the ...
Open-angle glaucoma (OAG) and closed-angle glaucoma (CAG) may be treated by muscarinic receptor agonists (e.g., pilocarpine), which cause rapid miosis and contraction of the ciliary muscles, this pulls the scleral spur and results in the trabecular meshwork being stretched and separated.