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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 facilitates a simple and quick assessment of the lateral chamber angle. The method involves a narrow slit of light from a slit lamp being projected onto the peripheral cornea at an angle of 60⁰ as near as possible to the limbus. The resulting image is a slit that is projected onto the surface of the cornea, the width is then used as a ...
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. An extremely narrow anterior chamber angle is a feature of angle closure glaucoma. [1] [2]
Iris Gonioscopy of the anterior chamber angle Anterior chamber angle cross-section imaged by an SD-OCT. The trabecular meshwork is an area of tissue in the eye located around the base of the cornea , near the ciliary body , and is responsible for draining the aqueous humor from the eye via the anterior chamber (the chamber on the front of the ...
Historically, angle-based glaucoma surgery in patients with narrow angles was thought more likely to result in synechiae and fibrosis. This was considered a contraindication to trabectome surgery. However, studies of trabectome and phaco-trabectome patients have proven that trabectome surgery can be successful even in these cases.
Determining the anterior chamber depth (ACD) is important in estimating the risk of angle closure glaucoma. There are various methods of measuring ACD, including examination through a slit lamp, ultrasound and Scheimpflug photography. These methods require sophisticated examination equipment and expertise.
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Phacomorphic glaucoma is an eye disease that can occur due to a neglected advanced cataract.In this, the mature cataractous lens cause secondary angle closure glaucoma.The presence of an asymmetric mature cataractous lens, shallow or closed anterior chamber angle, raised intraocular pressure (IOP) and other typical signs and symptoms of angle-closure glaucoma in the eye may lead to a diagnosis ...