Abstract
It is crucial to be familiar with all the different structures of the chamber angle, starting from Schwalbe’s ring and ending with the insertion of the iris. Some of the structures have a particular importance in the development of a pathologically changed angle. The most important structure to find and functionally examine is the trabecular meshwork.
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Decision Tree
Decision Tree
IOP increase and/or typical changes of the disc/RNFL and/or typical glaucomatous visual field defects
Regular gonioscopy:
Dynamic gonioscopy:
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Apposition, ITC: primary angle-closure suspect, if IOP <21(PACS)
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Apposition, ITC, synechiae: primary angle-closure, if IOP >21, but visual field and disc/RNFL normal (PAC)
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Apposition, ITC, synechiae: primary angle-closure glaucoma, if IOD >21 and changes in visual field and/or disc/RNFL (PACG)
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Hardly no change in configuration of chamber angle: thick lens
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Double hump: plateau iris configuration
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© 2012 Springer-Verlag Berlin Heidelberg
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Faschinger, C., Hommer, A. (2012). Anatomical Structures of the Chamber Angle. In: Gonioscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-28610-0_3
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DOI: https://doi.org/10.1007/978-3-642-28610-0_3
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