Professional Documents
Culture Documents
Angle Evaluation
• Honorable Chairperson: Prof. Dr. Iftekhar Md. Munir
Dept. of Glaucoma
NIO&H.
Neovascularization Why
Angle
Neovascular glaucoma.
Fuchs heterochromic cyclitis. Evaluation? Physiological variant.
Pigment dispersion syndrome.
Chronic anterior uveitis.
Pseudophakic pigment dispersion.
Pseudoexfoliation syndrome.
Blunt ocular trauma.
Hyperpigmentation Anterior uveitis.
Following acute angle-closure glaucoma.
Blood in the Schlemm canal Following YAG laser iridotomy.
Physiological variant. Iris or angle melanoma or naevus.
Carotid–cavernous fistula Iris pigment epithelial cysts.
Sturge–Weber syndrome Naevus of Ota.
Structure of Anterior Chamber Angle
Direct
Indirect
(Goniolense
s)
Koeppe Swan–
Jacob
• Shaffer System
• Scheie system
• Spaeth system
Shaffer system
Shaffer system
Grade 4 35–45° ciliary body can be visualized without tilting the lens
Grade 3 25–35° scleral spur is visible
Grade 2 20° trabeculum but not the scleral spur
Grade 1 10° only the Schwalbe line
top of the trabeculum
Slit angle no obvious iridocorneal contact
no angle structures can be identified
Grade 0 0° closed due to iridocorneal contact
Coherent light - two wave sources are coherent if they have a constant phase
difference and the same Frequency, and the same wavelength
AS OCT UBM
commonly used for appositional angle- Plateau iris, ciliary effusion syndrome,
closure lens subluxation, ciliary body cyst, or
tumor is suspected
Non Contact Contact- liquid coupling medium
Higher Axial resolution Lower Axial resolution
Faster acquisition time Slower acquisition time
Wide field view Smaller field of view
Sitting upright Sitting upright or supine
Clear cornea Can image opaque cornea
Limited ability behind iris pig. Epi. Visualize structure post. to IPE
IJO Year : 2015 | Volume : 63 | Issue : 8 | Page : 630-640
Anterior segment imaging in glaucoma: An updated review
Jessica S Maslin1, Yaniv Barkana2, Syril K Dorairaj3
Oculus Pentacam
Oculus Pentacam
Gonioscopy Video Examples
Take Home Mesasage
• There are many ways to evaluate angle but among these Gonioscopy
is the most convenient, easily applicable, cost effective method.