Angle Closure Glaucoma by C. Hong, T. Yamamoto, K.H. Park, Y.Y. Kim

By C. Hong, T. Yamamoto, K.H. Park, Y.Y. Kim

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Fig. 7. Ultrasound biomicroscopic findings in plateau iris configuration. When there is no gap at the angle base and the height of the plateau iris is low, then apposition starts from the bottom of the base (left). On the other hand, when there is a gap at the angle base, apposition does not start from the bottom of the base, and leaves a space at the angle base (right). 25 The height of plateau iris configuration varies between eyes, and may be low or high (Fig. 6). There is a gap at the angle base in some plateau iris configurations (Figure 4), and if present, when pupillary block develops, an apposition may start at Schwalbe’s line, leaving the angle base open.

Oculometry, epidemiology and genetics in a high risk population. Acta Ophthalmol Suppl 1976;127:5-31. 11. Coakes RL, Lloyd–Jones D, Hitchings RA. Anterior chamber volume. Its measurement and clinical application. Trans Ophthalmol Soc UK 1979;99:78-81. indb 26 16-8-2007 9:46:27 Anatomy and biometry 27 12. Lee DA, Brubaker RF, Ilstrup DM. Anterior chamber dimensions in patients with narrow angles and angle closure glaucoma. Arch Ophthalmol 1984;102:46-50. 13. Markowitz SN, Morin JD. Angle closure glaucoma: relation between lens thickness, anterior chamber depth, and age.

28,29 Ultrasound biomicroscopy High-frequency ultrasound biomicroscopy (UBM) is an ultrasonographic diagnostic procedure and provides high-resolution images (50-μm lateral resolution in the commercially available system) of the AC angle region. It has a depth of penetration of 5 mm in tissue, and is able to image through opaque media. The UBM allows the visualization of retroirideal region and ciliary body, which was impossible in vivo before. It offers a better understanding of the mechanisms of angle closure and the measurement of new parameters capable of defining the characteristics of normal and glaucomatous eyes.

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