References

appendix

Fig. 7-A1  Deep pigment in the trabecular meshwork near Schlemm’s canal forming a smooth, brown band. A solitary iris process is present. (From Alward WLM: Color atlas of gonioscopy, San Francisco, Foundation of American Academy of Ophthalmology, 2000.)

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Fig. 7-A2  Narrowing of segmental cycle angle caused by cilary body melanoma. Note that the iris is pushed forward in the center of the figure and obscures the trabecular meshwork, which is visible both to the right and to the left of this area. This patient has a rather prominent Schwalbe’s line and has blood in Schlemm’s canal.

(From Alward WLM: Color atlas of gonioscopy, San Francisco, Foundation of American Academy of Ophthalmology, 2000.)

Fig. 7-A3  Iris bombé. No trabecular structures are visible. Note that the inner and outer lines of the corneal wedge do not meet in the anterior chamber, meaning that Schwalbe’s line and the trabecular meshwork are hidden by the iris.

(From Alward WLM: Color atlas of gonioscopy, San Francisco, Foundation of American Academy of Ophthalmology, 2000.)

Fig. 7-A4  Gonioscopic view of an eye with angle closure following surgical iridectomy. This is the same eye as in Figure 7A-3. There are extensive synechiae, and only the most anterior portion of the trabecular meshwork is seen in some areas with the slit-lamp beam.

(From Alward WLM: Color atlas of gonioscopy, San Francisco, Foundation of American Academy of Ophthalmology, 2000.)

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Fig. 7-A5  Gonioscopic view of eye with peripheral anterior synechiae caused by inflammation of unknown etiology. Peripheral anterior synechiae have developed over 360°. Pigment has been deposited anterior to the peripheral anterior synechiae at the 6 o’clock position.

(From Alward WLM: Color atlas of gonioscopy, San Francisco, Foundation of American Academy of Ophthalmology, 2000.)

Fig. 7-A6  Extensive angle closure in chronic granulomatous uveitis. Trabecular meshwork can be seen only in the left-hand portion of this illustration, the remainder of the angle having been closed by synechiae. There are also central posterior synechiae at the pupil. Keratic precipitates are visible on the corneal endothelium. (From Alward WLM: Color atlas of gonioscopy, San Francisco, Foundation of American Academy of Ophthalmology, 2000.)

Fig. 7-A7  Gonioscopic view showing flat, featureless iris with neovascularization in Fuchs’ heterochromic iridocyclitis. (From Alward WLM: Color atlas of gonioscopy, San Francisco, Foundation of American Academy of Ophthalmology, 2000.)

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Fig. 7-A8  (A) The angle in pseudoexfoliation. Note the clumped brown pigment over the pigmented trabecular meshwork. There is also a line of pigment along Schwalbe’s line and another, wavy line of pigement anterior to this line. (B) Pseudoexfolation with a dense pigmentation of the angle that obscures most angle structures. The corneal wedge identifies Schwalbe’s line.

(From Alward WLM: Color atlas of gonioscopy, San Francisco, Foundation of American Academy of Ophthalmology, 2000.)

Fig. 7-A9  Patient with the pigment dispersion syndrome. The angle demonstrates a dense band of black pigment in the posterior trabecular meshwork. (From Alward WLM: Color atlas of gonioscopy, San Francisco, Foundation of American Academy of Ophthalmology, 2000.)

Fig. 7-A10  Fifteen-year-old girl with primary infantile glaucoma. She was first seen at 6 years of age with severe buphthalmos. There is generalized atrophy of the iris with islands of visible pigment epithelium. The iris inserts anterior to the scleral spur. The cornea anterior to the trabecular meshwork is opaque and thin.

(From Alward WLM: Color atlas of gonioscopy, San Francisco, Foundation of American Academy of Ophthalmology, 2000.)

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Fig. 7-A11  Inferior angle in aniridia demonstrating a small iris stump and a pale trabecular meshwork. The eye had undergone a previous cataract extraction. Some opaque lens material remains at the bottom of the illustration. The peripheral fundus is visible.

(Copyright by Abbott Laboratories, North Chicago, Ill.)

Fig. 7-A12  Axenfeld’s anomaly with dense iris adhesions that almost completely cover the trabecular meshwork. Particles of pigment are deposited along a very prominent Schwalbe’s ring.

(From Burian HM, Braley AE, Allen L: Visibility of the ring of Schwalbe and the trabecular zone, Arch Ophthalmol 53:767, 1955. Copyright by the American Medical Association.)

Fig. 7-A13  Glass in the inferior angle after trauma. The patient had broken his glasses while working in a sawmill. A fragment of glass was removed earlier. The patient presented with discomfort and injection. The chip of glass is wedged between the trabecular meshwork and the iris, distorting both structures. There is a small tear in the iris and clotted blood under the fragment. Some blood is present in Schlemm’s canal.

(Copyright by Abbott Laboratories, North Chicago, Ill.)

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Fig. 7-A14  Aphakic glaucoma status after surgical cyclodialysis showing an open cleft with surrounding synechiae. (From Alward WLM: Color atlas of gonioscopy, San Francisco, Foundation of American Academy of Ophthalmology, 2000.)

Fig. 7-A15  Inferior scroll of Descemet’s membrane after surgery.

(From Alward WLM: Color atlas of gonioscopy, San Francisco, Foundation of American Academy of Ophthalmology, 2000.)

Fig. 7-A16  Gonioscopic view of an angle showing blood in Schlemm’s canal. There is, incidentally, a prominent Schwalbe’s line. (From Alward WLM: Color atlas of gonioscopy, San Francisco, Foundation of American Academy of Ophthalmology, 2000.)

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