Anterior Chamber Flashcards

1
Q

Which Van Herick grade would a gap which is 50% of the corneal thickness be?

A

3

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2
Q

Which Van Herick grade would a gap which is 30% of the corneal thickness be?

A

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3
Q

Which Van Herick grade would a gap which is 20% of the corneal thickness be?

A

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4
Q

Which Van Herick grade would a gap which is 25% of the corneal thickness be?

A

2

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5
Q

Which Van Herick grade would a gap which is 5% of the corneal thickness be?

A

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6
Q

Which Van Herick grade would a gap which is 100% of the corneal thickness be?

A

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7
Q

Which Van Herick grade would a closed angle be?

A

0

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8
Q

State the order of anterior chamber structures from anterior to posterior.

A

Schwalbe’s line
Trabecular Meshwork
Canal of Schlemm
Scleral spur
Ciliary body
Iris

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9
Q

What is the appearance of Schwalbe’s line and where does it sit within the anterior chamber?

A

A white/translucent line marking the end of the cornea at Descemet’s membrane

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10
Q

If Schwalbe’s line is pigmented, what is it known as?

A

Sampolesi’s line

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11
Q

What is the appearance of the trabecular meshwork and where does it sit within the anterior chamber?

A

Translucent/grey/brown line between Schwalbe’s line and the scleral spur

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12
Q

What is the appearance of the ciliary body and where does it sit within the anterior chamber?

A

Black/grey/brown and only visible if wide angle between the iris root and scleral spur

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13
Q

What is the appearance of the scleral spur and where does it sit within the anterior chamber?

A

Bright white line between the trabecular meshwork and the ciliary body

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14
Q

What is the appearance of the Canal of Schlemm and where does it sit within the anterior chamber?

A

Not normally visible, only if filled with blood. Found between trabecular meshwork and scleral spur

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15
Q

What are the identifying features of Ocular Hypertension?

A

Raised IOP
Normal disc appearance
Normal visual field

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16
Q

What are the identifying features of POAG?

A

Open angle
Any IOP
Disc changes
VF changes

17
Q

What are the identifying features of Secondary Glaucoma?

A

Blocked/partially blocked drainage
Any IOP
Disc changes
VF changes

18
Q

What are the identifying features of closed angle glaucoma?

A

High IOP
Closed/partially closed angles
Disc changes
VF changes

19
Q

What are the types of angle closure glaucoma?

A

Angle closure suspect
Intermittent angle closure
Acute angle closure
Chronic angle closure

20
Q

What are the signs of angle closure suspect?

A

Narrow angles/chamber
Occludable angle

21
Q

What are the signs of intermittent angle closure glaucoma?

A

Narrow angles/chamber and an occludable angle normally
High IOP and corneal swelling during attacks

22
Q

What are the signs of acute angle closure glaucoma?

A

Red eye
Narrow angles
Corneal Oedema
Very high IOP
Fixed, oval pupil

23
Q

What are the signs of chronic angle closure glaucoma?

A

Optic disc changes
Peripheral anterior synechiae (visible on gonioscopy)

24
Q

What causes chronic angle closure glaucoma?

A

Synechiae causing progressive angle closure

25
Q

What are the symptoms of intermittent angle closure glaucoma?

A

Transient blurred vision
Headaches
Haloes
(During attacks)

26
Q

What are the symptoms of acute angle closure glaucoma?

A

Severe pain
Nausea
Blurred vision
Haloes

27
Q

Are there any symptoms for angle closure suspect and chronic angle closure glaucoma?

A

No

28
Q

How should you manage acute angle closure glaucoma?

A

Emergency referral

29
Q

How should you manage chronic angle closure glaucoma?

A

Refer for laser iridotomy

30
Q

How should you manage intermittent angle closure glaucoma and suspect angle closure?

A

Refer for prophylactic (preventative) laser iridotomy

31
Q

On the shadow test, what is classed as grade 2?

A

50% of nasal iris in shadow

32
Q

What should be done if the shadow test result is grade 2 or below?

A

Van Herick or gonioscopy

33
Q
A