Anterior Chamber and TM

Question 1

depth of AC

Answer 1

3.5 mm

Question 2

anterior insertion of iris root, poorly developed scleral spur with ciliary body inserting directly into TM, mesecnhymal tissue in angle

Answer 2

primary congenital glaucoma

Question 3

characteristics of Axenfeld-Rieger syndrome?

Answer 3

Autosomal dominant. Posterior embryotoxon (anteriorly displaced Schwalbe’s line), iris strands adherent to Schwalbe’s line, iris hypoplasion, correctopia and polycoria, fetal anterior angle. 50% get glaucoma!

Question 4

unilateral epithelial like corneal endothelial cells migrating over angle leading to PAS and angle closure in young male

Answer 4

ICE

Question 5

fibrillar material on anterior lens capsule and in angle associated with saw-tooth pattern of IPE?

Answer 5

pseudoexfoliation

Question 6

faded cells filled with small eosinophilic bodies in AC and clogging angle in patient with prior hyphema

Answer 6

hemolyzed erythrocytes aka ghost cells (with Heinz bodies). can lead to glaucoma

Question 7

hemolytic glaucoma mechanism?

Answer 7

hemosiderin-laden macrophages plug angle (contrasted to ghost cells plugging angle in ghost cell glaucoma)