A patient presents with a pressure of 28 mmHg. Here is their OCT. Is this angle open or closed?

Glaucoma Coach #4

Analysis

In this OCT, the endothelium, iris and ciliary body are all clearly visible. The angle which is formed by the corneal endothelium, trabecular meshwork and iris surface is also visible as a hyperreflective area.

At the posterior aspect of the trabecular meshwork the scleral spur is visible, indicating that the angle is open.

In the accompanying 10 min. video featuring Dr. Hady Saheb, Glaucoma Fellowship Director at McGill University in Montreal, you will learn:

  • The appearance of a scleral spur on OCT
  • How the age of a patient affects surgical management
  • Management of glaucoma with Gonioscopy-Assisted Transluminal Trabeculotomy (GATT)
Glaucoma Coach #4 Analysis

Glaucoma Coach Tip

When the scleral spur is visualized on gonioscopy or OCT, angle closure is not present.

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