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Closed Angle Glaucoma

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Glaucoma may also occur secondary to anything which causes the iris to become opposed to the peripheral cornea, closing off the anterior chamber angle.  This may occur secondary to inflammation with secondary fibrotic changes.  Another common cause of secondary angle closure glaucoma is neovascularization of the iris surface or rubeosis iridis.  Histopathologically, the iris can be seen adherent to the posterior surface of the cornea, thus closing off the trabecular meshwork (#21985, #21987).  In cases of chronic inflammation, the angle is closed off by a proliferation of fibrous tissue.  In the case of neovascular glaucoma, there is a sheet of fine vascular tissue which grows along the surface of the iris with secondary fibrosis that leads to closure of the angle(#21988).

 

High Power #21988 Med. Power #21985
21988.jpg (106623 bytes) 21985.jpg (159019 bytes)
Med. Power #21987
21987.jpg (148726 bytes)
 
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John A. Moran Eye Center 50 North Medical Drive Salt Lake City UT 84132
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