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By C. Hong, T. Yamamoto, K.H. Park, Y.Y. Kim

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Sample text

Ultrasound biomicroscopic findings of a patient that experienced a second attack despite patent iridotomy. Left photographs were taken after resolution of the first angle-closure attack by laser iridotomy, whereas right photographs were taken during the second attack when the IOP was 34 mmHg two weeks after laser iridotomy. During this second attack, anterior chamber depth was reduced and newly formed peripheral anterior synechiae were found in the angle (lower right). 38 suggested a multi-mechanism for angle-closure glaucoma.

41,42 Angle closure can occur in eyes with high myopia. Causes of angle closure other than relative pupillary block are more common in these patients. Careful gonioscopy accompanied by biometry measurement and ultrasound biomicroscopy can lead to the correct diagnosis and individualized management in these highly myopic eyes,43 or eyes with unusual asymmetric biometry. The relatives of patients The ocular dimensions of patients with angle closure glaucoma resemble those of their siblings and offspring with regard to corneal diameter, anterior chamber depth, corneal height44 and lens thickness.

Br J Ophthalmol 2005;89;288-90 ˅˅ˁʳ Ritch R, Lowe RF. Angle closure glaucoma: Mechanisms and epidemiology. In: Ritch R, Shields MB, Krupin T (eds) The Glaucomas. St. Louis: Mosby, 1996. 23. Foster PJ, Buhrmann RR, Quigley HA, Johnson GJ. The definition and classification of glaucoma in prevalence surveys. Br J Ophthalmol 2002; 86:238-42. 24. Lowe RF. New instruments for measuring anterior chamber depth and corneal thickness. Am J Ophthalmol 1966;62:7-11. 25. Smith RJH. A new method for estimating the depth of the anterior chamber Br J Ophthalmol 1979;63:215-20.

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