Comprehensive OPHTHALMOLOGY
Grade Angle width Configuration Chances of closure Structures visible on gonioscopy
if 20-35° Open angle Ni SL, TM, SS
D 20 Moderately narrow Possible su TM
G Very narrow High SL only
° ° Closed Closed None of the angle structures wsble
SL = Schwalbe’ tine, TM = Trabecular meshwork, SS = Scleral spur, CBB = Ciliary body band
Wij
Y/
‘Aqueous outflow system
Itincludes the trabecular meshwork, Schlemm's canal,
collector channels, aqueous veins and the episeleral
veins (Fig. 9.3A
1. Trabecular meshwork.It isa sieve-like structure
through which aqueous humour leaves the eye. It
consists of three portions
i Uveal meshwork It is the innermost part of
trabecular meshwork and extends from the iris
root and ciliary body to the Schwalbe's line, The
arrangement of uveal trabecular bands cre
‘openings of about 25 m to 75 m,
1 form
middle portion which extends from the scleral
ii, Corneoscleral_ meshwork the larger
spur to the lateral wall of the scleral suleus. It
consists of she
of trabecitlae that are perforated
by elliptical openings which are smaller than
those in the uveal meshwork (5 4-50
( I
forms the outermost portion of meshwork and
consists of a layer of connective tissue lin
et
=
=
=
fanaa ein omen
either side by endothelium, This narrow part of
trabeculum connects the comeoscleral meshwork
with Schlemm’s canal, Infact the outer endothelial
layer of juxtacanalicular meshwork comprises the
inner wall of Schlemm’s canal, This part of
trabecular meshwork mainly offers the normal
resistance to aqueous outflow