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Letters |

Ciliary Body Clefting Accompanied by Rupture of the Trabecular Meshwork in Congenital Glaucoma

Margarita G. Todorova, MD; Cameron F. Parsa, MD; Matthias C. Grieshaber, MD
Arch Ophthalmol. 2012;130(4):534. doi:10.1001/archophthalmol.2011.2498.
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Figure 1. Gonioscopic images of the anterior segment (patient's view) corresponding to the ultrasound biomicroscopy images in Figure 2. The angle is widely open with visualization of the ciliary body band and scleral spur. At the 12-o’clock position, the gonioscopic image conjectures ciliary body clefting from the sclera (asterisks) and multiple ruptures of the trabecular meshwork (arrows); both changes were confirmed by ultrasound biomicroscopy (Figure 2). Note the visible pigmentations on the borders of caverns within the clefting.

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Graphic Jump Location

Figure 2. Ultrasound biomicroscopy images taken with a 50-MHz transducer (P60TM; Paradigm Medical Industries, Inc) of the right eye, which did not undergo operation. A, Radial ultrasound biomicroscopy scans in the primary position of all 4 quadrants. Note the remaining thin strand of trabecular meshwork tissue (ts) (circled) at the 9-o’clock position, clefting of the ciliary body (asterisk) with complete rupture of the trabecular meshwork (arrow) at the 12-o’clock position, and a stretched-out ciliary body (open arrowheads) and thinned iris (solid arrowheads) in all quadrants. Corresponding to the radial ultrasound biomicroscopy image at the 12-o’clock position (A), the tangential scan anteriorly (a) and closely to ora serrata (os) confirm the ciliary body clefting (asterisks) from the sclera with formation of stepwise caverns (B).

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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