Which slit-lamp exam findings are characteristic of glaucoma suspect?

Updated: Jul 27, 2020
  • Author: Robert H Graham, MD; Chief Editor: Hampton Roy, Sr, MD  more...
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Look for signs of secondary causes/risk factors of glaucoma, as follows:

  • Corneal endothelium: Krukenberg spindle; keratic precipitates; pigmentary changes on endothelial cells

  • Anterior chamber angle depth: Identification of narrow occludable depth; avoidance of mydriatics in such eyes

  • Iris: Mid iris spokelike transillumination defects (seen in pseudoexfoliation and pigment dispersion); dandrufflike material on pupillary margin and on lens capsule (pseudoexfoliation); neovascularization

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