a

b

Gonioscopy was performed on the patient mentioned earlier. Of the two views here, which one is consistent with the appearance of the ultrasound?

Answer
a. is the gonioscopic appearance of a cyclodialysis cleft (where the
ciliary body is detached from the sclera). The white area between 
the iris and the trabecular meshwork is the exposed sclera.
 

How would you manage this patient?

Answer
To prevent further excessive aqueous drainage. The cyclodialysis
cleft must be closed and this can be achieved with suture repair or cryotherapy.
 
 

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