Anterior chamber of eyeball

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Anterior chamber of eyeball
Blausen 0390 EyeAnatomy Sectional.png
Anterior part of human eye, with anterior chamber at right.
Schematic diagram of the human eye en.svg
Schematic diagram of the human eye.
Details
Identifiers
Latin camera anterior bulbi oculi
Acronym(s) AC
TA A15.2.06.003
FMA 58078
Anatomical terminology

The anterior chamber (AC) is the fluid-filled space inside the eye between the iris and the cornea's innermost surface, the endothelium.[1] Aqueous humor is the clear fluid that fills the anterior chamber. Hyphema, anterior uveitis and glaucoma are three main pathologies in this area. In hyphema, blood fills the anterior chamber as a result of a hemorrhage, most commonly after a blunt eye injury. Anterior uveitis is an inflammatory process affecting the iris and ciliary body, with resulting inflammatory signs in the anterior chamber. In glaucoma, blockage of the trabecular meshwork prevents the normal outflow of aqueous humour, resulting in increased intraocular pressure, progressive damage to the optic nerve head, and eventually blindness.

The depth of the anterior chamber of the eye varies between 1.5 and 4.0 mm, averaging 3.0 mm. The anterior chamber tends to become shallower at older age, and in eyes with hypermetropia (far sightedness). As the anterior chamber depth decreases below 2.5 mm, the risk for angle closure glaucoma increases. Shallow anterior chambers are endemic in certain areas in India and South East Asia, where angle closure glaucoma is a common eye problem and a leading cause of blindness.

Clinical significance[edit]

Depth measurement[edit]

Determining the anterior chamber depth (ACD) is important in estimating the risk of angle closure glaucoma. There are various method of measuring ACD, including examination through a slit lamp, ultrasound and Scheimpflug photography. These methods require sophisticated examination equipment and expertise.

A simpler clinical method of quantitatively estimating ACD using smartphone photography (EZ ratio) was developed by Dr Ehud Zamir from the Centre for Eye Research Australia, the University of Melbourne, and published in 2016.[2]

EZ ratio method[2][edit]

To calculate the estimated anterior chamber depth, the patient looks at a target in the distance with one eye covered. The examiner takes a digital photograph of the open, examined eye, from the side, perpendicular to the visual axis (a profile photograph).

The following parameters then need to be measured in the photograph, using a personal computer or a smartphone (figures 1,2):

1. The pixel distance between the limbus (the junction between clear cornea and white sclera) and the front of the cornea. This distance is referred to as Z.

2. The pixel distance between the limbus and the centre of the pupil. This distance is referred to as E.

E:Z ratio is the arithmetic ratio between E and Z.

This ratio is linearly correlated with the depth of the anterior chamber with the following equation:

Anterior chamber depth (expressed in millimetres) = -3.3 x EZ ratio + 4.2

This estimate has been shown to be accurate with a 95% confidence interval of +/– 0.33 mm error, when compared to measurements of the anterior chamber depth by Scheimpflug photography.[2]

Figure 1. Calculating EZ ratio.
Figure 2. Different anterior chamber depths as seen from the lateral perpendicular (profile) view. The more forward the pupil is, the shallower the anterior chamber. In the leftmost photo, the pupil is relatively posterior (set back), indicating an EZ ratio of < 0.5 and an anterior chamber deeper than 2.5 mm. In the middle photo, the pupil is midway between the sclera posteriorly and the cornea anteriorly, indicating an EZ ratio of 0.5, and a medium chamber depth of about 2.5 mm. In the rightmost photo, the pupil is very anterior (forward), indicating an EZ ratio of more than 0.5 and a shallow anterior chamber of less than 2.5 mm.

Associated immune deviation[edit]

One peculiar feature of the anterior chamber is dampened immune response to allogenic grafts. This is called anterior chamber associated immune deviation (ACAID), a term introduced in 1981 by Streilein et al.[3][4] This phenomenon is relevant to the fact that the eye is considered an "immune privileged site", like the brain and the testis.

Pathology[edit]

Additional Images[edit]

See also[edit]

References[edit]

  1. ^ Cassin, B.; Solomon, S. (1990). Dictionary of eye terminology. Gainesville, Fla: Triad Pub. Co. ISBN 0-937404-33-0. 
  2. ^ a b c Zamir, Ehud (2016). "A novel method of quantitative anterior chamber depth estimation using temporal perpendicular digital photography". Translation Vision Science and Technology. 5: 10. 
  3. ^ Streilein JW, Niederkorn JY (May 1981). "Induction of anterior chamber-associated immune deviation requires an intact, functional spleen". J. Exp. Med. 153 (5): 1058–67. PMC 2186172Freely accessible. PMID 6788883. doi:10.1084/jem.153.5.1058. 
  4. ^ "Archived copy". Archived from the original on 2015-02-11. Retrieved 2012-07-16. 

External links[edit]

  • Atlas image: eye_2 at the University of Michigan Health System - "Sagittal Section Through the Eyeball"