Ophthalmology · Glaucoma (PACG, POAG, Tonometry, Congenital, Treatment)

In gonioscopy, the most anteriorly visible structure in the angle is:

  • A Trabecular meshwork
  • B Schwalbe's line
  • C Scleral spur
  • D Ciliary body band
Correct answer: B. Schwalbe's line

Explanation

Schwalbe's line (anterior limit of Descemet membrane/termination of corneal endothelium) is the most anteriorly visible structure in gonioscopy, appearing as a fine white ridge at the junction of cornea and angle. Moving posteriorly (towards the iris): Schwalbe's line → trabecular meshwork (pigmented posteriorly) → Schlemm's canal (seen as pink blush through trabecular meshwork) → scleral spur (white, posterior to Schlemm's canal) → ciliary body band (dark grey/brown, most posterior). The iris root inserts into the ciliary body band.

Reference: Khurana Comprehensive Ophthalmology, 7th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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