case_images: PMC11182083_01
case_images: Case 1: Superior angle (inverted by mirror).
case_images: fopht-03-1322178-g001.jpg
case_images: PMC11182083_01_fopht-03-1322178-g001.jpg
case_images: f1
case_images: Slit lamp examination was remarkable for 2+ nuclear sclerotic cataracts in both eyes, cup-disc ratio (CDR) of 0.3 in both eyes, with nerve fiber layer loss in both eyes and arterial attenuation, and gonioscopic findings of Shaffer grades II-III with iris convex configuration and grade 2+ pigmentation superiorly ( Figure 1 ) and pigmentation inferiorly ( Figure 2 ) OD.
case_images: Case 1: Inferior angle (inverted by mirror).
case_images: fopht-03-1322178-g002.jpg
case_images: PMC11182083_01_fopht-03-1322178-g002.jpg
case_images: f2
case_images: Slit lamp examination was remarkable for 2+ nuclear sclerotic cataracts in both eyes, cup-disc ratio (CDR) of 0.3 in both eyes, with nerve fiber layer loss in both eyes and arterial attenuation, and gonioscopic findings of Shaffer grades II-III with iris convex configuration and grade 2+ pigmentation superiorly ( Figure 1 ) and pigmentation inferiorly ( Figure 2 ) OD.
case_images: PMC11182083_02
case_images: Case 2: Superior angle (inverted by mirror).
case_images: fopht-03-1322178-g003.jpg
case_images: PMC11182083_02_fopht-03-1322178-g003.jpg
case_images: f3
case_images: Gonioscopy revealed open Shaffer grade IV angles OU with 2+ pigmentation in the trabecular meshwork in the superior angle ( Figure 3 ) with heavier pigmentation in the inferior angle ( Figure 4 ).
case_images: Case 2: Inferior angle (inverted by mirror).
case_images: fopht-03-1322178-g004.jpg
case_images: PMC11182083_02_fopht-03-1322178-g004.jpg
case_images: f4
case_images: Gonioscopy revealed open Shaffer grade IV angles OU with 2+ pigmentation in the trabecular meshwork in the superior angle ( Figure 3 ) with heavier pigmentation in the inferior angle ( Figure 4 ).
case_images: PMC11182083_03
case_images: Case 3: Superior angle (inverted by mirror).
case_images: fopht-03-1322178-g005.jpg
case_images: PMC11182083_03_fopht-03-1322178-g005.jpg
case_images: f5
case_images: Gonioscopy revealed Shaffer grade III angles open OU with grade 1+ pigmentation superiorly ( Figure 5 ) and inferiorly ( Figure 6 ) for both eyes.
case_images: Case 3: Inferior angle (inverted by mirror).
case_images: fopht-03-1322178-g006.jpg
case_images: PMC11182083_03_fopht-03-1322178-g006.jpg
case_images: f6
case_images: Gonioscopy revealed Shaffer grade III angles open OU with grade 1+ pigmentation superiorly ( Figure 5 ) and inferiorly ( Figure 6 ) for both eyes.
case_images: PMC11182083_04
case_images: Case 4: Superior angle (inverted by mirror).
case_images: fopht-03-1322178-g007.jpg
case_images: PMC11182083_04_fopht-03-1322178-g007.jpg
case_images: f7
case_images: Gonioscopy revealed Shaffer grade III open angle with pigmentation of the angles in the superior quadrant ( Figure 7 ) and heavier pigment in the inferior quadrant ( Figure 8 ).
case_images: Case 4: Inferior angle (inverted by mirror).
case_images: fopht-03-1322178-g008.jpg
case_images: PMC11182083_04_fopht-03-1322178-g008.jpg
case_images: f8
case_images: Gonioscopy revealed Shaffer grade III open angle with pigmentation of the angles in the superior quadrant ( Figure 7 ) and heavier pigment in the inferior quadrant ( Figure 8 ).
case_images: PMC11182083_05
case_images: Case 5: Superior angle (inverted by mirror).
case_images: fopht-03-1322178-g009.jpg
case_images: PMC11182083_05_fopht-03-1322178-g009.jpg
case_images: f9
case_images: Gonioscopy revealed Shaffer grade III angles in both eyes with heavy pigmentation in both the superior angle ( Figure 9 ) and inferior angle ( Figure 10 ).
case_images: Case 5: Inferior angle (inverted by mirror).
case_images: fopht-03-1322178-g010.jpg
case_images: PMC11182083_05_fopht-03-1322178-g010.jpg
case_images: f10
case_images: Gonioscopy revealed Shaffer grade III angles in both eyes with heavy pigmentation in both the superior angle ( Figure 9 ) and inferior angle ( Figure 10 ).