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Bowmans Folds & Hypotony - Photo Essay 3

Peter Shah
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Bowmans Folds & Hypotony - Photo Essay 3

Bowmans folds are an important sign of clinically significant hypotony.  The sign is elicited using 2% fluorescein and observing at the slitlamp using the cobalt blue filter.  If seen, this is an indication that the intraocular pressure is less than 6 mmHg and is particularly useful when it is not possible to perform applanation tonometry.

Peter Shah

Professor Peter Shah is a Consultant Ophthalmic Surgeon and Supra-Regional Glaucoma Specialist at University Hospitals Birmingham NHS Trust. He is also a Visiting Professor to the NIHR Biomedical Research Centre (Moorfields Eye Hospital and UCL Institute of Ophthalmology). He is Honorary Professor of Glaucoma at the Centre for Health and Social Care Improvement at the University of Wolverhampton.

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