Van Herick Angle Grade

The Van Herick grade of the peripheral anterior chamber angle, estimated at the slit lamp by the ratio of the peripheral anterior chamber depth (PACD) to the corneal thickness (CT), grades 0/1/2/3/4.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Van Herick grade
2 - PACD = 1/4 CT, closure possible

Result: Van Herick grade 2: peripheral anterior chamber depth about 1/4 corneal thickness, angle closure possible.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Grade 0
PACD = 0 (cornea in contact with iris): angle closed.
Grade 1
PACD < 1/4 corneal thickness: angle closure likely.
Grade 2
PACD = 1/4 corneal thickness: angle closure possible.
Grade 3
PACD = 1/4 to 1/2 corneal thickness: angle closure unlikely.
Grade 4
PACD at least 1 corneal thickness: angle wide open.

What you enter

  • Van Herick grade
How this is calculated

Van Herick W, Shaffer RN, Schwartz A. Estimation of width of angle of anterior chamber. Incidence and significance of the narrow angle. Am J Ophthalmol. 1969;68(4):626-629. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

Browse all tools

Built by Clay Good. Source on GitHub.