Scleral spur


The scleral spur in the visual system is a protrusion of the sclera into the anterior chamber. The spur is an annular structure composed of collagen in the human eye.
It is the origin of the longitudinal and circular fibres of the ciliary muscle, and is attached posteriorly to the trabecular meshwork.

Role in treatment of Glaucoma

Open-angle glaucoma and closed-angle glaucoma may be treated by muscarinic receptor agonists, which cause rapid miosis and contraction of the ciliary muscles. This pulls the scleral spur and results in the trabecular meshwork being stretched and separated.
This opens the fluid pathways, and facilitates drainage of the aqueous humour into the canal of Schlemm, ultimately resulting in decreasing of the intraocular pressure.