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Abstract #16784 Published in IGR 9-1
Optical coherence tomography of the anterior segment in secondary glaucoma with corneal opacity after penetrating keratoplasty
Memarzadeh F; Li Y; Francis BA; Smith RE; Gutmark J; Huang DBritish Journal of Ophthalmology 2007; 91: 189-192
AIM: To evaluate secondary glaucoma after penetrating keratoplasty with anterior-segment optical coherence tomography (OCT). DESIGN: Case series. METHODS: Four eyes of four patients with corneal opacity and increased intraocular pressure (IOP) were evaluated using high-speed (2000 axial scans/s) OCT at 1.3 μM wavelength. Cross-sectional images of the anterior segment were analysed to assess the cause of increase in pressure. RESULTS: Slit-lamp evaluation of the anterior chamber in all cases was limited by corneal opacity. The OCT imaging allowed visualisation of anterior-segment structures behind the opaque corneas. Using OCT, iris-intraocular lens adhesion and pupillary block were identified as the probable reasons for the increased IOP in one case. Peripheral anterior synechiae and angle closure were identified in the three remaining cases. In two cases, we found that the tip of the aqueous drainage tube was blocked by peripheral anterior synechiae. CONCLUSIONS: OCT is similar to ultrasound in that it allows visualisation through opaque corneas. However, OCT has an advantage in that it requires neither contact nor immersion. It is a valuable tool for evaluating the depth of the anterior chamber angle and the causes of secondary angle closure.
Dr. F. Memarzadeh, Doheny Eye Institute and Department of Ophthalmology, Keck School of Medicine, University of Southern California, 1450 San Pablo Street, DEI5702, Los Angeles, CA 90033, USA
Classification:
9.4.11.4 Glaucomas associated with corneal surgery (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.11 Glaucomas following intraocular surgery)
6.9.2.1 Anterior (Part of: 6 Clinical examination methods > 6.9 Computerized image analysis > 6.9.2 Optical coherence tomography)