advertisement
Abstract #19881 Published in IGR 9-4
Changes in anterior segment morphology in response to illumination and after laser iridotomy in Asian eyes: An anterior segment OCT study
See JL; Chew PT; Smith SD; Nolan WP; Chan YH; Huang D; Zheng C; Foster PJ; Aung T; Friedman DSBritish Journal of Ophthalmology 2007; 91: 1485-1489
AIM: Using the anterior segment optical coherence tomography (AS-OCT) to quantify changes in anterior segment morphology going from light to dark and following laser iridotomy (LI). METHODS: Prospective observational study. 17 consecutive subjects without peripheral anterior synechiae undergoing LI were evaluated using gonioscopy and AS-OCT. Angle configuration including angle opening distance (AOD) at 500 microns anterior to the scleral spur, AOD500), trabecular-iris space area up to 750 microns from the scleral spur, TISA750 and the increase in angle opening going from dark to light conditions was determined. RESULTS: Both mean AOD500 and TISA750 increased nearly threefold going from dark to light. Both also significantly increased following LI (p < 0.001) as did gonioscopic grading of the angle in all quadrants (p < 0.001, McNemar's test). Angles were more than twice as wide on average in the dark after LI than before LI (p < 0.05). Both the mean absolute change and the mean proportionate change in AOD500 and TISA750 when going from light to dark were greater after LI than before (p < 0.05). CONCLUSION: Increased illumination as well as LI resulted in significant widening of the anterior chamber angle. AS-OCT (which does not require a water bath and can be performed with the patient at the slit lamp) identified similar magnitude changes as those previously reported using ultrasound biomicroscopy (UBM). Furthermore, the angle appears to open more both in absolute terms and and proportionate terms in response to illumination after LI.
Dr. J.L. See, National University Hospital, Singapore
Classification:
6.9.2.1 Anterior (Part of: 6 Clinical examination methods > 6.9 Computerized image analysis > 6.9.2 Optical coherence tomography)
2.4 Anterior chamber angle (Part of: 2 Anatomical structures in glaucoma)
12.2 Laser iridotomy (Part of: 12 Surgical treatment)
