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Abstract #6749 Published in IGR 4-1
A case of secondary glaucoma studied by optical coherence tomography of the anterior ocular segment
Eguchi H; Iwata A; Sogabe M; Sato H; Shiota HNippon Ganka Gakkai Zasshi 2002; 106: 178-181
PURPOSE: To compare slit-lamp biomicroscopy or gonioscopy with optical coherence tomography (OCT) and to assess the efficacy of OCT in a case of anterior segment disease. CASE REPORT: A 74-year-old male with bilateral keratoconus. The left eye was aphakic, so penetrating keratoplasty was performed, together with Nd:YAG laser capsulotomy. The prognosis was good in the early postoperative stage. But six months postoperatively, the authors could not control the intraocular pressure and judged that a second operation might be needed. Before this operation, they tried to obtain images of the anterior segment of this eye using slit-lamp biomicroscopy, gonioscopy, and OCT. RESULTS: Findings obtained by OCT were more useful than those obtained by slit-lamp biomicroscopy or gonioscopy for determining the method of operation. DISCUSSION: This case substantiates the view that observation of the anterior ocular segment by OCT is useful for such cases, because in cases of corneal disease, not much information can be obtained about the deep and endothelial side of the cornea from slit-lamp biomicroscopy.LA: Japanese
Dr. H. Eguchi, Department of Ophthalmology, Tokushima University School of Medicine, 3-18-15 Kuramoto-cho, Tokushima 770-8503, Japan
Classification:
6.9.2 Optical coherence tomography (Part of: 6 Clinical examination methods > 6.9 Computerized image analysis)
