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Abstract #79074 Published in IGR 20-1
Quantitative Evaluation of Gonioscopic and EyeCam Assessments of Angle Dimensions Using Anterior Segment Optical Coherence Tomography
Xu BY; Pardeshi AA; Burkemper B; Richter GM; Lin SC; McKean-Cowdin R; Varma RTranslational vision science & technology 2018; 7: 33
PURPOSE: To evaluate the relationship between angle dimensions assessed by gonioscopy or EyeCam and anterior segment optical coherence tomography (AS-OCT). METHODS: Subjects aged 50 years or older were recruited from the Chinese American Eye Study (CHES). Each subject underwent a complete ocular exam, including gonioscopy, AS-OCT, and EyeCam. Angle closure was defined as three or more quadrants in which pigmented trabecular meshwork could not be visualized. Angle opening distance (AOD), angle recess area (ARA), trabecular iris space area (TISA), trabecular iris angle (TIA), and scleral spur angle (SSA) were measured in each AS-OCT image. RESULTS: 709 eyes (272 angle closure, 437 open angle) from 709 subjects were analyzed. Mean gonioscopy and EyeCam grades tended to increase as AS-OCT measurements increased. There were strong correlations overall between AS-OCT measurements and gonioscopy ( > 0.73) and EyeCam ( > 0.68) grades. However, correlations with AS-OCT measurements were weak for gonioscopy ( < 0.38) and EyeCam ( < to 0.27) among eyes with angle closure. Mean AS-OCT measurements differed for eyes with Shaffer grade 0 in all four quadrants among eyes with varying degrees of angle closure on gonioscopy ( < 0.01) but did not differ among eyes with varying degrees of angle closure on EyeCam ( > 0.27). CONCLUSIONS: Angle assessments by gonioscopy and EyeCam are weakly related to angle dimensions in eyes with angle closure. TRANSLATIONAL RELEVANCE: AS-OCT imaging raises concerns about current clinical methods that rely on direct visualization of ACA structures to assess the degree of angle closure.
USC Roski Eye Institute, Department of Ophthalmology, Keck School of Medicine at the University of Southern California, Los Angeles, CA, USA.
Full articleClassification:
2.4 Anterior chamber angle (Part of: 2 Anatomical structures in glaucoma)
6.9.2.1 Anterior (Part of: 6 Clinical examination methods > 6.9 Computerized image analysis > 6.9.2 Optical coherence tomography)