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Abstract #8590 Published in IGR 5-1

Iris configuration in accommodation in pigment dispersion syndrome

Balidis MO; Bunce C; Sandy CJ; Wormald RPL; Miller MH
Eye 2002; 16: 694-700


PURPOSE: This study was conducted in order to investigate the effect of accommodation on the iris morphology and iridolenticular contact, in eyes with Pigment Dispersion Syndrome and Pigmentary Glaucoma, using high-resolution ultrasound. METHODS: The authors performed a prospective observational study, examining a group of 30 pigment dispersion syndrome and pigmentary glaucoma patients (49 eyes) and a smaller group of eight 'normals' non-pigment dispersion syndrome patients (eight eyes). All patients underwent ultrasound biomicroscopy, before and during accommodation. RESULTS: The iris profile before accommodation was found convex in 48.5%, flat in 19.7% and concave in 31.8%. Following accommodation the iris configuration remained unchanged in 66.2%, increased in concavity in 20.3% and decreased in concavity in 13.5%. CONCLUSIONS: The effect of accommodation on iris configuration and accommodation is highly variable. From the authors' experience, the measurement of iris configuration using ultrasound biomicroscopy may not be a useful method of evaluating the effect of different treatments on iris configuration.

Dr. M.O. Balidis, Ermou 46 54623 Thessaloniki Greece. balidis@otenet.gr


Classification:

9.4.3.1 Pigmentary glaucoma (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.3 Glaucomas associated with disorders of the iris and ciliary body)



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