Ocular Biometry in the Subtypes of Angle Closure: An Anterior Segment Optical Coherence Tomography Study

• Published in: American journal of ophthalmology Vol. 155; no. 4; pp. 664 - 673.e1
• Main Authors: Moghimi, Sasan, Vahedian, Zakieh, Fakhraie, Ghasem, Ghaffari, Reza, Eslami, Yadollah, Jabarvand, Mahmood, Zarei, Reza, Mohammadi, Massood, Lin, Shan
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.04.2013; Elsevier Limited
• Subjects: Acute Disease; Age; Anterior Eye Segment - pathology; Biometrics; Biometry; Chronic Disease; Cross-Sectional Studies; Female; Glaucoma; Glaucoma, Angle-Closure - classification; Glaucoma, Angle-Closure - diagnosis; Glaucoma, Angle-Closure - surgery; Gonioscopy; Humans; Intraocular Pressure; Iridectomy; Iris - surgery; Laser Therapy; Male; Middle Aged; Ophthalmology; Optics; Pathogenesis; Prospective Studies; Tomography, Optical Coherence - methods; Tonometry, Ocular; Visual Field Tests
• ISSN: 0002-9394; 1879-1891
• DOI: 10.1016/j.ajo.2012.10.014

Purpose To evaluate ocular biometric parameters in different subtypes of angle-closure disease in the Iranian population and compare them with normal eyes. Design Prospective, cross-sectional. Methods In this clinic-based study, 189 eyes of 154 patients consisting of 40 acute angle-closure glaucoma (AACG) eyes, 40 fellow eyes of AACG, 42 chronic angle-closure glaucoma (CACG) eyes, 40 primary angle-closure suspect (PACS) eyes, and 27 normal eyes underwent complete examination including gonioscopy, A-scan biometry, and anterior segment optical coherence tomography. Only 1 eye of CACG, PACS, and control subjects were selected. Main outcome measures included angle opening distance and trabeculo-iris space area at 500 μm from the scleral spur (AOD500, TISA-500), anterior chamber angle, lens vault, lens thickness, anterior chamber depth (ACD), and lens position. Results Anterior chamber angle, AOD500, TISA500, ACD, and lens position were less and lens thickness and lens vault were greater in angle-closure than open-angle eyes. ACD was less in AACG than CACG and PACS ( P < .001). It was also less in fellow eyes than PACS eyes ( P  = .04). Lens vault was highest in AACG eyes, followed by fellow eyes, PACS, and CACG. It was significantly more in AACG eyes than CACG and PACS eyes ( P < .001 and P  = .007, respectively). No difference was observed between AACG and fellow eyes. Conclusions The anterior segment was crowded in closed-angle compared to open-angle eyes. Higher lens vault may play a role in the development of an acute attack of angle closure.