[Comparison between the anterior chamber configuration in the supine position and that in the prone position in patients with narrow angle].
OBJECTIVE
To determine whether the anterior chamber configuration of patients with narrow angle is changed in the prone position.


METHODS
The study included 16 eyes of 16 patients whose anterior chamber angle was classified as Shaffer 2 or narrower. The prone position test(PPT) and ultrasound biomicroscopy (UBM) were performed on every subject. In the UBM examination, the following parameters were measured both in the supine position and in the prone position: the angle-opening distance at 250 microns from scleral spur(AOD 250), the angle-opening distance at 500 microns from scleral spur(AOD 500), the trabecular-iris angle(TIA), and the anterior chamber depth at the center of the cornea(anterior chamber depth, ACD).


RESULTS
While the intraocular pressure was higher after PPT than before the test, every subject was evaluated as negative for PPT. Mean value of every parameter examined was lower in the prone position than in the supine position(AOD 250: 114 microns, vs. 128 microns, AOD 500: 121 microns vs. 144 microns, TIA: 12.1 degrees vs. 15.5 degrees, ACD: 1966 microns vs. 2002 microns), and the change in ACD was statistically significant (p = 0.013).


CONCLUSIONS
The anterior chamber configuration of patients with narrow angle is changed in prone position. Such a change can occur in patients classified as negative for PPT.
Sano
R
R
Department of Ophthalmology, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto 390-8621, Japan.
Kurokawa
T
T
Kurimoto
Y
Y
Miyazawa
D
D
Yoshimura
N
N
D000368:Aged; D000867:Anterior Chamber / Q000000981:diagnostic imaging / Q000473:pathology*; D005260:Female; D015812:Glaucoma, Angle-Closure / Q000000981:diagnostic imaging / Q000473:pathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009887:Ophthalmoscopy; D011187:Posture; D016684:Prone Position; D016683:Supine Position; D014463:Ultrasonography