Changes in anterior segment morphology in response to illumination and after laser iridotomy in Asian eyes: an anterior segment OCT study.
OBJECTIVE
Using the anterior segment optical coherence tomography (AS-OCT) to quantify changes in anterior segment morphology going from light to dark and following laser iridotomy (LI).


METHODS
Prospective observational study. 17 consecutive subjects without peripheral anterior synechiae undergoing LI were evaluated using gonioscopy and AS-OCT. Angle configuration including angle opening distance (AOD) at 500 microns anterior to the scleral spur, AOD(500), trabecular-iris space area up to 750 microns from the scleral spur, TISA(750) and the increase in angle opening going from dark to light conditions was determined.


RESULTS
Both mean AOD(500) and TISA(750) increased nearly threefold going from dark to light. Both also significantly increased following LI (p<0.001) as did gonioscopic grading of the angle in all quadrants (p<0.001, McNemar's test). Angles were more than twice as wide on average in the dark after LI than before LI (p<0.05). Both the mean absolute change and the mean proportionate change in AOD(500) and TISA(750) when going from light to dark were greater after LI than before (p<0.05).


CONCLUSIONS
Increased illumination as well as LI resulted in significant widening of the anterior chamber angle. AS-OCT (which does not require a water bath and can be performed with the patient at the slit lamp) identified similar magnitude changes as those previously reported using ultrasound biomicroscopy (UBM). Furthermore, the angle appears to open more both in absolute terms and and proportionate terms in response to illumination after LI.
See
Jovina L S
JL
National University Hospital, Singapore.
Chew
Paul T K
PT
Smith
Scott D
SD
Nolan
Winifred P
WP
Chan
Yiong-Huak
YH
Huang
David
D
Zheng
Ce
C
Foster
Paul J
PJ
Aung
Tin
T
Friedman
David S
DS
D000368:Aged; D000869:Anterior Eye Segment / Q000473:pathology*; D044466:Asian People; D001699:Biometry / Q000379:methods; D005260:Female; D015812:Glaucoma, Angle-Closure / Q000208:ethnology / Q000473:pathology / Q000601:surgery*; D006068:Gonioscopy; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods; D032801:Iridectomy; D053685:Laser Therapy; D008297:Male; D008875:Middle Aged; D010775:Photic Stimulation / Q000379:methods; D011446:Prospective Studies; D041623:Tomography, Optical Coherence