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Graefe's Archive for Clinical and Experimental Ophthalmology

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01-04-2013 | Glaucoma

Five-year incidence of angle closure among glaucoma health examination participants

Authors: Kenji Kashiwagi, Tatsuya Chiba, Fumihiko Mabuchi, Toshie Furuya, Shigeo Tsukahara

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 4/2013

Abstract

Background and aim

To investigate incidence of angle closure (AC) and its associated factors through a community-based longitudinal study over a 5-year period.

Methods

Japanese residents aged 40 years or over who underwent two glaucoma health examinations held in 2005 and 2010 were enrolled. Of the participants of the first glaucoma health examination (first examination), those who satisfied exclusion criteria such as having eyes with angle closure, glaucoma, incisional ocular surgery, or other conditions that could influence the results were eliminated from the second glaucoma health examination (second examination). In addition to routine ophthalmic examination, a scanning peripheral anterior chamber depth analyzer (SPAC) was employed to investigate the anterior chamber configuration. The incidence of angle closure over the 5-year period and its associated factors were investigated.

Results

Of the 754 participants of the first examination, 569 participants were invited for the second examination and 331 participants (87 males and 244 females, age: 62.6 ± 12.7 years), or 619 eyes, were analyzed after eliminating eyes matching exclusion criteria. In the 5-year period, the incidence of AC was 5.4 % (95 % CI: 3.5–8.4 %) of participants or 5.5 % (95 % CI: 4.0–7.6 %) of eyes, including eight eyes (1.3 %) with primary angle-closure glaucoma. Eyes that developed AC had a much smaller SPAC grade at the first examination and a greater decrease in SPAC grade than those that did not develop AC, whereas age and sex were not associated.

Conclusions

AC was developed by 5.4 % of senior Japanese residents over the 5-year period. The shallow anterior chamber and the marked decrease in anterior chamber depth were associated with AC development.

Quigley HA (1996) Number of people with glaucoma worldwide. Br J Ophthalmol 80:389–393PubMedCrossRef

Quigley HA (2011) Glaucoma. Lancet 377:1367–1377PubMedCrossRef

Wong TY, Loon SC, Saw SM (2006) The epidemiology of age related eye diseases in Asia. Br J Ophthalmol 90:506–511PubMedCrossRef

Ang LP, Aung T, Chew PT (2000) Acute primary angle closure in an Asian population: long-term outcome of the fellow eye after prophylactic laser peripheral iridotomy. Ophthalmology 107:2092–2096PubMedCrossRef

Aung T, Nolan WP, Machin D, Seah SK, Baasanhu J, Khaw PT, Johnson GJ, Foster PJ (2005) Anterior chamber depth and the risk of primary angle closure in 2 East Asian populations. Arch Ophthalmol 123:527–532PubMedCrossRef

Chang DS, Sakata LM, Aung T, He MG, Lavanya R, Kashiwagi K, Friedman DS (2011) Single versus sequential testing with scanning peripheral anterior chamber depth analyser, IOLMaster and anterior segment optical coherence tomography for the detection of narrow angles. Br J Ophthalmol 95:1410–1414PubMedCrossRef

Lavanya R, Foster PJ, Sakata LM, Friedman DS, Kashiwagi K, Wong TY, Aung HT, Alfred T, Gao H, Ee AG, Seah SK, Aung T (2008) Screening for narrow angles in the Singapore population: evaluation of new noncontact screening methods. Ophthalmology 115:1720–1727PubMedCrossRef

Lavanya R, Teo L, Friedman DS, Aung HT, Baskaran M, Gao H, Alfred T, Seah SK, Kashiwagi K, Foster PJ, Aung T (2007) Comparison of anterior chamber depth measurements using the IOLMaster, scanning peripheral anterior chamber depth analyser, and anterior segment optical coherence tomography. Br J Ophthalmol 91:1023–1026PubMedCrossRef

Nolan WP, Aung T, Machin D, Khaw PT, Johnson GJ, Seah SK, Foster PJ (2006) Detection of narrow angles and established angle closure in Chinese residents of Singapore: potential screening tests. Am J Ophthalmol 141:896–901PubMedCrossRef

10.

Nolan WP, See JL, Chew PT, Friedman DS, Smith SD, Radhakrishnan S, Zheng C, Foster PJ, Aung T (2007) Detection of primary angle closure using anterior segment optical coherence tomography in Asian eyes. Ophthalmology 114:33–39PubMedCrossRef

11.

He M, Huang W, Friedman DS, Wu C, Zheng Y, Foster PJ (2007) Slit-lamp-simulated oblique flashlight test in the detection of narrow angles in Chinese eyes: the Liwan eye study. Invest Ophthalmol Vis Sci 48:5459–5463PubMedCrossRef

12.

Kurita N, Mayama C, Tomidokoro A, Aihara M, Araie M (2009) Potential of the pentacam in screening for primary angle closure and primary angle closure suspect. J Glaucoma 18:506–512PubMedCrossRef

13.

Nolan WP, Baasanhu J, Undraa A, Uranchimeg D, Ganzorig S, Johnson GJ (2003) Screening for primary angle closure in Mongolia: a randomised controlled trial to determine whether screening and prophylactic treatment will reduce the incidence of primary angle closure glaucoma in an east Asian population. Br J Ophthalmol 87:271–274PubMedCrossRef

14.

Andrews J, Chang DS, Jiang Y, He M, Foster PJ, Munoz B, Kashiwagi K, Friedman DS (2011) Comparing approaches to screening for angle closure in older Chinese adults. Eye (Lond) 26:96–100CrossRef

15.

Casson RJ, Baker M, Edussuriya K, Senaratne T, Selva D, Sennanayake S (2009) Prevalence and determinants of angle closure in central Sri Lanka: the Kandy Eye Study. Ophthalmology 116:1444–1449PubMedCrossRef

16.

Van Herick W, Shaffer RN, Schwartz A (1969) Estimation of width of angle of anterior chamber. Incidence and significance of the narrow angle. Am J Ophthalmol 68:626–629PubMed

17.

Kashiwagi K, Tokunaga T, Iwase A, Yamamoto T, Tsukahara S (2005) Usefulness of peripheral anterior chamber depth assessment in glaucoma screening. Eye 19:990–994PubMedCrossRef

18.

Xu L, Cao WF, Wang YX, Chen CX, Jonas JB (2008) Anterior chamber depth and chamber angle and their associations with ocular and general parameters: the Beijing Eye Study. Am J Ophthalmol 145:929–936PubMedCrossRef

19.

Chen HB, Kashiwagi K, Yamabayashi S, Kinoshita T, Ou B, Tsukahara S (1998) Anterior chamber angle biometry: quadrant variation, age change and sex difference. Curr Eye Res 17:120–124PubMedCrossRef

20.

Thomas RGR, Parikh R, Muliyil J, Jacob A (2003) Five year risk of progression of primary angle closure suspects to primary angle closure: a population based study. Br J Ophthalmol 87:480–485CrossRef

21.

Thomas R, Parikh R, Muliyil J, Kumar RS (2003) Five-year risk of progression of primary angle closure to primary angle closure glaucoma: a population-based study. Acta Ophthalmol Scand 81:480–485PubMedCrossRef

22.

Yip JL, Foster PJ, Gilbert CE, Uranchimeg D, Bassanhuu J, Lee PS, Khaw PT, Johnson GJ, Nolan W (2008) Incidence of occludable angles in a high-risk Mongolian population. Br J Ophthalmol 92:30–33PubMedCrossRef

23.

Kashiwagi K, Kashiwagi F, Toda Y, Osada K, Tsumura T, Tsukahara S (2004) A newly developed peripheral anterior chamber depth analysis system — principle, accuracy, and reproducibility. Br J Ophthalmol 88:1029–1034

24.

Kashiwagi K, Shinbayashi E, Tsukahara S (2006) Development of a fully automated peripheral anterior chamber depth analyzer and evaluation of its accuracy. J Glaucoma 15:388–393PubMedCrossRef

25.

Kashiwagi K, Kashiwagi F, Hiejima Y, Tsukahara S (2006) Finding cases of angle-closure glaucoma in clinic setting using a newly developed instrument. Eye 20:319–324PubMedCrossRef

26.

Anderson DR, Patella VM (1999) Automated static perimetry (2nd ed.). Mosby, St. Louis

27.

Foster PJ, Buhrmann R, Quigley HA, Johnson GJ (2002) The definition and classification of glaucoma in prevalence surveys. Br J Ophthalmol 86:238–242PubMedCrossRef

28.

Iwase A, Suzuki Y, Araie M, Yamamoto T, Abe H, Shirato S, Kuwayama Y, Mishima HK, Shimizu H, Tomita G (2004) The prevalence of primary open-angle glaucoma in Japanese: the Tajimi Study. Ophthalmology 111:1641–1648PubMed

29.

Yamamoto T, Iwase A, Araie M, Suzuki Y, Abe H, Shirato S, Kuwayama Y, Mishima HK, Shimizu H, Tomita G, Inoue Y, Kitazawa Y (2005) The Tajimi Study report 2: prevalence of primary angle closure and secondary glaucoma in a Japanese population. Ophthalmology 112:1661–1669PubMedCrossRef

30.

Foster PJ, Baasanhu J, Alsbirk PH, Munkhbayar D, Uranchimeg D, Johnson GJ (1996) Glaucoma in Mongolia. A population-based survey in Hovsgol province, northern Mongolia. Arch Ophthalmol 114:1235–1241PubMedCrossRef

31.

Shiose Y, Kitazawa Y, Tsukahara S, Akamatsu T, Mizokami K, Futa R, Katsushima H, Kosaki H (1991) Epidemiology of glaucoma in Japan—a nationwide glaucoma survey. Jpn J Ophthalmol 35:133–155PubMed

32.

Sawaguchi S, Sakai H, Iwase A, Yamamoto T, Abe H, Tomita G, Tomidokoro A, Araie M (2012) Prevalence of primary angle closure and primary angle-closure glaucoma in a southwestern rural population of Japan: the Kumejima Study. Ophthalmology 119:1134–1142PubMedCrossRef

33.

Pan Z, Furuya T, Kashiwagi K (2011) Longitudinal changes in anterior chamber configuration in eyes with open-angle glaucoma and associated factors. J Glaucoma 37:296–301

34.

Yao BQ, Wu LL, Zhang C, Wang X (2009) Ultrasound biomicroscopic features associated with angle closure in fellow eyes of acute primary angle closure after laser iridotomy. Ophthalmology 116:444–448PubMedCrossRef

35.

Wang B, Sakata LM, Friedman DS, Chan YH, He M, Lavanya R, Wong TY, Aung T (2010) Quantitative iris parameters and association with narrow angles. Ophthalmology 117:11–17PubMedCrossRef

36.

Nongpiur ME, He M, Amerasinghe N, Friedman DS, Tay WT, Baskaran M, Smith SD, Wong TY, Aung T (2011) Lens vault, thickness, and position in Chinese subjects with angle closure. Ophthalmology 118:474–479PubMedCrossRef

37.

See JL (2009) Imaging of the anterior segment in glaucoma. Clin Experiment Ophthalmol 37:506–513PubMedCrossRef

38.

Wong HT, Chua JL, Sakata LM, Wong MH, Aung HT, Aung T (2009) Comparison of slitlamp optical coherence tomography and scanning peripheral anterior chamber depth analyzer to evaluate angle closure in Asian eyes. Arch Ophthalmol 127:599–603PubMedCrossRef

39.

Sakata LM, Lavanya R, Friedman DS, Aung HT, Gao H, Kumar RS, Foster PJ, Aung T (2008) Comparison of gonioscopy and anterior segment ocular coherence tomography in detecting angle closure in different quadrants of the anterior chamber angle. Ophthalmology 115:769–774PubMedCrossRef

Title: Five-year incidence of angle closure among glaucoma health examination participants
Authors: Kenji Kashiwagi
Tatsuya Chiba
Fumihiko Mabuchi
Toshie Furuya
Shigeo Tsukahara
Publication date: 01-04-2013
Publisher: Springer-Verlag
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 4/2013
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-012-2179-1

At a glance: The STEP trials

Springer Medicine

Five-year incidence of angle closure among glaucoma health examination participants

Abstract

Background and aim

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background and aim

Methods

Results

Conclusions

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