Top

Graefe's Archive for Clinical and Experimental Ophthalmology

Published in:

01-10-2015 | Cataract

Measurement of early changes in anterior chamber morphology after cataract extraction measured by anterior segment optical coherence tomography

Authors: Kozue Kasai, Genichiro Takahashi, Koichi Kumegawa, Murat Dogru

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 10/2015

Abstract

Objective

To evaluate the serial changes in anterior chamber depth (ACD) and angle parameters early after cataract surgery using anterior segment optical coherence tomography (ASOCT).

Methods

This was a retrospective chart review, case–control study; 150 eyes of 106 patients who underwent cataract surgery. Based on ACD and angle findings, the eyes were classified into two groups, open-angle eyes (87 eyes) and narrow-angle eyes (63 eyes). ASOCT was used to measure ACD and angle parameters (angle opening distance, angle recess area, trabecular iris space area, and trabecular iris angle (TIA [1]). Serial changes in each group were measured before and 1 day, 1 week, and 1 month after cataract surgery, and the differences between the two groups were compared.

Results

ACD and all angle parameters in both groups at each examination time after cataract surgery were significantly different from the preoperative values (p < 0.01). In addition, all angle parameters significantly differed between the two groups at each examination time after cataract surgery (p < 0.001). However, ACD after surgery was not significantly different, irrespective of ACD before surgery. ACD and TIA500 both showed significantly greater changes from before surgery to 1 day after surgery in narrow-angle eyes compared to open-angle eyes (p < 0.001).

Conclusions

Cataract surgery increases ACD and all angle parameters early after the surgery. However, the degree of angle widening in narrow-angle eyes was not as much as that in open-angle eyes, suggesting that factors other than the lens influence the angle closure.

Aptel F, Chiquet C, Gimbert A, Romanet JP, Thuret G, Gain P, Campolmi N (2014) Anterior segment biometry using spectral-domain optical coherence tomography. J Refract Surg 30:354–360CrossRefPubMed

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

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 107:2092–2096CrossRefPubMed

Gazzard G, Friedman DS, Devereux JG, Chew P, Seah SK (2003) A prospective ultrasound biomicroscopy evaluation of changes in anterior segment morphology after laser iridotomy in Asian eyes. Ophthalmology 110:630–638CrossRefPubMed

Gunning FP, Greve EL (1998) Lens extraction for uncontrolled angle-closure glaucoma: long-term follow-up. J Cataract Refract Surg 24:1347–1356CrossRefPubMed

Roberts TV, Francis IC, Lertusumitkul S, Kappagoda MB, Coroneo MT (2000) Primary phacoemulsification for uncontrolled angle-closure glaucoma. J Cataract Refract Surg 26:1012–1016CrossRefPubMed

Park HY, Lee NY, Park CK, Kim MS (2012) Long-term changes in endothelial cell counts after early phacoemulsification versus laser peripheral iridotomy using sequential argon:YAG laser technique in acute primary angle closure. Graefes Arch Clin Exp Ophthalmol 250:1673–1680CrossRefPubMed

Cleary G, Spalton DJ, Marshall J (2010) Anterior chamber depth measurements in eyes with an accommodating intraocular lens: agreement between partial coherence interferometry and optical coherence tomography. J Cataract Refract Surg 36:790–798CrossRefPubMed

Pereira FA, Cronemberger S (2003) Ultrasound biomicroscopic study of anterior segment changes after phacoemulsification and foldable intraocular lens implantation. Ophthalmology 110:1799–1806CrossRefPubMed

10.

Nonaka A, Kondo T, Kikuchi M, Yamashiro K, Fujihara M, Iwawaki T, Yamamoto K, Kurimoto Y (2005) Cataract surgery for residual angle closure after peripheral laser iridotomy. Ophthalmology 112:974–979CrossRefPubMed

11.

Nonaka A, Kondo T, Kikuchi M, Yamashiro K, Fujihara M, Iwawaki T, Yamamoto K, Kurimoto Y (2006) Angle widening and alteration of ciliary process configuration after cataract surgery for primary angle closure. Ophthalmology 113:437–441CrossRefPubMed

12.

Dawczynski J, Koenigsdoerffer E, Augsten R, Strobel J (2007) Anterior segment optical coherence tomography for evaluation of changes in anterior chamber angle and depth after intraocular lens implantation in eyes with glaucoma. Eur J Ophthalmol 17:363–367PubMed

13.

Memarzadeh F, Tang M, Li Y, Chopra V, Francis BA, Huang D (2007) Optical coherence tomography assessment of angle anatomy changes after cataract surgery. Am J Ophthalmol 144:464–465PubMedCentralCrossRefPubMed

14.

Nolan WP, See JL, Aung T, Friedman DS, Chan YH, Smith SD, Zheng C, Huang D, Foster PJ, Chew PT (2008) Changes in angle configuration after phacoemulsification measured by anterior segment optical coherence tomography. J Glaucoma 17:455–459CrossRefPubMed

15.

Tai MC, Chien KH, Lu DW, Chen JT (2010) Angle changes before and after cataract surgery assessed by Fourier-domain anterior segment optical coherence tomography. J Cataract Refract Surg 36:1758–1762CrossRefPubMed

16.

Kim M, Park KH, Kim TW, Kim DM (2011) Changes in anterior chamber configuration after cataract surgery as measured by anterior segment optical coherence tomography. Korean J Ophthalmol 25:77–83PubMedCentralCrossRefPubMed

17.

Kakoulidis K, Cernak A, Cernak M (2011) Morphologic changes of anterior segment of the eye after cataract surgery. Cesk Slov Oftalmol 67:111–114PubMed

18.

Kucumen RB, Yenerel NM, Gorgun E, Kulacoglu DN, Dinc UA, Alimgil ML (2008) Anterior segment optical coherence tomography measurement of anterior chamber depth and angle changes after phacoemulsification and intraocular lens implantation. J Cataract Refract Surg 34:1694–1698CrossRefPubMed

19.

Seki M, Fukuchi T, Ueda J, Suda K, Nakatsue T, Tanaka Y, Togano T, Yamamoto S, Hara H, Abe H (2012) Nanophthalmos: quantitative analysis of anterior chamber angle configuration before and after cataract surgery. Br J Ophthalmol 96:1108–1116CrossRefPubMed

20.

Yan PS, Zhang ZP, Lin HT, Wu WJ, Bai L (2009) Slit lamp optical coherence tomography study of anterior segment changes after phacoemulsification and foldable intraocular lens implantation. Zhonghua Yan Ke Za Zhi 45:809–813PubMed

21.

Radhakrishnan S, Goldsmith J, Huang D, Westphal V, Dueker DK, Rollins AM, Izatt JA, Smith SD (2005) Comparison of optical coherence tomography and ultrasound biomicroscopy for detection of narrow anterior chamber angles. Arch Ophthalmol 123:1053–1059CrossRefPubMed

22.

Muller M, Dahmen G, Porksen E, Geerling G, Laqua H, Ziegler A, Hoerauf H (2006) Anterior chamber angle measurement with optical coherence tomography: intraobserver and interobserver variability. J Cataract Refract Surg 32:1803–1808CrossRefPubMed

Title: Measurement of early changes in anterior chamber morphology after cataract extraction measured by anterior segment optical coherence tomography
Authors: Kozue Kasai
Genichiro Takahashi
Koichi Kumegawa
Murat Dogru
Publication date: 01-10-2015
Publisher: Springer Berlin Heidelberg
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 10/2015
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-015-3135-7

At a glance: The STEP trials

Springer Medicine

Measurement of early changes in anterior chamber morphology after cataract extraction measured by anterior segment optical coherence tomography

Abstract

Objective

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Objective

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 10/2015

Intravitreal bevacizumab monotherapy for type-1 prethreshold, threshold, and aggressive posterior retinopathy of prematurity — 27 month follow-up results from Turkey

Choroidal involvement in Rosai-Dorfman syndrome may be depicted and followed using enhanced depth imaging optical coherence tomography (EDI-OCT)

Choroidal involvement in Rosai–Dorfman syndrome may be depicted and followed using enhanced depth imaging optical coherence tomography (EDI-OCT)

Dexamethasone intravitreal implant (Ozurdex®) for pediatric uveitis

Staging of development in Terrien’s degeneration based on corneal curvatures detected by optical coherence tomography

Quantifying silicone oil emulsification in patients: are we only seeing the tip of the iceberg?