Can preoperative anterior chamber angle width predict magnitude of intraocular pressure change after cataract surgery?

2010 ◽  
Vol 45 (2) ◽  
pp. 149-153 ◽  
Author(s):  
Alysia W. Zhou ◽  
Jason Giroux ◽  
Alexander J. Mao ◽  
Cindy M.L. Hutnik
2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Sherif A. Eissa ◽  
Sherin H. Sadek ◽  
Mohamed W. A. El-Deeb

Purpose.To assess intraocular pressure (IOP), lens vaulting, and anterior chamber (AC) angle width, following V4C implantable Collamer lens (ICL) procedure for myopic refractive error.Methods.A prospective case series that enrolled 54 eyes of 27 patients that were evaluated before and after V4C phakic posterior chamber Collamer lens implantation for correction of myopic refractive error. Preoperative measurement of IOP was done using Goldmann applanation tonometer and anterior chamber angle width using both Van Herick slit lamp grading system and Scheimpflug tomography imaging (Oculus Pentacam). Follow-up of the aforementioned variables was at 1, 6, and 18 months postoperatively, together with ICL vault measurements.Results.The mean baseline IOP of11.69±2.15showed a statistically significant (P=0.002) increase after 1 month that remained unchanged at 6 and 18 months postoperatively, with mean value of16.07±4.12,16.07±4.10, and16.07±4.13, respectively. Pentacam AC angle width showed a statistically significant decrease at 1(P=0.025), 6(P=0.016), and 18(P=0.010)months postoperatively, with mean preoperative value of40.14±5.49that decreased to25.28±5.33,25.46±5.44, and25.49±5.38, at 1, 6, and 18 months, respectively. Mean ICL vault showed moderate correlation with Pentacam AC angle width at 1(r=-0.435)and 6(r=-0.424)months.Conclusion. V4C ICL implantation resulted in decrease in AC angle width and increase in IOP, within acceptable physiological values at all time points.


2021 ◽  
Vol 14 (10) ◽  
pp. 1527-1532
Author(s):  
Qian Zheng ◽  
◽  
Zhang-Liang Li ◽  
Ping-Jun Chang ◽  
Yun-E Zhao ◽  
...  

AIM: To assess the changes of anterior chamber angle in patients with shallow anterior chamber after phacoemulsification combined with intraocular lens (IOL) implantation, based on anterior segment swept-source optical coherence tomography (AS-SS-OCT) measurements. METHODS: This was a prospective case control study; sixty eyes of sixty case were scheduled for cataract surgery with normal intraocular pressure (IOP). Based on anterior chamber depth (ACD) and gonioscopy findings, the eyes were divided into two groups: group of shallow anterior chamber and narrow angle (SAC group, 30 eyes); and group of normal anterior chamber group with wide angle (NAC group, 30 eyes). Measurements of ACD, anterior chamber volume (ACV), iris volume (IV), lens vault (LV), angle opening distance (AOD), angle recess area (ARA), trabecular iris space area (TISA), and trabecular iris angle (TIA) were conducted in each group before and 3mo after surgery. RESULTS: There was no significant difference in age, axial length (AL), corneal curvature, corneal diameter, intraocular pressure, and IV between two groups before surgery, except for the LV (P=0.000). ACD and ACV were prominently larger in the NAC group than the SAC group 3mo after operation (3.69±0.38 vs 3.85±0.39 mm, P=0.025; 161.37±19.47 vs 178.26±20.30 mm3, P=0.002). AOD750, ARA750 in nasal and inferior quadrants, TISA750 in all quadrants except temporal, and TIA750 in all quadrants in SAC group were significantly smaller than those in NAC group after operation (all P<0.05). CONCLUSION: Cataract surgery can deepen anterior chamber and increase the width of anterior chamber angle in Chinese subjects, but the angle related parameters including AOD750, ARA750, TISA750, TIA, TISA750, and ACV in patients with shallow anterior chamber and narrow angle do not reach the normal level.


2020 ◽  
Vol 40 (8) ◽  
pp. 2047-2053 ◽  
Author(s):  
José-María Sánchez-González ◽  
Federico Alonso-Aliste ◽  
Gracia Perea-Peña ◽  
Rahul Rachwani-Anil ◽  
Rafael Márquez-de-Aracena-del-Cid ◽  
...  

2019 ◽  
Vol 42 (8) ◽  
pp. 829-833
Author(s):  
G. Demir ◽  
M.E. Sucu ◽  
Y. Yildirim ◽  
B. Kepez Yildiz ◽  
A. Agca ◽  
...  

2020 ◽  
Vol 220 ◽  
pp. 19-26
Author(s):  
Benjamin Y. Xu ◽  
Jacob Lifton ◽  
Bruce Burkemper ◽  
Xuejuan Jiang ◽  
Anmol A. Pardeshi ◽  
...  

Author(s):  
Jylan Gouda ◽  
Abdelrahman Elhusseiny ◽  
Reham H. Tomairek ◽  
Dina Elfayoumi ◽  
Ahmed Awadein ◽  
...  

2000 ◽  
Vol 26 (9) ◽  
pp. 1303-1311 ◽  
Author(s):  
Jorge L. Alió ◽  
Fernando de la Hoz ◽  
Jose Maria Ruiz-Moreno ◽  
Tamer F. Salem

2012 ◽  
Vol 56 (6) ◽  
pp. 551-558 ◽  
Author(s):  
Seok Hwan Kim ◽  
Ja Heon Kang ◽  
Ki Ho Park ◽  
Chul Hong

2013 ◽  
Vol 94 (6) ◽  
pp. 853-858
Author(s):  
A A Ryabtseva ◽  
M P Yugaj ◽  
N S Nikitina

Aim. To study the changes of anatomic and topographic characteristics of the eye anterior segment after uncomplicated cataract phacoemulsification using corneal incision with intraocular soft lens implantation. Methods. The data of ultrasound biomicroscopy and noncontact tonometry of 58 eyes (56 patients, 32 females, 24 males aged 54 to 78 years) before and after cataract phacoemulsification were analyzed. Paitents with survived ocular trauma, refractive keratoplasty, glaucoma, uveitis, and surgical complications (incomplete capsulorrhexis, posterior capsule rupture, ciliary zonule disinsertion, corneal burn). Apart from the common examinations (visual acuity testing, tonometry, tonography, eye A- and B-ultrasonography, biomicroscopy), all patients underwent eye ultrasound biomicroscopy. Results. Anterior chamber depth increased from 2.73±0.10 to 4.17±0.06 mm (p ≤0.001). Trabecula-iris distance measured at 500 μm from the scleral spur, increased from 0.38±0.02 to 0.47±0.02 mm (p ≤0.001). Anterior chamber angle increased from 28.69±1.87 to 42.73±1.56 degrees (p ≤0.001), the angle between the iris and the sclera increased from 32.78±1.39 to 41.36±0.84 degrees (p ≤0.001), the angle between the sclera and ciliary processes increased from 39.48±1.29 to 45.30±1.16 degrees (p ≤0.001). Intraocular pressure according to the non-contact tonometry data decreased from 18.16±1.29 to 13.55±0.95 mm Hg (p ≤0.001). Conclusion. Anterior chamber depth, trabecula-iris distance, anterior chamber angle, the angle between sclera and iris and the angle between sclera and ciliary processes increased significantly after phacoemulsification with intraocular lens implantation. Intraocular pressure decreased significantly according to the non-contact tonometry data.


Sign in / Sign up

Export Citation Format

Share Document