June 2015
Volume 56, Issue 7
Free
ARVO Annual Meeting Abstract  |   June 2015
Effect of laser peripheral iridotomy in subgroups of primary angle closure based on iris insertion
Author Affiliations & Notes
  • JI WOOK HONG
    Asan Medical Center, Seoul, Korea (the Republic of)
  • Footnotes
    Commercial Relationships JI WOOK HONG, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science June 2015, Vol.56, 4985. doi:
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      JI WOOK HONG; Effect of laser peripheral iridotomy in subgroups of primary angle closure based on iris insertion. Invest. Ophthalmol. Vis. Sci. 2015;56(7 ):4985.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: To investigate the effect of laser peripheral iridotomy (LPI) in subgroups of primary angle closure (PAC or PAC glaucoma) eyes based on iris insertion using anterior segment optical coherence tomography (AS-OCT)-derived parameters.

Methods: AS-OCT images of the anterior chamber were obtained before and 2 weeks after LPI in angle closure(PAC or PAC glaucoma) eyes. Qualitative classification of angle closure eyes according to iris insertion into ciliary body (basal insertion group (BIG) and apical insertion group(AIG)) were performed using AS-OCT images obtained before LPI. Anterior chamber depth (ACD), lens vault (LV), iris curvature (IC), iris area (IA), iris thickness (IT750) and angle opening distance (AOD750) 750 micron from scleral spur were calculated from AS-OCT images. AS-OCT parameters were compared before and after LPI treatment to evaluate whether the outcome of LPI differs between BIG and AIG. Uni- and multivariate logistic regression analysis was carried out to evaluate factors associated with AOD750 before and after LPI in each subgroup.

Results: Ninety-two PAC or PACG subjects were imaged and categorized into AIG (43 eyes) and BIG (89 eyes), respectively. AIG was significantly older (62.6 ±5.7 and 59.8± 7.3 years, p=0.043), and more hyperopic (1.44 ± 1.13 and 0.89 ± 1.11 D, p=0.021). Mean change after LPI was not significantly different between AIG and BIG in all AS-OCT parameters. In AIG, AOD750 was affected by ACD (p<0.001) and IA(p=0.05) before LPI, and LV (p=0.012) after LPI. In BIG, LV (p=0.007) before LPI, and ACD (p<0.001), IT750 (p=0.039) after LPI.

Conclusions: The outcome of LPI was not significantly different between angle closure subgroups with different iris insertion. However, anatomical factors affecting AOD750 showed difference between two groups, both before and after LPI.

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