Skip to main content

Advertisement

SpringerLink
Log in

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

  • Cataract
  • Published:
Graefe's Archive for Clinical and Experimental Ophthalmology Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. 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 30:354–360

    Article  PubMed  Google Scholar 

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

    Article  PubMed Central  PubMed  Google Scholar 

  3. 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 107:2092–2096

    Article  CAS  PubMed  Google Scholar 

  4. 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 110:630–638

    Article  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  7. 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 250:1673–1680

    Article  PubMed  Google Scholar 

  8. 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 36:790–798

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  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 112:974–979

    Article  PubMed  Google Scholar 

  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 113:437–441

    Article  PubMed  Google Scholar 

  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 17:363–367

    CAS  PubMed  Google Scholar 

  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 144:464–465

    Article  PubMed Central  PubMed  Google Scholar 

  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 17:455–459

    Article  PubMed  Google Scholar 

  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 36:1758–1762

    Article  PubMed  Google Scholar 

  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 25:77–83

    Article  PubMed Central  PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

  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 34:1694–1698

    Article  PubMed  Google Scholar 

  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 96:1108–1116

    Article  PubMed  Google Scholar 

  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 45:809–813

    PubMed  Google Scholar 

  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 123:1053–1059

    Article  PubMed  Google Scholar 

  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 32:1803–1808

    Article  PubMed  Google Scholar 

Download references

Conflict of interest statement

All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus;membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge, or beliefs) in the subject matter or materials discussed in this manuscript.

Author information

Authors and Affiliations

  1. Department of Ophthalmology, Jikei University School of Medicine, Katsushika Medical Center, 6-41-2 Aoto, Katsushika-ku, Tokyo, 125-8506, Japan

    Kozue Kasai, Genichiro Takahashi & Koichi Kumegawa

  2. Department of Ophthalmology, Tokyo Dental College Ichikawa General Hospital, Chiba, Japan

    Kozue Kasai & Murat Dogru

Authors
  1. Kozue Kasai
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Genichiro Takahashi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Koichi Kumegawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Murat Dogru
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Kozue Kasai.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kasai, K., Takahashi, G., Kumegawa, K. et al. Measurement of early changes in anterior chamber morphology after cataract extraction measured by anterior segment optical coherence tomography. Graefes Arch Clin Exp Ophthalmol 253, 1751–1756 (2015). https://doi.org/10.1007/s00417-015-3135-7

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00417-015-3135-7

Keywords

Search

Navigation