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Corneal topography and angle parameters after laser iridotomy combined with iridoplasty assessed by dual Scheimpflug analyzer

  • Su Jin Kim
  • Hyun-kyung ChoEmail author
  • Young Min Park
  • Yong Seop Han
  • Jong Moon Park
Original Paper
  • 22 Downloads

Abstract

Purpose

To investigate the changes in corneal topography including parameters such as corneal curvature and corneal aberrations, along with anterior chamber angle (ACA) after laser iridotomy (LI) combined with peripheral iridoplasty (PI) using dual Scheimpflug analyzer.

Methods

In this prospective observational study, dual Scheimpflug analyzer images were acquired before and 1 week after LI plus PI. Corneal curvature of both axial and instantaneous maps from anterior and posterior surface, respectively, and total corneal power (TCP) were acquired. These corneal parameters from three zones (central, middle, and peripheral) and total corneal wavefront aberration, trefoil, and coma were obtained. The ACA from four quadrants, anterior chamber depth (ACD), anterior chamber volume (ACV), and intraocular pressure (IOP) were also inspected.

Results

ACD increased significantly from 2.15 ± 0.25 to 2.18 ± 0.24 mm (P = 0.002). ACV and ACA from all four quadrants increased significantly after the laser treatment (all P < 0.05). IOP decreased significantly from 16.9 ± 3.1 to 14.7 ± 2.9 mmHg following LI plus PI (P = 0.000). No significant changes were detected in corneal axial and instantaneous curvature from three zones on the anterior and posterior corneal surface after LI plus PI (all P > 0.05). The TCP, total corneal wavefront aberration, trefoil, and coma also revealed no significant changes after the laser procedure (all P > 0.05).

Conclusions

Treatment with LI combined with PI did not affect the corneal topographic parameters from both anterior and posterior surfaces. However, LI plus PI improved ACA parameters significantly and effectively.

Keywords

Anterior chamber angle Laser iridoplasty Laser iridotomy Primary angle closure Dual Scheimpflug analyzer 

Notes

Acknowledgements

We wish to express our gratitude to Hyunhee Lee, physician assistant, for assisting with data organization even though she may not qualify as an author.

Authors’ contributions

Participation in study design (H.C., Y.P, J.P.); conduct of the study (H.C., S.K.); data collection, management, analysis, and interpretation of data (H.C., S.K., Y.P., J.P.); and preparation, review, and approval of the manuscript (H.C., S.K., Y.P., Y.H., J.P.).

Funding

There is no funding to report for this work.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interests.

Ethics approval

The Ethics Committee of Gyeongsang National University Changwon Hospital approved the study protocol. The present study was approved by the University Hospital’s Institutional Review Board.

Informed consent

Written informed consent was obtained from all participants.

Consent for publication

Not applicable

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Copyright information

© Springer Nature B.V. 2019

Authors and Affiliations

  1. 1.Department of OphthalmologyPusan National University Yangsan Hospital, Pusan National University School of MedicineYangsanRepublic of Korea
  2. 2.Department of OphthalmologyGyeongsang National University Changwon Hospital, Gyeongsang National University, School of MedicineChangwonRepublic of Korea
  3. 3.Department of OphthalmologyGyeongsang National University Hospital, Gyeongsang National University, School of MedicineJinjuRepublic of Korea
  4. 4.Institute of Health Sciences, School of MedicineGyeongsang National UniversityJinjuRepublic of Korea

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