Evidence map›Paper›PMID 41081976›Full record

ArticleInternational ophthalmology2025

Diagnostic analysis of angle-closure using the iris-trabecular contact (ITC) index of CASIA2 swept source anterior segment optical coherence tomography.

Ignacio Rodriguez-Una, Gustavo Espinoza, Irene Martínez-Alberquilla, Sergio Serrano-Gómez, Fernando Briceño, Andrés Fernández-Vega-Cueto, Juan Queiruga-Piñeiro, Alberto Barros, Jose F Alfonso

Abstract read
PubMed Publisher
In one paragraph

Article in International ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ignacio Rodriguez-UnaInstituto Oftalmológico Fernández-Vega, Avda. Dres. Fernandez-Vega, 34. 33012 , Oviedo, Spain. irodriguezu@fernandez-vega.com.
Gustavo EspinozaCentro Oftalmológico Virgilio Galvis, Bucaramanga, Santander, Colombia.
Irene Martínez-AlberquillaFaculty of Optics and Optometry, Universidad Complutense de Madrid, Madrid, Spain.
Sergio Serrano-GómezCentro Oftalmológico Virgilio Galvis, Bucaramanga, Santander, Colombia.
Fernando BriceñoFundación Oftalmológica de Santander, Bucaramanga, Santander, Colombia.
Andrés Fernández-Vega-CuetoInstituto Oftalmológico Fernández-Vega, Avda. Dres. Fernandez-Vega, 34. 33012 , Oviedo, Spain.
Juan Queiruga-PiñeiroInstituto Oftalmológico Fernández-Vega, Avda. Dres. Fernandez-Vega, 34. 33012 , Oviedo, Spain.
Alberto BarrosInstituto Oftalmológico Fernández-Vega, Avda. Dres. Fernandez-Vega, 34. 33012 , Oviedo, Spain.
Jose F AlfonsoInstituto Oftalmológico Fernández-Vega, Avda. Dres. Fernandez-Vega, 34. 33012 , Oviedo, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the diagnostic performance of the iris-trabecular contact (ITC) index measured with the CASIA2 anterior segment optical coherence tomography (AS-OCT) device, in the determination of angle-closure compared with gonioscopy, and to study the degree of agreement between both methods.

methodsA total of 135 eyes (76 open-angle subjects and 59 patients with gonioscopic angle-closure) underwent ITC analysis (the percentage of angle-closure over the 360° circumference) with the CASIA2 AS-OCT device. Dynamic gonioscopy was performed and angle-closure was defined as non-visibility of the trabecular meshwork in ≥ 2 quadrants. The area under the curve (AUC) of the receiver operating characteristic curve for the ITC index was calculated. Sensitivity, specificity, and positive and negative predictive values were determined for various ITC cut-off points. The degree of agreement between the ITC index and gonioscopy was analyzed.

resultsThe mean ITC index was 3.5 ± 7.8% for eyes with open angle and 34.1 ± 22.2% for gonioscopic angle-closure cases (p < 0.001). The AUC was 0.88 for an ITC cut-off point ≥ 20%, with sensitivity and specificity values of 93.2% and 83.5%, respectively. The overall agreement between CASIA2 and gonioscopy was 85.2%, with false positive and negative rates of 7.4% each. The ITC index showed a direct strong correlation with the number of quadrants gonioscopically defined as angle-closure (r = 0.68).

conclusionsCASIA2 showed excellent diagnostic performance of the ITC index for the assessment of angle-closure and moderate agreement with gold standard gonioscopy. This promising approach provides precise information on the actual situation of the anterior chamber angle.

Indexed as

Anterior Eye SegmentGlaucoma, Angle-ClosureIntraocular PressureIrisTomography, Optical CoherenceTrabecular MeshworkAdultAgedFemaleGonioscopyHumansMaleMiddle AgedReproducibility of ResultsROC CurveAnterior segment optical coherence tomographyGlaucomaGonioscopyIris-trabecular contact index

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.