Evidence map›Paper›PMID 41425738›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2025

Quantitative Anterior Segment SD-OCT Assessment of the Iridocorneal Angle in Chinese Patients with Open-Angle Glaucoma or Ocular Hypertension: An Observational Study.

Jeff Penzner, Xinghuai Sun, Ya Xing Wang, Ni Li, Masara Issa, Hongxin Lai, Quoc Ho, Susan S Lee, Michael R Robinson

Abstract read
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Article in Clinical ophthalmology (Auckland, N.Z.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Jeff PenznerAbbVie, Irvine, CA, USA.
Xinghuai SunEye & ENT Hospital of Fudan University, Shanghai, People's Republic of China.ORCID 0000-0002-4440-1389
Ya Xing WangBeijing Institute of Ophthalmology, Beijing Tongren Hospital, Capital Medical University, Beijing, People's Republic of China.
Ni LiWest China Hospital, Sichuan University, Chengdu, People's Republic of China.
Masara IssaAbbVie, Irvine, CA, USA.
Hongxin LaiAbbVie, Irvine, CA, USA.
Quoc HoAbbVie, Irvine, CA, USA.
Susan S LeeAbbVie, Irvine, CA, USA.
Michael R RobinsonAbbVie, Irvine, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: We evaluated iridocorneal angle biometrics using anterior segment spectral-domain optical coherence tomography (SD-OCT) compared with Shaffer grade clinical assessments in Chinese patients with open-angle glaucoma (OAG) or ocular hypertension (OHT) to determine which method is most suitable for preoperative angle assessment. Methods: This noninterventional, prospective study enrolled 206 patients with OAG or OHT in both eyes and Shaffer grade >1 iridocorneal angles at 3 sites in China. Shaffer grades and SD-OCT 5-line raster scans (Zeiss Cirrus HD-OCT 4000) of the inferior angle were obtained under dark conditions. Images were evaluated for visualization of Schwalbe's line, the superior iris surface, and angle recess. ImageJ software was used to measure the angle-opening distance at Schwalbe's line (SL-AOD) in gradable images. Results: Almost all study eyes had Shaffer grade 4 (91.0%) or grade 3 (8.3%) angles. Mean (standard deviation) SL-AOD was 0.75 (0.33) mm (median 0.73, range 0.051-1.9, n=322). The SL-AOD was <0.635 mm (the tube outer diameter of the Ahmed glaucoma valve and Baerveldt glaucoma implant) in 37.6% of the eyes. SL-AOD values did not differ significantly between OAG and OHT diagnoses or between phakic and pseudophakic eyes. Conclusion: Iridocorneal angle biometrics derived from SD-OCT images in Chinese patients with OAG or OHT showed large variation in the SL-AOD in eyes with open angles on gonioscopy. Over one-third of patients had SL-AOD too small to safely accommodate commonly used glaucoma tube shunts. Expanded preoperative use of SD-OCT could potentially be beneficial to detect angles at risk for corneal complications and inform device selection.

Indexed as

Asiabiometricsglaucomairidocorneal angleocular hypertensionoptical coherence tomography

Identifiers

PMID41425738
PMCPMC12717792

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