Long-Term Outcome of Corneal and Anterior Chamber Angle Parameters after Combined Laser Iridotomy and Iridoplasty Using Dual Scheimpflug Analyzer: 1 Year Results

Background: To investigate the outcomes of corneal and anterior chamber angle (ACA) parameters after laser iridotomy (LI) combined with peripheral iridoplasty (PI) using dual Scheimpflug analyzer in the long term. Methods: Fifty-eight eyes (58 subjects) with shallow AC were included in this prospect...

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Main Authors: Hyun-kyung Cho, Wooseok Choae
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/3/813
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author Hyun-kyung Cho
Wooseok Choae
author_facet Hyun-kyung Cho
Wooseok Choae
author_sort Hyun-kyung Cho
collection DOAJ
description Background: To investigate the outcomes of corneal and anterior chamber angle (ACA) parameters after laser iridotomy (LI) combined with peripheral iridoplasty (PI) using dual Scheimpflug analyzer in the long term. Methods: Fifty-eight eyes (58 subjects) with shallow AC were included in this prospective cohort study. Images of the Dual Scheimpflug analyzer were obtained before, 1 week, and 1 year after LI and PI. Pachymetry from three zones (central, middle, and peripheral), corneal aberration, and spherical equivalent (SE) were acquired. AC depth (ACD), AC volume (ACV), ACA from four quadrants, and intraocular pressure (IOP) were also obtained. For comparison of the results, the linear mixed-effects model was employed. Results: ACD significantly increased from 2.09 ± 0.25 mm to 2.10 ± 0.23 mm at 1 year after laser (all <i>p <</i> 0.05). ACV and ACA increased significantly after laser at 1 year (all <i>p <</i> 0.05). IOP significantly decreased from 15.97 ± 4.20 mmHg to 13.73 ± 2.63 mmHg at 1 year (all <i>p <</i> 0.0001). No significant changes were found in the coma, trefoil, total corneal aberration, pachymetry from three zones, corneal volume, central corneal thickness, and SE after LI and PI until 1 year (all <i>p</i> > 0.05). Conclusions: LI plus PI ameliorated parameters of ACA efficiently and significantly reduced IOP in eyes with shallow AC until 1 year of long-term follow-up. However, parameters of the cornea and SE were not influenced by LI with PI until after 1 year.
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spelling doaj.art-7b212912880b4b8a8f1c8df1f56167192023-11-23T16:54:23ZengMDPI AGJournal of Clinical Medicine2077-03832022-02-0111381310.3390/jcm11030813Long-Term Outcome of Corneal and Anterior Chamber Angle Parameters after Combined Laser Iridotomy and Iridoplasty Using Dual Scheimpflug Analyzer: 1 Year ResultsHyun-kyung Cho0Wooseok Choae1Department of Ophthalmology, School of Medicine, Gyeongsang National University Changwon Hospital, Gyeongsang National University, Changwon 51472, KoreaDepartment of Ophthalmology, Barunsungmo Eye Clinic, Busan 49247, KoreaBackground: To investigate the outcomes of corneal and anterior chamber angle (ACA) parameters after laser iridotomy (LI) combined with peripheral iridoplasty (PI) using dual Scheimpflug analyzer in the long term. Methods: Fifty-eight eyes (58 subjects) with shallow AC were included in this prospective cohort study. Images of the Dual Scheimpflug analyzer were obtained before, 1 week, and 1 year after LI and PI. Pachymetry from three zones (central, middle, and peripheral), corneal aberration, and spherical equivalent (SE) were acquired. AC depth (ACD), AC volume (ACV), ACA from four quadrants, and intraocular pressure (IOP) were also obtained. For comparison of the results, the linear mixed-effects model was employed. Results: ACD significantly increased from 2.09 ± 0.25 mm to 2.10 ± 0.23 mm at 1 year after laser (all <i>p <</i> 0.05). ACV and ACA increased significantly after laser at 1 year (all <i>p <</i> 0.05). IOP significantly decreased from 15.97 ± 4.20 mmHg to 13.73 ± 2.63 mmHg at 1 year (all <i>p <</i> 0.0001). No significant changes were found in the coma, trefoil, total corneal aberration, pachymetry from three zones, corneal volume, central corneal thickness, and SE after LI and PI until 1 year (all <i>p</i> > 0.05). Conclusions: LI plus PI ameliorated parameters of ACA efficiently and significantly reduced IOP in eyes with shallow AC until 1 year of long-term follow-up. However, parameters of the cornea and SE were not influenced by LI with PI until after 1 year.https://www.mdpi.com/2077-0383/11/3/813anterior chamber anglelaser iridoplastylaser iridotomyprimary angle-closuredual Scheimpflug analyzer
spellingShingle Hyun-kyung Cho
Wooseok Choae
Long-Term Outcome of Corneal and Anterior Chamber Angle Parameters after Combined Laser Iridotomy and Iridoplasty Using Dual Scheimpflug Analyzer: 1 Year Results
Journal of Clinical Medicine
anterior chamber angle
laser iridoplasty
laser iridotomy
primary angle-closure
dual Scheimpflug analyzer
title Long-Term Outcome of Corneal and Anterior Chamber Angle Parameters after Combined Laser Iridotomy and Iridoplasty Using Dual Scheimpflug Analyzer: 1 Year Results
title_full Long-Term Outcome of Corneal and Anterior Chamber Angle Parameters after Combined Laser Iridotomy and Iridoplasty Using Dual Scheimpflug Analyzer: 1 Year Results
title_fullStr Long-Term Outcome of Corneal and Anterior Chamber Angle Parameters after Combined Laser Iridotomy and Iridoplasty Using Dual Scheimpflug Analyzer: 1 Year Results
title_full_unstemmed Long-Term Outcome of Corneal and Anterior Chamber Angle Parameters after Combined Laser Iridotomy and Iridoplasty Using Dual Scheimpflug Analyzer: 1 Year Results
title_short Long-Term Outcome of Corneal and Anterior Chamber Angle Parameters after Combined Laser Iridotomy and Iridoplasty Using Dual Scheimpflug Analyzer: 1 Year Results
title_sort long term outcome of corneal and anterior chamber angle parameters after combined laser iridotomy and iridoplasty using dual scheimpflug analyzer 1 year results
topic anterior chamber angle
laser iridoplasty
laser iridotomy
primary angle-closure
dual Scheimpflug analyzer
url https://www.mdpi.com/2077-0383/11/3/813
work_keys_str_mv AT hyunkyungcho longtermoutcomeofcornealandanteriorchamberangleparametersaftercombinedlaseriridotomyandiridoplastyusingdualscheimpfluganalyzer1yearresults
AT wooseokchoae longtermoutcomeofcornealandanteriorchamberangleparametersaftercombinedlaseriridotomyandiridoplastyusingdualscheimpfluganalyzer1yearresults