Quantification of Anterior Chamber Particles Using Anterior Segment Optical Coherence Tomography in Angle-Closure Glaucoma Patients after Laser Iridotomy

Purpose: To determine whether the degree of particle density in the anterior chamber can be evaluated objectively and quantitatively by anterior segment optical coherence tomography (AS-OCT) in cases after laser iridotomy (LI). Methods: This was a retrospective observational study. All of the subjec...

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Main Authors: Naoya Yoshihara, Hiroto Terasaki, Hideki Shiihara, Ryoh Funatsu, Takehiro Yamashita, Taiji Sakamoto
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/15/4379
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author Naoya Yoshihara
Hiroto Terasaki
Hideki Shiihara
Ryoh Funatsu
Takehiro Yamashita
Taiji Sakamoto
author_facet Naoya Yoshihara
Hiroto Terasaki
Hideki Shiihara
Ryoh Funatsu
Takehiro Yamashita
Taiji Sakamoto
author_sort Naoya Yoshihara
collection DOAJ
description Purpose: To determine whether the degree of particle density in the anterior chamber can be evaluated objectively and quantitatively by anterior segment optical coherence tomography (AS-OCT) in cases after laser iridotomy (LI). Methods: This was a retrospective observational study. All of the subjects who received LI for angle-closure glaucoma between January 2018 and May 2019 at Kagoshima University Hospital were studied. AS-OCT recordings were made before, immediately after, and one week after LI in 22 eyes of 14 consecutive patients. The anterior chamber particle (ACP) index was defined as the ratio of the number of particles in the anterior chamber to the total area of the anterior chamber. The ACP index was determined by binarization of the AS-OCT images and analysis with the ImageJ program. Results: The mean age of the participants was 75.4 ± 8.9 years, with a range of 61–91 years. The ACP index before the LI was 0.78 ± 0.68, and it was significantly increased to 7.72 ± 2.64 immediately after the LI (paired <i>t</i>-test, <i>p</i> < 0.01). The ACP index returned to the pre-LI density of 0.92 ± 0.48 one week after the LI. Conclusions: We successfully quantified the degree of anterior chamber particles accumulation by analyzing images obtained by AS-OCT. This simple and repeatable technique should be useful because the particles, including inflammatory cells, in the anterior chamber can be evaluated non-invasively and objectively.
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spelling doaj.art-d08bb069b3e7427e9e3e12ab8ee9d0712023-11-30T22:32:44ZengMDPI AGJournal of Clinical Medicine2077-03832022-07-011115437910.3390/jcm11154379Quantification of Anterior Chamber Particles Using Anterior Segment Optical Coherence Tomography in Angle-Closure Glaucoma Patients after Laser IridotomyNaoya Yoshihara0Hiroto Terasaki1Hideki Shiihara2Ryoh Funatsu3Takehiro Yamashita4Taiji Sakamoto5Department of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima 890-8520, JapanDepartment of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima 890-8520, JapanDepartment of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima 890-8520, JapanDepartment of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima 890-8520, JapanDepartment of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima 890-8520, JapanDepartment of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima 890-8520, JapanPurpose: To determine whether the degree of particle density in the anterior chamber can be evaluated objectively and quantitatively by anterior segment optical coherence tomography (AS-OCT) in cases after laser iridotomy (LI). Methods: This was a retrospective observational study. All of the subjects who received LI for angle-closure glaucoma between January 2018 and May 2019 at Kagoshima University Hospital were studied. AS-OCT recordings were made before, immediately after, and one week after LI in 22 eyes of 14 consecutive patients. The anterior chamber particle (ACP) index was defined as the ratio of the number of particles in the anterior chamber to the total area of the anterior chamber. The ACP index was determined by binarization of the AS-OCT images and analysis with the ImageJ program. Results: The mean age of the participants was 75.4 ± 8.9 years, with a range of 61–91 years. The ACP index before the LI was 0.78 ± 0.68, and it was significantly increased to 7.72 ± 2.64 immediately after the LI (paired <i>t</i>-test, <i>p</i> < 0.01). The ACP index returned to the pre-LI density of 0.92 ± 0.48 one week after the LI. Conclusions: We successfully quantified the degree of anterior chamber particles accumulation by analyzing images obtained by AS-OCT. This simple and repeatable technique should be useful because the particles, including inflammatory cells, in the anterior chamber can be evaluated non-invasively and objectively.https://www.mdpi.com/2077-0383/11/15/4379anterior segment optical coherence tomographyanterior chamberobjective quantificationlaser iridotomy
spellingShingle Naoya Yoshihara
Hiroto Terasaki
Hideki Shiihara
Ryoh Funatsu
Takehiro Yamashita
Taiji Sakamoto
Quantification of Anterior Chamber Particles Using Anterior Segment Optical Coherence Tomography in Angle-Closure Glaucoma Patients after Laser Iridotomy
Journal of Clinical Medicine
anterior segment optical coherence tomography
anterior chamber
objective quantification
laser iridotomy
title Quantification of Anterior Chamber Particles Using Anterior Segment Optical Coherence Tomography in Angle-Closure Glaucoma Patients after Laser Iridotomy
title_full Quantification of Anterior Chamber Particles Using Anterior Segment Optical Coherence Tomography in Angle-Closure Glaucoma Patients after Laser Iridotomy
title_fullStr Quantification of Anterior Chamber Particles Using Anterior Segment Optical Coherence Tomography in Angle-Closure Glaucoma Patients after Laser Iridotomy
title_full_unstemmed Quantification of Anterior Chamber Particles Using Anterior Segment Optical Coherence Tomography in Angle-Closure Glaucoma Patients after Laser Iridotomy
title_short Quantification of Anterior Chamber Particles Using Anterior Segment Optical Coherence Tomography in Angle-Closure Glaucoma Patients after Laser Iridotomy
title_sort quantification of anterior chamber particles using anterior segment optical coherence tomography in angle closure glaucoma patients after laser iridotomy
topic anterior segment optical coherence tomography
anterior chamber
objective quantification
laser iridotomy
url https://www.mdpi.com/2077-0383/11/15/4379
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