PurposeTo assess the interdevice agreement between swept-source Fourier-domain and time-domain anterior segment optical coherence tomography (AS-OCT).MethodsFifty-three eyes from 41 subjects underwent CASIA2 and Visante OCT imaging. One hundred eighty–degree axis images were measured with the built-in two-dimensional analysis software for the swept-source Fourier-domain AS-OCT (CASIA2) and a customized program for the time-domain AS-OCT (Visante OCT). In both devices, we examined the angle opening distance (AOD), trabecular iris space area (TISA), angle recess area (ARA), anterior chamber depth (ACD), anterior chamber width (ACW), and lens vault (LV). Bland-Altman plots and intraclass correlation (ICC) were performed. Orthogonal linear regression assessed any proportional bias.ResultsICC showed strong correlation for LV (0.925) and ACD (0.992) and moderate agreement for ACW (0.801). ICC suggested good agreement for all angle parameters (0.771–0.878) except temporal AOD500 (0.743) and ARA750 (nasal 0.481; temporal 0.481). There was a proportional bias in nasal ARA750 (slope 2.44, 95% confidence interval [CI]: 1.95–3.18), temporal ARA750 (slope 2.57, 95% CI: 2.04–3.40), and nasal TISA500 (slope 1.30, 95% CI: 1.12–1.54). Bland-Altman plots demonstrated in all measured parameters a minimal mean difference between the two devices (−0.089 to 0.063); however, evidence of constant bias was found in nasal AOD250, nasal AOD500, nasal AOD750, nasal ARA750, temporal AOD500, temporal AOD750, temporal ARA750, and ACD. Among the parameters with constant biases, CASIA2 tends to give the larger numbers.ConclusionsBoth devices had generally good agreement. However, there were proportional and constant biases in most angle parameters. Thus, it is not recommended that values be used interchangeably.
An increasing threat to U.S. waterways is the establishment and spread of invasive and injurious fishes. A species may be designated by the U.S. Fish and Wildlife Service (USFWS) as federally "injurious" under the Lacey Act (18 U.S.C. 42) either if that species causes harm (injury) without establishing and spreading (not invasive), or if that species causes harm after establishment and spread (invasive). Species designated as injurious are prohibited from being imported, which is a highly effective way of preventing invasions by nonnative species. We developed a decision-support, riskassessment system to aid USFWS's prioritization of species for injuriousness. Our system is based on USFWS's evaluation criteria of a species' potential injuriousness and consists of a semi-quantitative, rapid-assessment procedure called the Ecological Risk Screening Summary (ERSS) and a quantitative probability network model called the Freshwater Fish Injurious Species Risk Assessment Model (FISRAM). ERSS provides information on a species' history of invasiveness elsewhere in the world, and on its biology and ecology, potential or known effects of introduction, global and domestic distribution, and climate associations, and provides conclusions on potential risk of invasiveness. FISRAM calculates expected probability of injuriousness as a function of species potential establishment, spread, and harm, based on probable effects on native species and ecosystems, suitability of climate and habitat in introduced areas, ease of dispersal and transport, and harm to humans. FISRAM is used to assess risk probability when ERSS categorizes invasion risk as uncertain. We calibrated and updated the probability structure of FISRAM using a data set of 50 species with known invasiveness outcomes. We demonstrate the use of these two models for risk assessment and decision-support in identifying and documenting species for potential risk management actions, such as listing wildlife as injurious under the Lacey Act.
Preoperative predictors for IOP reduction after cataract surgery were preoperative IOP, ACD, gonioscopy score, and IOP/ACD ratio. The IOP/ACD ratio and gonioscopy score can be easy parameters to obtain and may help clinicians to estimate the IOP reduction after phacoemulsification.
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