Comparative study of retinal microcirculation in primary angle closure disease and early primary open-angle glaucoma

Курышева, Н. И.; Шарова, Г. А.

doi:10.17116/oftalma202213801144

Cited by 7 publications

(1 citation statement)

References 22 publications

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“…50 Subsequently, an increase in the lens thickness and vault leads to a greater ICurv, narrowing of the ACA opening, a decrease in the depth of the anterior chamber, an increase in IOP and its fluctuations with the progression of PACD up to a decrease in the peripapillary capillary density and the development of PACG. 54 At the same time, the iris becomes thicker after LE, the ACA increases, and IOP and its fluctuations decrease.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Lens Extraction Versus Laser Iridotomy on Anterior Segment, Choroid, and Intraocular Pressure in Primary Angle Closure Using Machine Learning

Курышева

Pomerantsev²,

Rodionova³

et al. 2022

Journal of Glaucoma

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Précis: Treatment strategy of primary angle closure (PAC) is not clear due to the large number of clinical and anatomic-topographic parameters in PAC, influencing the treatment algorithm. Using the machine learning method DD-SIMCA, we justify the expediency of early lens extraction (LE) in PAC. Purpose: To compare the anatomic and functional efficacy of LE and laser peripheral iridotomy (LPI) in patients with PAC using Machine Learning. Materials and Methods: This prospective study included 120 patients aged 41–80 years: 60 eyes with PAC, 30 with PAC suspects, and 30 with healthy eyes (control). Thirty PAC eyes with intraocular pressure (IOP) up to 30 mm Hg were treated using LE with intraocular lens implantation and 30 eyes with LPI. All subjects underwent Swept Source optical coherence tomography. We analyzed 35 parameters of each eye including the lens vault, the choroidal thickness, the anterior chamber angle, and iris specifications such as iris curvature. Considering the correlations between them, the machine learning method DD-SIMCA 1-class classification was applied: the proximity of each sample to the target class (control) was characterized by the total distance to it. Results: After LE, IOP was significantly lower than after LPI (P=0). Every third eye with PAC after LE reached the target class: specificity according to DD-SIMCA equals 0.67. This was not observed for the eyes after LPI: specificity equals 1.0. After LE, all parameters of the anterior chamber angle did not differ from the control (all P>0.05). After LPI, there was an increase in anterior chamber depth (P=0) and a decrease in lens vault (P=0), but results comparable to the control were achieved only for iris curvature (P=1.000). Conclusion: The efficacy of LE in PAC is higher than LPI due to the better postoperative anterior chamber topography and lower IOP. This study lends further clinical and anatomic support to the emerging notion of LE as an effective treatment for PAC.

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Section: Discussionmentioning

confidence: 99%