Comparative evaluation of RetCam vs. gonioscopy images in congenital glaucoma

Indian Journal of Ophthalmology

卷:62

关键词: Blindness;    cataract;    eye lens;    risk factors;    treatment of cataract;    Low vision care;    multiple disabilities and visual impairment;    reading performance;    Accommodation;    presbyopia;    supraciliary segment implants;    Amblyopia;    citicoline;    patching;    Corneal endothelium;    human corneal endothelial precursor cells;    in vitro expansion;    sphere forming assay;    thermo-reversible gelation polymer;    transportation;    Endophthalmitis;    explantation;    fungal;    intraocular lens;    postoperative;    recurrent;    Colour perception;    learning disabilities;    school children;    stereo acuity;    testability;    visual acuity;    Contracted socket;    dermis fat graft;    porous orbital implant;    reconstruction;    Glucose;    in vitro anticataract;    lens;    Moringa oliefera;    ′BARC I-125 Ocu-Prosta seeds′;    choroidal melanoma;    ciliary body melanoma;    Episcleral plaque brachytherapy;    retinal angioma;    retinoblastoma;    vasoproliferative tumor;    Congenital glaucoma;    gonioscopy;    Retcam;   

DOI  :  10.4103/0301-4738.116487

来源: DOAJ

【 摘 要 】

Purpose: To compare clarity, exposure and quality of anterior chamber angle visualization in congenital glaucoma patients, using RetCam and indirect gonioscopy images. Design: Cross-sectional study Participants. Congenital glaucoma patients over age of 5 years. Materials and Methods: A prospective consecutive pilot study was done in congenital glaucoma patients who were older than 5 years. Methods used are indirect gonioscopy and RetCam imaging. Clarity of the image, extent of angle visible and details of angle structures seen were graded for both methods, on digitally recorded images, in each eye, by two masked observers. Outcome Measures: Image clarity, interobserver agreement. Results: 40 eyes of 25 congenital glaucoma patients were studied. RetCam image had excellent clarity in 77.5% of patients versus 47.5% by gonioscopy. The extent of angle seen was similar by both methods. Agreement between RetCam and gonioscopy images regarding details of angle structures was 72.50% by observer 1 and 65.00% by observer 2. Conclusions: There was good agreement between RetCam and indirect gonioscopy images in detecting angle structures of congenital glaucoma patients. However, RetCam provided greater clarity, with better quality, and higher magnification images. RetCam can be a useful alternative to gonioscopy in infants and small children without the need for general anesthesia.

【 授权许可】

Unknown