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Iridocorneal angle assessment of companion rabbits using gonioscopy, spectral‐domain optical coherence tomography (Optovue iVue ® ), high‐resolution ultrasound, and Pentacam ® HR imaging
Author(s) -
Li Puma Margaret C.,
Freeman Kate S.,
Cleymaet Allison M.,
Pederson Samantha L.,
Crawford Amanda C.,
Dinger Shelby C.,
Li Puma Lance C.,
Johnston Matthew S.
Publication year - 2019
Publication title -
veterinary ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.594
H-Index - 50
eISSN - 1463-5224
pISSN - 1463-5216
DOI - 10.1111/vop.12660
Subject(s) - gonioscopy , ophthalmology , medicine , optical coherence tomography , ultrasound , glaucoma , ultrasound biomicroscopy , grading (engineering) , wilcoxon signed rank test , rank correlation , nuclear medicine , radiology , mann–whitney u test , mathematics , statistics , civil engineering , engineering
Abstract Objective Iridocorneal angle (ICA) narrowing is a known risk factor for primary glaucoma in multiple species, but has not been described in companion rabbits. This study aimed to develop an ICA grading scheme for companion rabbits to enable early glaucoma predisposition diagnosis. Animals studied Twenty healthy rabbits of varying breeds and ages. Procedures Rabbits received complete ophthalmic examinations, including gonioscopy, and imaging of the ICA using spectral‐domain optical coherence tomography (SD‐OCT), Scheimpflug imaging (Pentacam ® HR), and high‐resolution ultrasound (HRUS). Angle opening distance (AOD) and angle recess area (ARA) of the ICA were measured and assessed for agreement using a Bland‐Altman analysis. A five‐stage gonioscopy grading scheme was created, and Spearman‐rank test assessed for correlation between gonioscopy grades and ICA measurements. Differences among age and sex were analyzed with a nonparametric ANOVA and Wilcoxon rank‐sum test, respectively. Results Analysis revealed AOD medians of 0.28mm for SD‐OCT [95% CI: 0.24‐0.31], 0.20mm for Pentacam ® HR [95% CI: 0.18‐0.21], and 0.25mm for HRUS [95% CI: 0.22‐0.28]. The median ARA was 0.14mm 2 for SD‐OCT [95% CI: 0.117‐0.163], 0.09mm 2 for Pentacam ® HR [95% CI: 0.082‐0.100], and 0.06mm 2 for HRUS [95% CI: 0.046‐0.054]. The association between gonioscopy grade and SD‐OCT ARA was significant (P < 0.05), and there was a significant difference ( P < 0.001) between imaging modalities for both ARA and AOD. Conclusions Gonioscopy grade correlated well with SD‐OCT ARA. Therefore, SD‐OCT is recommended as a noncontact method for evaluating companion rabbit ICA. Each imaging device should not be used interchangeably for ICA evaluation.