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Angle imaging: Advances and challenges
Author(s) -
Desmond Quek,
Monisha E. gpiur,
Shamira A. Perera,
Tin Aung
Publication year - 2011
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/0301-4738.73699
Subject(s) - gonioscopy , medicine , ultrasound biomicroscopy , glaucoma , anterior chamber angle , optical coherence tomography , optometry , scheimpflug principle , ophthalmology , angle closure glaucoma , clinical practice , cornea , family medicine
Primary angle closure glaucoma (PACG) is a major form of glaucoma in large populous countries in East and South Asia. The high visual morbidity from PACG is related to the destructive nature of the asymptomatic form of the disease. Early detection of anatomically narrow angles is important and the subsequent prevention of visual loss from PACG depends on an accurate assessment of the anterior chamber angle (ACA). This review paper discusses the advantages and limitations of newer ACA imaging technologies, namely ultrasound biomicroscopy, Scheimpflug photography, anterior segment optical coherence tomography and EyeCam, highlighting the current clinical evidence comparing these devices with each other and with clinical dynamic indentation gonioscopy, the current reference standard.

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