Uveal effusion in primary angle-closure glaucoma

Sakai, Hiroshi; Morine-Shinjyo, Sayo; Shinzato, Manabu; Nakamura, Yoshimi; Sakai, Miyako; Sawaguchi, Shoichi

doi:10.1016/j.ophtha.2004.08.026

Cited by 84 publications

(62 citation statements)

References 33 publications

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“…Recent UBM studies of AC eyes show abnormal separations between the choroid and sclera, an observation that demonstrated a prevalence of uveal effusion in APAC. 18,19 The CT in PACG eyes was thinner than in PAC eyes, although the difference was not statistically significant. In the present study, PACG eyes also had higher IOP compared with the other groups.…”

Section: Discussionmentioning

confidence: 78%

Choroidal Thickness in the Subtypes of Angle Closure: An EDI-OCT Study

Huang

Wang

Gao

et al. 2013

Invest. Ophthalmol. Vis. Sci.

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PURPOSE. To evaluate choroidal thickness (CT) in the subtypes of angle-closure (AC) disease compared with CT in a healthy control. METHODS.A total of 297 subjects (eyes) were enrolled in the study: 87 were nonglaucoma controls and 210 were AC subtype eyes (primary AC suspect [PACS] Enhanced depth imaging spectral-domain optical coherence tomography (EDI-OCT) was used to measure the macular CT in the subtypes of AC disease and in healthy control subjects. The average CT was compared among the five groups.RESULTS. Thinner CT was associated with older age and longer axial length (AL) (all P < 0.001). All AC groups had thicker subfoveal CT (SFCT) compared with the control eyes (all P < 0.05), even after controlling for age and the AL factor. Acute primary angle-closure eyes had the thickest SFCT and were 61.9-lm thicker than healthy eyes, while PACS, PAC, and PACG eyes were 32.9-, 30.9-, and 25.4-lm thicker than healthy eyes, respectively. No significant difference was observed among the PACS, PAC, and PACG groups.CONCLUSIONS. Increased CT might be another anatomic characteristic of AC eyes. These findings may support the hypotheses that choroidal expansion is a contributing factor to the development of AC disease.

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Section: Discussionmentioning

confidence: 78%

Choroidal Thickness in the Subtypes of Angle Closure: An EDI-OCT Study

Huang

Wang

Gao

et al. 2013

Invest. Ophthalmol. Vis. Sci.

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“…Recent studies of AC eyes by UBM and anterior segment OCT show such significant choroidal expansion that it is visible as a clear space separating the choroid and sclera. 50,51 Maul et al 14 reported that AC eyes had a thicker choroid than OA eyes, even after adjusting for other factors associated with CT, such as age, AL, and perfusion pressure. We hypothesize that choroidal expansion may contribute to the process of AC by causing an immediate increase in IOP.…”

Section: Discussionmentioning

confidence: 99%

Choroidal Thickness Change after Water Drinking Is Greater in Angle Closure than in Open Angle Eyes

Arora

Jefferys

Maul

et al. 2012

Invest. Ophthalmol. Vis. Sci.

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PURPOSE. To study change in choroidal thickness (CT) after water drinking test (WDT), comparing angle closure (AC) to open angle (OA) eyes.METHODS. Before and 30 minutes after drinking 1 L of water, 88 glaucoma subjects underwent measurements of CT by spectral domain-optical coherence tomography, IOP, blood pressure (BP), axial length (AL), and anterior chamber depth (ACD). RESULTS.Baseline CT was significantly greater in AC than in OA eyes (P ¼ 0.002). After WDT, BP, IOP, and AL increased significantly (all P 0.0001). Mean CT increased significantly in the AC group (5.6 lm, P ¼ 0.04, n ¼ 40) and among 80 subjects whose IOP rose > 2 mm Hg (responders; 3.2 lm, P ¼ 0.048), but not in the OA group or among all subjects (2.5 lm increase overall, <1% of baseline CT, P ¼ 0.10). ACD decreased in AC (À18 lm, P ¼ 0.07), but not in OA eyes (þ3 lm, P ¼ 0.74). AC eyes had a significantly greater IOP increase after WDT than OA eyes (P ¼ 0.002, multivariate regression). Among responders, CT increased more in those with larger diastolic perfusion pressure increase and in AC compared to OA eyes (P ¼ 0.04 and P ¼ 0.053, respectively, multivariate regression).CONCLUSIONS. A significant increase in CT and a decrease in ACD after WDT were observed in AC but not in OA eyes, and IOP increased significantly more in AC than in OA eyes, suggesting that the dynamic behavior of the choroid may play a role in the AC process. IOP increase after the WDT was not fully explained by CT increase. (Invest Ophthalmol Vis Sci. 2012; 53:6393-6402)

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“…3 As stated by the authors, IUES is a diagnosis of exclusion; and is typically associated with serous retinal detachment. 4 No serous retinal detachment is seen in the case presented.…”

Section: Conflict Of Interestmentioning

confidence: 95%

“…3 We retrospectively analysed electronically all cataract procedures between 1 April 2010 and 31 March 2011 (n ¼ 1407). One surgeon used no shields throughout this period (regardless of patient factors; n ¼ 425).…”

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confidence: 99%

Shield or not to shield? Postoperative protection after modern cataract surgery

Lindfield

Pasu

Ursell

2011

Eye

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were all normal, whereas PCR for HSV1 and 2, EBV, and CMV were all negative. LP was normal with an opening pressure of 14 mm Hg. An MR scan showed a number of peri-ventricular high-signal lesions. He was diagnosed with ADEM and optic neuritis, and treated with two doses of intravenous methyl-prednisolone followed by a reducing dose of oral prednisolone. He has made a good recovery with improved vision to 6/6 in his left eye, resolution of optic nerve swelling, and reabsorbing peri-papillary haemorrhages (Figure 1b). His right eye remains quiescent and there have been no further neurological or ophthalmic episodes. CommentTo the best of our knowledge, this is the first report of ADEM with peri-papillary haemorrhages. This observation raises the question as to the underlying aetiology and although an autoimmune mechanism with HLA-DR linkage is likely, other forces may have a role to perform. 4,5 Further work is required to ascertain the possibility of a vasculitic element to the underlying processes. Conflict of interestThe authors declare no conflict of interest.

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Uveal effusion in primary angle-closure glaucoma

Cited by 84 publications

References 33 publications

Choroidal Thickness in the Subtypes of Angle Closure: An EDI-OCT Study

Choroidal Thickness in the Subtypes of Angle Closure: An EDI-OCT Study

Choroidal Thickness Change after Water Drinking Is Greater in Angle Closure than in Open Angle Eyes

Shield or not to shield? Postoperative protection after modern cataract surgery

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