Characteristics of Anterior Segment in Congenital Ectopia Lentis: An SS-OCT Study

Purpose. To investigate the characteristics of anterior chamber angle parameters in congenital ectopia lentis (CEL) patients and to evaluate the sensitivity and specificity of anterior segment parameters in distinguishing CEL from healthy controls. Setting. Zhongshan Ophthalmic Center, Guangzhou, Ch...

Full description

Saved in:
Bibliographic Details
Main Authors: Haotian Qi, Guangming Jin, Minjie Zou, Charlotte Young, Liyan Liu, Zhangkai Lian, Dongwei Guo, Zhenzhen Liu, Danying Zheng
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2022/6128832
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832554968779849728
author Haotian Qi
Guangming Jin
Minjie Zou
Charlotte Young
Liyan Liu
Zhangkai Lian
Dongwei Guo
Zhenzhen Liu
Danying Zheng
author_facet Haotian Qi
Guangming Jin
Minjie Zou
Charlotte Young
Liyan Liu
Zhangkai Lian
Dongwei Guo
Zhenzhen Liu
Danying Zheng
author_sort Haotian Qi
collection DOAJ
description Purpose. To investigate the characteristics of anterior chamber angle parameters in congenital ectopia lentis (CEL) patients and to evaluate the sensitivity and specificity of anterior segment parameters in distinguishing CEL from healthy controls. Setting. Zhongshan Ophthalmic Center, Guangzhou, China. Design. Cross-sectional study. Methods. 35 CEL patients and 35 age- and sex-matched healthy controls were recruited. Axial length (AL) and anterior segment parameters including anterior chamber width (ACW), angle open distance (AOD), angle recess area (ARA), trabecular-iris space area (TISA), and trabecular-iris angle (TIA) were measured. All the above parameters and the ratio index of angle parameters, which was defined as the angle parameter value of the narrower side to that of the contralateral side, were compared between CEL and controls. Receiver operating characteristic (ROC) curves were also plotted to evaluate the diagnostic performance of anterior chamber angle parameters in CEL patients. Results. All angle parameters of the contralateral side to the dislocated lens side were significantly smaller than those of the dislocated lens side in CEL (all P<0.05). For the diagnostic performance of anterior chamber angle parameters, the ratio index of TIAr500 combined with TIAr750 had the best diagnostic performance for CEL screening (AUC = 0.798), and TIAr500 of 0.887 and TIAr750 of 0.917 were detected to be the optimal cut-off points, representing a sensitivity of 89.8% and specificity of 68.7%. Conclusion. The contralateral side to the dislocated lens side in the CEL had a narrower anterior chamber angle. TIAr500 combined with TIAr750 is the optimal combination strategy for ectopia lentis screening.
format Article
id doaj-art-94bdbba10cc1401d891546eee2f4238c
institution Kabale University
issn 2090-0058
language English
publishDate 2022-01-01
publisher Wiley
record_format Article
series Journal of Ophthalmology
spelling doaj-art-94bdbba10cc1401d891546eee2f4238c2025-02-03T05:50:00ZengWileyJournal of Ophthalmology2090-00582022-01-01202210.1155/2022/6128832Characteristics of Anterior Segment in Congenital Ectopia Lentis: An SS-OCT StudyHaotian Qi0Guangming Jin1Minjie Zou2Charlotte Young3Liyan Liu4Zhangkai Lian5Dongwei Guo6Zhenzhen Liu7Danying Zheng8State Key Laboratory of OphthalmologyState Key Laboratory of OphthalmologyState Key Laboratory of OphthalmologyDepartment of OphthalmologyState Key Laboratory of OphthalmologyState Key Laboratory of OphthalmologyState Key Laboratory of OphthalmologyState Key Laboratory of OphthalmologyState Key Laboratory of OphthalmologyPurpose. To investigate the characteristics of anterior chamber angle parameters in congenital ectopia lentis (CEL) patients and to evaluate the sensitivity and specificity of anterior segment parameters in distinguishing CEL from healthy controls. Setting. Zhongshan Ophthalmic Center, Guangzhou, China. Design. Cross-sectional study. Methods. 35 CEL patients and 35 age- and sex-matched healthy controls were recruited. Axial length (AL) and anterior segment parameters including anterior chamber width (ACW), angle open distance (AOD), angle recess area (ARA), trabecular-iris space area (TISA), and trabecular-iris angle (TIA) were measured. All the above parameters and the ratio index of angle parameters, which was defined as the angle parameter value of the narrower side to that of the contralateral side, were compared between CEL and controls. Receiver operating characteristic (ROC) curves were also plotted to evaluate the diagnostic performance of anterior chamber angle parameters in CEL patients. Results. All angle parameters of the contralateral side to the dislocated lens side were significantly smaller than those of the dislocated lens side in CEL (all P<0.05). For the diagnostic performance of anterior chamber angle parameters, the ratio index of TIAr500 combined with TIAr750 had the best diagnostic performance for CEL screening (AUC = 0.798), and TIAr500 of 0.887 and TIAr750 of 0.917 were detected to be the optimal cut-off points, representing a sensitivity of 89.8% and specificity of 68.7%. Conclusion. The contralateral side to the dislocated lens side in the CEL had a narrower anterior chamber angle. TIAr500 combined with TIAr750 is the optimal combination strategy for ectopia lentis screening.http://dx.doi.org/10.1155/2022/6128832
spellingShingle Haotian Qi
Guangming Jin
Minjie Zou
Charlotte Young
Liyan Liu
Zhangkai Lian
Dongwei Guo
Zhenzhen Liu
Danying Zheng
Characteristics of Anterior Segment in Congenital Ectopia Lentis: An SS-OCT Study
Journal of Ophthalmology
title Characteristics of Anterior Segment in Congenital Ectopia Lentis: An SS-OCT Study
title_full Characteristics of Anterior Segment in Congenital Ectopia Lentis: An SS-OCT Study
title_fullStr Characteristics of Anterior Segment in Congenital Ectopia Lentis: An SS-OCT Study
title_full_unstemmed Characteristics of Anterior Segment in Congenital Ectopia Lentis: An SS-OCT Study
title_short Characteristics of Anterior Segment in Congenital Ectopia Lentis: An SS-OCT Study
title_sort characteristics of anterior segment in congenital ectopia lentis an ss oct study
url http://dx.doi.org/10.1155/2022/6128832
work_keys_str_mv AT haotianqi characteristicsofanteriorsegmentincongenitalectopialentisanssoctstudy
AT guangmingjin characteristicsofanteriorsegmentincongenitalectopialentisanssoctstudy
AT minjiezou characteristicsofanteriorsegmentincongenitalectopialentisanssoctstudy
AT charlotteyoung characteristicsofanteriorsegmentincongenitalectopialentisanssoctstudy
AT liyanliu characteristicsofanteriorsegmentincongenitalectopialentisanssoctstudy
AT zhangkailian characteristicsofanteriorsegmentincongenitalectopialentisanssoctstudy
AT dongweiguo characteristicsofanteriorsegmentincongenitalectopialentisanssoctstudy
AT zhenzhenliu characteristicsofanteriorsegmentincongenitalectopialentisanssoctstudy
AT danyingzheng characteristicsofanteriorsegmentincongenitalectopialentisanssoctstudy