Comparisons of Ocular Anatomic Differences of Lens-Subluxated Eye with or without Acute Angle Closure: A Retrospective Study

Purpose. To compare ocular anatomy differences of lens subluxation between eyes with or without acute angle closure (AAC). Methods. This is a retrospective and case-control study. Sixty cases with mild lens subluxation were recruited. Among them, 30 eyes with acute angle closure were assigned to the...

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Main Authors: Hong-Liang Lin, Yong-Jie Qin, Yu-Lin Zhang, Yu-Qiao Zhang, Yong-Yi Niu, Yan-Lei Chen, Yun-Yan Hu, Wen-Juan Xie, Hong-Yang Zhang
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2020/6974202
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author Hong-Liang Lin
Yong-Jie Qin
Yu-Lin Zhang
Yu-Qiao Zhang
Yong-Yi Niu
Yan-Lei Chen
Yun-Yan Hu
Wen-Juan Xie
Hong-Yang Zhang
author_facet Hong-Liang Lin
Yong-Jie Qin
Yu-Lin Zhang
Yu-Qiao Zhang
Yong-Yi Niu
Yan-Lei Chen
Yun-Yan Hu
Wen-Juan Xie
Hong-Yang Zhang
author_sort Hong-Liang Lin
collection DOAJ
description Purpose. To compare ocular anatomy differences of lens subluxation between eyes with or without acute angle closure (AAC). Methods. This is a retrospective and case-control study. Sixty cases with mild lens subluxation were recruited. Among them, 30 eyes with acute angle closure were assigned to the AAC group and 30 eyes without AAC were assigned to the non-AAC group. The anterior segment was quantitatively evaluated by ultrasound biomicroscopy (UBM). The axial length (AL) was measured with IOL Master. All patients underwent lens extraction surgery and were followed up for six months. Results. The history of blunt trauma accounted for 22 (73.3%) cases in the AAC group and 21 (70%) cases in the non-AAC group. Fifteen (50%) patients in the AAC group had iridotomy history, and high intraocular pressure recurred. The UBM analysis showed that the average central chamber depth of the affected eyes in the AAC group was 1.82 mm, which was significantly shallower than that in the fellow eyes (2.58 mm, P<0.05) or both eyes in the non-AAC group.Both eyes in the AAC group presented a shorter AL and shallower anterior chamber than the eyes in the non-AAC group. Conclusions. An asymmetrical anterior chamber between bilateral eyes is an important feature in lens subluxation-induced AAC. The crowded anterior chamber and shorter AL might be the anatomic basis for the eye with lens subluxation-induced AAC.
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spelling doaj-art-fb0d90dfd80147a3b75e0f750ae16e5e2025-08-20T03:25:57ZengWileyJournal of Ophthalmology2090-004X2090-00582020-01-01202010.1155/2020/69742026974202Comparisons of Ocular Anatomic Differences of Lens-Subluxated Eye with or without Acute Angle Closure: A Retrospective StudyHong-Liang Lin0Yong-Jie Qin1Yu-Lin Zhang2Yu-Qiao Zhang3Yong-Yi Niu4Yan-Lei Chen5Yun-Yan Hu6Wen-Juan Xie7Hong-Yang Zhang8Department of Ophthalmology, Guangdong Eye Institute, Guangdong Provincial People’s Hospital and Guangdong Academy of Medical Sciences, Guangzhou, Guangdong 510080, ChinaDepartment of Ophthalmology, Guangdong Eye Institute, Guangdong Provincial People’s Hospital and Guangdong Academy of Medical Sciences, Guangzhou, Guangdong 510080, ChinaDepartment of Ophthalmology, Guangdong Eye Institute, Guangdong Provincial People’s Hospital and Guangdong Academy of Medical Sciences, Guangzhou, Guangdong 510080, ChinaDepartment of Ophthalmology, Guangdong Eye Institute, Guangdong Provincial People’s Hospital and Guangdong Academy of Medical Sciences, Guangzhou, Guangdong 510080, ChinaDepartment of Ophthalmology, Guangdong Eye Institute, Guangdong Provincial People’s Hospital and Guangdong Academy of Medical Sciences, Guangzhou, Guangdong 510080, ChinaDepartment of Ophthalmology, Guangdong Eye Institute, Guangdong Provincial People’s Hospital and Guangdong Academy of Medical Sciences, Guangzhou, Guangdong 510080, ChinaDepartment of Ophthalmology, Guangdong Eye Institute, Guangdong Provincial People’s Hospital and Guangdong Academy of Medical Sciences, Guangzhou, Guangdong 510080, ChinaDepartment of Ophthalmology, Guangdong Eye Institute, Guangdong Provincial People’s Hospital and Guangdong Academy of Medical Sciences, Guangzhou, Guangdong 510080, ChinaDepartment of Ophthalmology, Guangdong Eye Institute, Guangdong Provincial People’s Hospital and Guangdong Academy of Medical Sciences, Guangzhou, Guangdong 510080, ChinaPurpose. To compare ocular anatomy differences of lens subluxation between eyes with or without acute angle closure (AAC). Methods. This is a retrospective and case-control study. Sixty cases with mild lens subluxation were recruited. Among them, 30 eyes with acute angle closure were assigned to the AAC group and 30 eyes without AAC were assigned to the non-AAC group. The anterior segment was quantitatively evaluated by ultrasound biomicroscopy (UBM). The axial length (AL) was measured with IOL Master. All patients underwent lens extraction surgery and were followed up for six months. Results. The history of blunt trauma accounted for 22 (73.3%) cases in the AAC group and 21 (70%) cases in the non-AAC group. Fifteen (50%) patients in the AAC group had iridotomy history, and high intraocular pressure recurred. The UBM analysis showed that the average central chamber depth of the affected eyes in the AAC group was 1.82 mm, which was significantly shallower than that in the fellow eyes (2.58 mm, P<0.05) or both eyes in the non-AAC group.Both eyes in the AAC group presented a shorter AL and shallower anterior chamber than the eyes in the non-AAC group. Conclusions. An asymmetrical anterior chamber between bilateral eyes is an important feature in lens subluxation-induced AAC. The crowded anterior chamber and shorter AL might be the anatomic basis for the eye with lens subluxation-induced AAC.http://dx.doi.org/10.1155/2020/6974202
spellingShingle Hong-Liang Lin
Yong-Jie Qin
Yu-Lin Zhang
Yu-Qiao Zhang
Yong-Yi Niu
Yan-Lei Chen
Yun-Yan Hu
Wen-Juan Xie
Hong-Yang Zhang
Comparisons of Ocular Anatomic Differences of Lens-Subluxated Eye with or without Acute Angle Closure: A Retrospective Study
Journal of Ophthalmology
title Comparisons of Ocular Anatomic Differences of Lens-Subluxated Eye with or without Acute Angle Closure: A Retrospective Study
title_full Comparisons of Ocular Anatomic Differences of Lens-Subluxated Eye with or without Acute Angle Closure: A Retrospective Study
title_fullStr Comparisons of Ocular Anatomic Differences of Lens-Subluxated Eye with or without Acute Angle Closure: A Retrospective Study
title_full_unstemmed Comparisons of Ocular Anatomic Differences of Lens-Subluxated Eye with or without Acute Angle Closure: A Retrospective Study
title_short Comparisons of Ocular Anatomic Differences of Lens-Subluxated Eye with or without Acute Angle Closure: A Retrospective Study
title_sort comparisons of ocular anatomic differences of lens subluxated eye with or without acute angle closure a retrospective study
url http://dx.doi.org/10.1155/2020/6974202
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