Screening for narrow angles in the singapore population: evaluation of new noncontact screening methods.

PURPOSE: To assess the screening effectiveness of 3 new noncontact devices, the scanning peripheral anterior chamber depth analyzer (SPAC) (Takagi, Nagano, Japan), which measures peripheral anterior chamber depth (ACD); IOLMaster (Carl Zeiss Meditec, Jena, Germany), which measures central ACD; and Visante anterior segment optical coherence tomography (AS-OCT) (Visante, Carl Zeiss Meditec, Dublin, CA), which images the angles, and to compare these instruments with gonioscopy in identifying people with narrow angles (NAs). DESIGN: Cross-sectional, observational, community-based study. PARTICIPANTS: Phakic subjects aged >or=50 years without ophthalmic symptoms who were recruited from a community polyclinic in Singapore. METHODS: All subjects underwent examination with SPAC, IOLMaster, and AS-OCT in the dark by a single operator. Gonioscopy was performed by an ophthalmologist masked to the instruments' findings. The area under the curve (AUC) receiver operating characteristic (ROC) was generated to assess the performance of these tests in detecting people with a NA in either eye. MAIN OUTCOME MEASURES: Eyes were classified as having NAs by gonioscopy if the posterior pigmented trabecular meshwork could be seen for

Duke Scholars

Author Tien Yin Wong Ophthalmology