» Articles » PMID: 30647966

Anterior Chamber Angle and Volume Do Not Change After Myopic Laser-Assisted In Situ Keratomileusis in Young Patients

Overview
Journal J Ophthalmol
Publisher Wiley
Specialty Ophthalmology
Date 2019 Jan 17
PMID 30647966
Authors
Affiliations
Soon will be listed here.
Abstract

Purpose: We aimed to investigate whether anterior chamber angle, depth, and volume change after myopic laser-assisted in situ keratomileusis (LASIK) in young patients.

Methods: This retrospective study included 29 eyes of 29 patients (15 females and 14 males) between the ages of 18 and 39 years who underwent LASIK for the treatment of myopia. In addition to complete ophthalmic examination, anterior chamber angle (ACA), central anterior chamber depth (ACD), and anterior chamber volume (ACV) were measured by using a Sirius rotating Scheimpflug camera combined with Placido disc corneal topography (CSO, Florence, Italy). Preoperative and postoperative values were compared using paired tests. Linear regression was used to evaluate the relationship between changes in refraction and changes in ACA, ACD, and ACV as well as between attempted maximum ablation depth and changes in ACA, ACD, and ACV.

Results: The mean age of the study population was 25.5 ± 6.2 years. The mean preoperative and postoperative spherical equivalent values were -3.30 ± 1.92 D and -0.18 ± 0.29 D, respectively. ACV and ACA were not significantly changed after surgery; however, central ACD was significantly decreased (preoperatively = 3.366 ± 0.316 mm vs postoperatively = 3.3 ± 0.298 mm) with a mean difference of 0.066 ± 1.121 mm. There were no significant relationships between changes in refraction and anterior segment dimensions or between attempted maximum ablation depth and anterior segment dimensions.

Conclusion: Measurements with Sirius showed that ACA and ACV did not change; however, central ACD significantly decreased after myopic LASIK in young patients, indicating that the preoperative central ACD value should not be used interchangeably with the postoperative central ACD value.

References
1.
Dubbelman M, van der Heijde G, Weeber H . Change in shape of the aging human crystalline lens with accommodation. Vision Res. 2004; 45(1):117-32. DOI: 10.1016/j.visres.2004.07.032. View

2.
Cairns G, Ormonde S, Gray T, Hadden O, Morris T, Ring P . Assessing the accuracy of Orbscan II post-LASIK: apparent keratectasia is paradoxically associated with anterior chamber depth reduction in successful procedures. Clin Exp Ophthalmol. 2005; 33(2):147-52. DOI: 10.1111/j.1442-9071.2005.00975.x. View

3.
Nishimura R, Negishi K, Saiki M, Arai H, Shimizu S, Toda I . No forward shifting of posterior corneal surface in eyes undergoing LASIK. Ophthalmology. 2007; 114(6):1104-10. DOI: 10.1016/j.ophtha.2006.09.014. View

4.
Hashemi H, Mehravaran S . Corneal changes after laser refractive surgery for myopia: comparison of Orbscan II and Pentacam findings. J Cataract Refract Surg. 2007; 33(5):841-7. DOI: 10.1016/j.jcrs.2007.01.019. View

5.
Tsorbatzoglou A, Nemeth G, Szell N, Biro Z, Berta A . Anterior segment changes with age and during accommodation measured with partial coherence interferometry. J Cataract Refract Surg. 2007; 33(9):1597-601. DOI: 10.1016/j.jcrs.2007.05.021. View