Ultrasound Biomicroscopic Configurations of the Anterior Ocular Segment in a Population-Based Study The Kumejima Study

To characterize quantitatively the configuration of the anterior ocular segment with ultrasound biomicroscopy (UBM) in a population-based setting. Cross-sectional study. Ten percent of 4632 residents aged > or =40 years of Kumejima, an island off southwest Japan, were randomly selected. We perfor...

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Veröffentlicht in:Ophthalmology (Rochester, Minn.) Minn.), 2010-09, Vol.117 (9), p.1720-1728
Hauptverfasser: HENZAN, Ichiko Medoruma, TOMIDOKORO, Atsuo, UEJO, Chiharu, SAKAI, Hiroshi, SAWAGUCHI, Shoichi, IWASE, Aiko, ARAIE, Makoto
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container_end_page 1728
container_issue 9
container_start_page 1720
container_title Ophthalmology (Rochester, Minn.)
container_volume 117
creator HENZAN, Ichiko Medoruma
TOMIDOKORO, Atsuo
UEJO, Chiharu
SAKAI, Hiroshi
SAWAGUCHI, Shoichi
IWASE, Aiko
ARAIE, Makoto
description To characterize quantitatively the configuration of the anterior ocular segment with ultrasound biomicroscopy (UBM) in a population-based setting. Cross-sectional study. Ten percent of 4632 residents aged > or =40 years of Kumejima, an island off southwest Japan, were randomly selected. We performed UBM under light and dark conditions in the 4 quadrants of the right eyes. The anatomic landmarks on the anterior ocular segment UBM images were identified by 1 examiner to quantify the peripheral anterior chamber depth (ACD), location of the ciliary body, and iris thickness. Angle-opening distance at 250 and 500 microm from the scleral spur (AOD250, AOD500), trabecular-iris angle (TIA), trabecular-ciliary process distance (TCPD), thickness of the iris (ID), trabecular-anterior iris surface angle (TAIA), trabecular-posterior iris surface angle (TPIA), trabecular-ciliary angle (TCA), and thickness of iris measured at 1000, 2000, and 3000 microm (IT1000, IT2000 and IT3000). The AOD500 averaged 0.267+/-0.138 (mean +/- standard deviation) and 0.202+/-0.116 mm under light and dark conditions, respectively; TIA 22.2+/-10.0 and 17.0+/-8.9 degrees; TCPD 0.755+/-0.165 and 0.748+/-0.152 mm; and ID 0.412+/-0.053 and 0.457+/-0.062 mm. The peripheral ACD was deepest temporally, then nasally, then inferiorly, and then superiorly (P
doi_str_mv 10.1016/j.ophtha.2010.01.045
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Cross-sectional study. Ten percent of 4632 residents aged > or =40 years of Kumejima, an island off southwest Japan, were randomly selected. We performed UBM under light and dark conditions in the 4 quadrants of the right eyes. The anatomic landmarks on the anterior ocular segment UBM images were identified by 1 examiner to quantify the peripheral anterior chamber depth (ACD), location of the ciliary body, and iris thickness. Angle-opening distance at 250 and 500 microm from the scleral spur (AOD250, AOD500), trabecular-iris angle (TIA), trabecular-ciliary process distance (TCPD), thickness of the iris (ID), trabecular-anterior iris surface angle (TAIA), trabecular-posterior iris surface angle (TPIA), trabecular-ciliary angle (TCA), and thickness of iris measured at 1000, 2000, and 3000 microm (IT1000, IT2000 and IT3000). The AOD500 averaged 0.267+/-0.138 (mean +/- standard deviation) and 0.202+/-0.116 mm under light and dark conditions, respectively; TIA 22.2+/-10.0 and 17.0+/-8.9 degrees; TCPD 0.755+/-0.165 and 0.748+/-0.152 mm; and ID 0.412+/-0.053 and 0.457+/-0.062 mm. The peripheral ACD was deepest temporally, then nasally, then inferiorly, and then superiorly (P<0.05, post hoc test). The position of the ciliary body was deepest nasally, then temporally, then inferiorly, and then superiorly (P<0.05). Iris thickness did not differ significantly among the quadrants. Older subjects had a shallower peripheral ACD, more anteriorly located ciliary body, and thinner iris (analysis of covariance, P<0.015). The peripheral ACD was deeper and the ciliary body was located more deeply in men than women (P<0.05), although no intergender differences in iris thickness were seen (P>0.1). Hyperopia, short axial length, and shallow central ACD were significantly correlated with shallower peripheral ACD, anteriorly located ciliary body, and thinner iris (P<0.05). Elevated intraocular pressure was associated with a shallow peripheral ACD (P< or =0.043). 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Cross-sectional study. Ten percent of 4632 residents aged > or =40 years of Kumejima, an island off southwest Japan, were randomly selected. We performed UBM under light and dark conditions in the 4 quadrants of the right eyes. The anatomic landmarks on the anterior ocular segment UBM images were identified by 1 examiner to quantify the peripheral anterior chamber depth (ACD), location of the ciliary body, and iris thickness. Angle-opening distance at 250 and 500 microm from the scleral spur (AOD250, AOD500), trabecular-iris angle (TIA), trabecular-ciliary process distance (TCPD), thickness of the iris (ID), trabecular-anterior iris surface angle (TAIA), trabecular-posterior iris surface angle (TPIA), trabecular-ciliary angle (TCA), and thickness of iris measured at 1000, 2000, and 3000 microm (IT1000, IT2000 and IT3000). The AOD500 averaged 0.267+/-0.138 (mean +/- standard deviation) and 0.202+/-0.116 mm under light and dark conditions, respectively; TIA 22.2+/-10.0 and 17.0+/-8.9 degrees; TCPD 0.755+/-0.165 and 0.748+/-0.152 mm; and ID 0.412+/-0.053 and 0.457+/-0.062 mm. The peripheral ACD was deepest temporally, then nasally, then inferiorly, and then superiorly (P<0.05, post hoc test). The position of the ciliary body was deepest nasally, then temporally, then inferiorly, and then superiorly (P<0.05). Iris thickness did not differ significantly among the quadrants. Older subjects had a shallower peripheral ACD, more anteriorly located ciliary body, and thinner iris (analysis of covariance, P<0.015). The peripheral ACD was deeper and the ciliary body was located more deeply in men than women (P<0.05), although no intergender differences in iris thickness were seen (P>0.1). Hyperopia, short axial length, and shallow central ACD were significantly correlated with shallower peripheral ACD, anteriorly located ciliary body, and thinner iris (P<0.05). Elevated intraocular pressure was associated with a shallow peripheral ACD (P< or =0.043). There are significant associations of the peripheral ACD, location of the ciliary body, and iris thickness with age, gender, refractive error, axial length, and intraocular pressure.]]></description><subject>Adult</subject><subject>Age</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anterior Chamber - diagnostic imaging</subject><subject>Biological and medical sciences</subject><subject>Ciliary Body - diagnostic imaging</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Glaucoma, Angle-Closure - diagnostic imaging</subject><subject>Humans</subject><subject>Hyperopia - diagnosis</subject><subject>Intraocular Pressure</subject><subject>Iris - diagnostic imaging</subject><subject>Japan</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Microscopy, Acoustic</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Ophthalmology</subject><subject>Risk Factors</subject><subject>Rural Population</subject><subject>Sex Factors</subject><issn>0161-6420</issn><issn>1549-4713</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0E1LxDAQBuAgiq4f_0AkF_HUdfLRtD3q4hcKCruel9k0cbO0TU1SwX9vxRWPngZenhl4h5BTBlMGTF1upr5fpzVOOYwRsCnIfIdMWC6rTBZM7JLJyFimJIcDchjjBgCUEnKfHHCQlcgFTMjHa5MCRj90Nb12vnU6-Kh97zSd-c66tyFgcr6L1Fua1oZedckE5wN91kODgc7NW2u6RF1Hkb74fgy_fXaN0dR0nob6ky7GvcehNRvX4k90TPYsNtGcbOcReb29Wczus6fnu4fZ1VPW84KnzEDJbFEDs1avVMUESsCqLFEDr3Gsp9UKKsu1MJDjSpVoC4RK1LLURWG0OCIXP3f74N8HE9OydVGbpsHO-CEuy0pwJVQp_pVFLgG4UPkoz7ZyWLWmXvZhrBU-l79PHcH5FmDU2NiAnXbxzwnOJJNcfAFXe4lY</recordid><startdate>20100901</startdate><enddate>20100901</enddate><creator>HENZAN, Ichiko Medoruma</creator><creator>TOMIDOKORO, Atsuo</creator><creator>UEJO, Chiharu</creator><creator>SAKAI, Hiroshi</creator><creator>SAWAGUCHI, Shoichi</creator><creator>IWASE, Aiko</creator><creator>ARAIE, Makoto</creator><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope></search><sort><creationdate>20100901</creationdate><title>Ultrasound Biomicroscopic Configurations of the Anterior Ocular Segment in a Population-Based Study The Kumejima Study</title><author>HENZAN, Ichiko Medoruma ; 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Cross-sectional study. Ten percent of 4632 residents aged > or =40 years of Kumejima, an island off southwest Japan, were randomly selected. We performed UBM under light and dark conditions in the 4 quadrants of the right eyes. The anatomic landmarks on the anterior ocular segment UBM images were identified by 1 examiner to quantify the peripheral anterior chamber depth (ACD), location of the ciliary body, and iris thickness. Angle-opening distance at 250 and 500 microm from the scleral spur (AOD250, AOD500), trabecular-iris angle (TIA), trabecular-ciliary process distance (TCPD), thickness of the iris (ID), trabecular-anterior iris surface angle (TAIA), trabecular-posterior iris surface angle (TPIA), trabecular-ciliary angle (TCA), and thickness of iris measured at 1000, 2000, and 3000 microm (IT1000, IT2000 and IT3000). The AOD500 averaged 0.267+/-0.138 (mean +/- standard deviation) and 0.202+/-0.116 mm under light and dark conditions, respectively; TIA 22.2+/-10.0 and 17.0+/-8.9 degrees; TCPD 0.755+/-0.165 and 0.748+/-0.152 mm; and ID 0.412+/-0.053 and 0.457+/-0.062 mm. The peripheral ACD was deepest temporally, then nasally, then inferiorly, and then superiorly (P<0.05, post hoc test). The position of the ciliary body was deepest nasally, then temporally, then inferiorly, and then superiorly (P<0.05). Iris thickness did not differ significantly among the quadrants. Older subjects had a shallower peripheral ACD, more anteriorly located ciliary body, and thinner iris (analysis of covariance, P<0.015). The peripheral ACD was deeper and the ciliary body was located more deeply in men than women (P<0.05), although no intergender differences in iris thickness were seen (P>0.1). Hyperopia, short axial length, and shallow central ACD were significantly correlated with shallower peripheral ACD, anteriorly located ciliary body, and thinner iris (P<0.05). Elevated intraocular pressure was associated with a shallow peripheral ACD (P< or =0.043). There are significant associations of the peripheral ACD, location of the ciliary body, and iris thickness with age, gender, refractive error, axial length, and intraocular pressure.]]></abstract><cop>New York, NY</cop><pub>Elsevier</pub><pmid>20493530</pmid><doi>10.1016/j.ophtha.2010.01.045</doi><tpages>9</tpages></addata></record>
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subjects Adult
Age
Age Factors
Aged
Aged, 80 and over
Anterior Chamber - diagnostic imaging
Biological and medical sciences
Ciliary Body - diagnostic imaging
Cross-Sectional Studies
Female
Glaucoma, Angle-Closure - diagnostic imaging
Humans
Hyperopia - diagnosis
Intraocular Pressure
Iris - diagnostic imaging
Japan
Male
Medical sciences
Microscopy, Acoustic
Middle Aged
Miscellaneous
Ophthalmology
Risk Factors
Rural Population
Sex Factors
title Ultrasound Biomicroscopic Configurations of the Anterior Ocular Segment in a Population-Based Study The Kumejima Study
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