Actualización de la utilidad de la tomografía de coherencia óptica para el estudio del ángulo iridocorneal
- B. Kudsieh 23
- J.I. Fernández-Vigo 129
- J. Vila-Arteaga 45
- J. Aritz Urcola 67
- J.M. Martínez-de-la-Casa 19
- J. García-Feijóo 19
- J.M. Ruiz-Moreno 3
- J.Á. Fernández-Vigo 28
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1
Instituto de Investigación Sanitaria del Hospital Clínico San Carlos
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Instituto de Investigación Sanitaria del Hospital Clínico San Carlos
Madrid, España
- 2 Centro Internacional de Oftalmología Avanzada, Madrid
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3
Hospital Universitario Puerta de Hierro
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4
Hospital Universitario La Fe
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- 5 Clínica Vila-Innova Ocular, Valencia, España
- 6 Begitek Clínica Oftalmológica, Innova Ocular, Donostia-San Sebastián, España
- 7 Departamento de Oftalmología, Hospital Universitario de Álava, Vitoria, España
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8
Universidad de Extremadura
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9
Hospital Clínico San Carlos de Madrid
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ISSN: 0365-6691
Year of publication: 2019
Volume: 94
Issue: 10
Pages: 478-490
Type: Article
More publications in: Archivos de la Sociedad Española de Oftalmologia
Abstract
The iridocorneal angle, due to its implications in the physiopathology of aqueous humour drainage, is a fundamental structure of the anterior chamber. Anterior segment optical coherence tomography is a rapid and non-invasive technique that obtains images in vivo. The high resolution allows it to analyse the normal anatomy of the angle, any alterations, and the changes that occur after different therapeutic interventions. Anterior segment optical coherence tomography technology has evolved to provide images that allow the identification and quantification of the angular structures in healthy subjects and in glaucoma patients, and especially the trabecular meshwork and the Schlemm's canal. It also enables the angle width to be quantified, with some objective parameters that have been standardised in recent years, such as the trabecular-iris angle, the angle opening distance, and the trabecular-iris area. This technique has multiple uses in the study of the different mechanisms of angle closure, the evaluation of changes after a laser peripheral iridotomy or iridoplasty after cataract surgery, as well as after the implantation of phakic lenses.