Valoración del ángulo de la cámara anterior mediante biomicroscopia ultrasónica, gonioscopia y examen de Van Herick
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Fecha
2019
Título de la revista
Publicado en
Archivos de la sociedad española de oftalmologia, 1989-7286, Vol. 94, Nro. 3, 2019, 114-118
Publicado por
Elsevier
ISSN de la revista
Título del volumen
Resumen
Descripción
Abstract
Objective: To compare the measurement of the angle of the anterior chamber using ultrasound biomicroscopy (UBM), gonioscopy and the Van Herick examination.
Methods: An observational comparative study was carried out between 3 different methods
for the estimation of the iridocorneal angle. A total of 30 subjects with open and closed
angles were evaluated using UBM, gonioscopy and Van Herick. In the UBM and gonioscopy
assessment all the quadrants were included in the analysis, and in the Van Herick examination the nasal and temporal quadrant were also analyzed. All the examinations included the
assessment of both eyes under photo-optical and scotopic illumination conditions. These
findings were compared with the kappa concordance test.
Results: There was no statistically significant difference between the 3 methods in the evaluation of the state of the iridocorneal angle. The consistency between UBM and gonioscopy
was better (kappa 0.93) in relation to the estimation of the angle with Van Herick (kappa
0.83).
Conclusions: The UBM, gonioscopy and Van Herick examinations have comparable results,
although gonioscopy in the first instance would be indicated as a routine test for identification of angular closure.
Palabras clave
Biomiscroscopia de ultrasonido, Gonioscopia, Concordancia
Keywords
Ultrasonic biomicroscopy (UBM), Gonioscopy, Concordance
Temáticas
Microscopía acústica
Diagnóstico por imagen
Gonioscopía
Diagnóstico por imagen
Gonioscopía