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A New Slit Lamp–Based Technique for Anterior Chamber Angle Estimation

Gispets, J., Genis, C., Tomas, N. , Fuste, C., Binns, A. M. & Fortes, M. (2014). A New Slit Lamp–Based Technique for Anterior Chamber Angle Estimation. Optometry and Vision Science, 91(6), pp. 668-675. doi: 10.1097/OPX.0000000000000254


Purpose: To design and test a new noninvasive method for anterior chamber angle (ACA) estimation based on the slit lamp that is accessible to all eye-care professionals.

Methods: A new technique (slit lamp anterior chamber estimation [SLACE]) that aims to overcome some of the limitations of the van Herick procedure was designed. The technique, which only requires a slit lamp, was applied to estimate the ACA of 50 participants (100 eyes) using two different slit lamp models, and results were compared with gonioscopy as the clinical standard.

Results: The Spearman nonparametric correlation between ACA values as determined by gonioscopy and SLACE were 0.81 (p < 0.001) and 0.79 (p < 0.001) for each slit lamp. Sensitivity values of 100 and 87.5% and specificity values of 75 and 81.2%, depending on the slit lamp used, were obtained for the SLACE technique as compared with gonioscopy (Spaeth classification).

Conclusions: The SLACE technique, when compared with gonioscopy, displayed good accuracy in the detection of narrow angles, and it may be useful for eye-care clinicians without access to expensive alternative equipment or those who cannot perform gonioscopy because of legal constraints regarding the use of diagnostic drugs.

Publication Type: Article
Additional Information: This is a non-final version of an article published in final form in Optometry and Vision Science Issue: Volume 91(6), June 2014, p 668–675.
Publisher Keywords: angle closure, anterior chamber angle, gonioscopy, limbal chamber depth, narrow angle glaucoma
Subjects: R Medicine > RE Ophthalmology
Departments: School of Health & Psychological Sciences > Optometry & Visual Sciences
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