Complex visualization of the anterior segment of the eye in the diagnosis, monitoring and treatment of angle closed disease

    Abstract

    Complex visualization of the anterior segment of the eye in the diagnosis, monitoring and treatment of angle closed disease

    G.А. Sharova , N.I. Kurysheva

    Ophthalmology Clinic of Dr. Belikova, Moscow
The Department of Eye Diseases at the Medical Biological University of Innovations and Continuing Education of the Federal Biophysical Center named after A.I. Burnazyan, Moscow
Diagnostic Department of the Ophthalmological Center of Federal Medical-Biological Agency of, Moscow
Institute of Advanced Training of Federal Medical and Biological Agency, the Chair of Ophthalmology, Moscow

    The aim of this work is to review the literature on the role of anterior segment imaging in the diagnosis, monitoring, and treatment of primary angle closed disease. An analysis of the use of modern technical devices – optical coherence tomography of the anterior segment (ASOST), ultrasonic biomicroscopy, Scheimpflug camera – is presented, the advantages and disadvantages in comparison with gonioscopy are assessed. Visualization of the structures of the anterior segment of the eye is an important part of the strategy aimed at solving the problem of identifying risk factors, diagnosing, monitoring and evaluating the effectiveness of treatment of diseases of primary angle closure. Qualitative and quantitative analysis of data based on optical coherence tomography, ultrasound biomicroscopy, and Scheimflug camera data confirms high comparability with gonioscopy, but each of the methods complements each other.

    Conclusion. Visualization of the anterior segment of the eye is the standard in modern diagnostics and evaluation of the effectiveness of treatment of primary angle closure disease. Multimodal imaging improves the ability to accurately diagnose and choose the right treatment strategy.

    Key words: primary angle closure, primary angle-closure glaucoma, optical coherence tomography, ultrasound biomicroscopy, Scheimflug camera, gonioscopy.