Diagnostic utility of tear meniscus height measurement using anterior segment optical coherence tomography for lacrimal passage disorder before cataract surgery.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
28 10 2024
Historique:
received: 21 06 2024
accepted: 09 10 2024
medline: 29 10 2024
pubmed: 29 10 2024
entrez: 29 10 2024
Statut: epublish

Résumé

To evaluate diagnostic utility of tear meniscus height (TMH) measurement using anterior segment optical coherence tomography (AS-OCT) for lacrimal passage disorder (LPD) in patients scheduled for cataract surgery. Patients with cataracts were enrolled. Lacrimal irrigation test was used to diagnose LPD. TMH measurement was performed using prior to cataract surgery. A receiver operating characteristic curve analysis was performed to calculate the cutoff value of TMH to detect LPD. Correlation between TMH and age, sex, LPD, use of glaucoma eyedrops, and use of dry eye drops in patients with and without LPD was evaluated. Sixty-six patients (127 eyes) were included, of which 12 (9.4%) eyes had LPD. The mean TMH was significantly higher in the LPD group than in the non-LPD group (P = 0.007). Multiple regression analysis revealed a significant association of TMH with LPD (P = 0.000). With an area under the curve of 0.740, the optimal cut-off TMH value was 401.0 μm. The sensitivity and specificity of this cutoff value were 58.3% and 83.0%, respectively. These findings demonstrate the diagnostic utility of TMH, measured using AS-OCT, for LPD. This suggests that AS-OCT is useful for preoperative exclusion of LPD.

Identifiants

pubmed: 39468099
doi: 10.1038/s41598-024-75979-w
pii: 10.1038/s41598-024-75979-w
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

25866

Informations de copyright

© 2024. The Author(s).

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Auteurs

Hiroko Matsuyama (H)

Department of Ophthalmology, Japanese Red Cross Society Osaka Hospital, Osaka, Japan. marocom1209@gmail.com.

Shin Kadomoto (S)

Department of Ophthalmology, Japanese Red Cross Society Osaka Hospital, Osaka, Japan.

Yoshikatsu Hosoda (Y)

Department of Ophthalmology, Japanese Red Cross Society Osaka Hospital, Osaka, Japan.

Masayuki Akimoto (M)

Department of Ophthalmology, Japanese Red Cross Society Osaka Hospital, Osaka, Japan.

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