IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-6-10-12287 Original Research Paper MR GONIOSCOPY: A NEW DIAGNOSTIC TOOL FOR EVALUATING GLAUCOMA Varun Gupta Dr. October 2017 6 10 01 02 ABSTRACT

 

Slit–lamp biomicroscopy, performed in conjunction with the conventional hand held gonioscopy has been an established technique to assess the anatomy of the angle of anterior chamber. These techniques are subjective, however. Diagnosis depends on the skill of the operator. Ultrasonographic (US) biomicroscopy, optical coherence tomography (OCT) and scanning peripheral anterior chamber analysis allow quantitative objective assessment of the cross–sectional anatomy of the anterior chamber angle. To the best of our knowledge, no study has been performed using circular polarized array head coil for assessment of the angle of anterior chamber in glaucomatous eyes. AIM: The purpose of the study was to determine the accuracy of Half–Fourier single–shot turbo spin echo (HASTE) magnetic resonance (MR) imaging performed with a circular polarized array coil in the diagnosis of narrow anterior chamber angle in patients with glaucoma. MATERIAL AND METHODS: 30 recruited patients underwent slit–lamp biomicroscopy and MR Gonioscopy. RESULTS: There was substantial agreement between MR gonioscopy and slit–lamp biomicroscopy in the classification of anterior chamber angles as narrow or open (Kappa coefficient–0.773). CONCLUSION: MR gonioscopy has substantial potential as a technique used to evaluate glaucoma.