Biometry for the Management of Angle Closure in Young patients

Abstract

Neha Midha, Saranya Devi K, and Viney Gupta

Importance: To describe the clinical and biometric features in patients with angle closure presenting before the age of 40 years. Observations: We describe three young patients with angle closure and a customized treatment plan for each guided by the biometric findings, axial length (AL), keratometry, ACD, Lens Thickness, Lens Vault and LT/AL ratio. We found that lens thickness to axial length ratio of >0.2 may suggest the need for clear lens extraction in these cases for better IOP control. Conclusions and relevance: Biometry plays a pivotal role in elucidating the etiopathogenesis and management of angle closure in young patients, and should be included in the evaluation of such patients.

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