{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:29:03Z","timestamp":1786649343071,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n                    <jats:title>PURPOSE:<\/jats:title>\n                    <jats:p>\n                      Phacoemulsification cataract surgery (PCS) is known to change anterior chamber morphology, widening the iridocorneal angle (ICA) of most patients. This study aims to determine whether automated gonioscopy imaging (AGI) with GS-1\n                      <jats:sup>\u00ae<\/jats:sup>\n                      (NIDEK CO., Japan) can detect changes in ICA morphology and pigmentation after PCS.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>A prospective, observational study including patients who underwent PCS at Hospital Santa Maria, Lisbon, from March to October 2022. AGI was done at the preoperative visit and 6-weeks postoperative. The images were analyzed using NAVIS-EX Software (NIDEK CO., Japan) by a masked observer. Each eye was divided into four quadrants and their morphology and pigmentation was graded according to the Shaffer and modified Scheie classifications, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      Twenty-two eyes from 21 patients (62% female) were included, with a mean age of 74.5 \u00b1 7.9 years. Baseline AGI identified 7 (33%) patients with angle closure. PCS led to all patients achieving open angle status and lower preoperative Shaffer grades achieved greater postoperative improvement. Statistically significant ICA widening was found in the superior (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.004), inferior (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.008), and temporal (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.023) quadrants, but not the nasal quadrant (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.21). Similarly, a statistically significant pigmentation increase was found in the superior (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.008), inferior (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.002), and temporal (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.016) quadrants and less pigmented baseline quadrants showed a greater gain. The most significant pigmentation gain was in the inferior quadrant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Unlike other imaging modalities, AGI with GS-1 can detect changes in ICA morphology and pigmentation after routine cataract surgery, mainly in the superior, inferior, and temporal quadrants.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/sjopt.sjopt_141_24","type":"journal-article","created":{"date-parts":[[2024,12,25]],"date-time":"2024-12-25T20:00:19Z","timestamp":1735156819000},"page":"348-351","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Detection of iridocorneal angle changes after uncomplicated phacoemulsification using automated gonioscopy imaging"],"prefix":"10.4103","volume":"38","author":[{"given":"Miguel","family":"Santos","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Hospital Santa Maria (ULSSM), Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Afonso","family":"Lima-Cabrita","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Hospital Santa Maria (ULSSM), Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafael","family":"Bar\u00e3o","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Hospital Santa Maria (ULSSM), Lisbon, Portugal"},{"name":"Visual Sciences Study Center, Lisbon Academic Medical Center, Faculty of Medicine, University of Lisbon, Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lu\u00eds","family":"Abeg\u00e3o-Pinto","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Hospital Santa Maria (ULSSM), Lisbon, Portugal"},{"name":"Visual Sciences Study Center, Lisbon Academic Medical Center, Faculty of Medicine, University of Lisbon, Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,10,22]]},"reference":[{"key":"R2-20260427","doi-asserted-by":"crossref","first-page":"1039","DOI":"10.1097\/IJG.0000000000001940","article-title":"Agreement analysis on angle characteristics with automated gonioscopy","volume":"30","author":"Correia Bar\u00e3o","year":"2021","journal-title":"J Glaucoma"},{"key":"R3-20260427","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/j.ogla.2019.04.002","article-title":"Novel and semiautomated 360-degree gonioscopic anterior chamber angle imaging in under 60 seconds","volume":"2","author":"Shi","year":"2019","journal-title":"Ophthalmol Glaucoma"},{"key":"R4-20260427","first-page":"5868","article-title":"Irido-corneal angle visualization in automated gonioscopy","volume":"59","author":"Campigotto","year":"2018","journal-title":"Invest. Ophthalmol Vis Sci"},{"key":"R5-20260427","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1177\/1120672118806436","article-title":"Automated gonioscopy photography for iridocorneal angle grading","volume":"30","author":"Teixeira","year":"2020","journal-title":"Eur J Ophthalmol"},{"key":"R6-20260427","doi-asserted-by":"crossref","first-page":"636","DOI":"10.1136\/bjophthalmol-2019-314320","article-title":"Automated anterior chamber angle pigmentation analyses using 360\u00b0 gonioscopy","volume":"104","author":"Matsuo","year":"2020","journal-title":"Br J Ophthalmol"},{"key":"R7-20260427","doi-asserted-by":"crossref","first-page":"1283","DOI":"10.1001\/archophthalmol.2011.272","article-title":"Anterior chamber depth, iridocorneal angle width, and intraocular pressure changes after phacoemulsification: Narrow versus open iridocorneal angles","volume":"129","author":"Huang","year":"2011","journal-title":"Arch Ophthalmol"},{"key":"R8-20260427","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1016\/j.exer.2016.01.008","article-title":"Variations in active outflow along the trabecular outflow pathway","volume":"146","author":"Cha","year":"2016","journal-title":"Exp Eye Res"},{"key":"R9-20260427","first-page":"112","article-title":"Primary glaucomas. Gonioscopy, ophthalmoscopy and perimetry","volume":"64","author":"Shaffer","year":"1960","journal-title":"Trans Am Acad Ophthalmol Otolaryngol"},{"key":"R10-20260427","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1136\/bjo.86.2.238","article-title":"The definition and classification of glaucoma in prevalence surveys","volume":"86","author":"Foster","year":"2002","journal-title":"Br J Ophthalmol"},{"key":"R11-20260427","doi-asserted-by":"crossref","first-page":"77","DOI":"10.3341\/kjo.2011.25.2.77","article-title":"Changes in anterior chamber configuration after cataract surgery as measured by anterior segment optical coherence tomography","volume":"25","author":"Kim","year":"2011","journal-title":"Korean J Ophthalmol"}],"container-title":["Saudi Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/sjopt.sjopt_141_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:52:47Z","timestamp":1786647167000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/sjopt.sjopt_141_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/sjopt.sjopt_141_24","relation":{},"ISSN":["1319-4534","2542-6680"],"issn-type":[{"value":"1319-4534","type":"print"},{"value":"2542-6680","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10]]},"assertion":[{"value":"2024-06-21","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-26","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}