{"title":"Direct measurement of the horizontal and vertical ciliary sulcus placements using ultrasound biomicroscopy in myopic eyes.","authors":"Xiaoxue Zhang, Chiwen Cheng, Xuejun Wang, Meipan Shi, Yichen Xiao, Qinhong Lin, Xingtao Zhou, Shengtao Liu","doi":"10.1097/j.jcrs.0000000000001757","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpos: </strong>To investigate the spatial placements of the horizontal and vertical ciliary sulcus through ultrasound biomicroscopy (UBM) analysis.</p><p><strong>Setting: </strong>EYE & ENT Hospital of Fudan University, Shanghai, China.</p><p><strong>Design: </strong>Prospective observational clinical study.</p><p><strong>Methods: </strong>This study comprised 82 eyes of preoperative ICL candidates with myopic implantable collamer lens (ICL). UBM was used to measure the ciliary sulcus to sulcus (STS), central distance from endothelium to STS (ASL) crystalline lens to STS (STSL), the angle to angle distance (ATA) and ACD to crystalline lens (ACD-L) in both the horizontal and vertical orientations. Mean keratometry (Km), axial lengths (AL), and horizontal white-to-white distance (WTW) were also recorded.</p><p><strong>Results: </strong>The mean ASL was 3.574 ± 0.183 and 3.725 ± 0.198 mm, while the mean STSL was 0.488 ± 0.175 and 0.629 ± 0.161 mm in the horizontal and vertical orientations, respectively (P < .001). The vertical STSL (vSTSL) exceeded the horizontal STSL (hSTSL) by a mean difference of 0.141±0.128 mm, and similarly, the vASL exceeded the hASL by a mean difference of 0.151±0.137 mm. Both the hSTSL and vSTSL showed a negative correlation with ACD (P < .001). The difference in STSL (vSTSL-hSTSL) was positively correlated with vSTSL, vASL, and the difference in STS (all P < .05) and negatively correlated with hSTSL and hASL (both P < .05).</p><p><strong>Conclusions: </strong>The ciliary sulcus is typically located more posteriorly in the vertical orientation than in the horizontal orientation.</p>","PeriodicalId":15214,"journal":{"name":"Journal of cataract and refractive surgery","volume":" ","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of cataract and refractive surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/j.jcrs.0000000000001757","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Purpos: To investigate the spatial placements of the horizontal and vertical ciliary sulcus through ultrasound biomicroscopy (UBM) analysis.
Setting: EYE & ENT Hospital of Fudan University, Shanghai, China.
Design: Prospective observational clinical study.
Methods: This study comprised 82 eyes of preoperative ICL candidates with myopic implantable collamer lens (ICL). UBM was used to measure the ciliary sulcus to sulcus (STS), central distance from endothelium to STS (ASL) crystalline lens to STS (STSL), the angle to angle distance (ATA) and ACD to crystalline lens (ACD-L) in both the horizontal and vertical orientations. Mean keratometry (Km), axial lengths (AL), and horizontal white-to-white distance (WTW) were also recorded.
Results: The mean ASL was 3.574 ± 0.183 and 3.725 ± 0.198 mm, while the mean STSL was 0.488 ± 0.175 and 0.629 ± 0.161 mm in the horizontal and vertical orientations, respectively (P < .001). The vertical STSL (vSTSL) exceeded the horizontal STSL (hSTSL) by a mean difference of 0.141±0.128 mm, and similarly, the vASL exceeded the hASL by a mean difference of 0.151±0.137 mm. Both the hSTSL and vSTSL showed a negative correlation with ACD (P < .001). The difference in STSL (vSTSL-hSTSL) was positively correlated with vSTSL, vASL, and the difference in STS (all P < .05) and negatively correlated with hSTSL and hASL (both P < .05).
Conclusions: The ciliary sulcus is typically located more posteriorly in the vertical orientation than in the horizontal orientation.
期刊介绍:
The Journal of Cataract & Refractive Surgery (JCRS), a preeminent peer-reviewed monthly ophthalmology publication, is the official journal of the American Society of Cataract and Refractive Surgery (ASCRS) and the European Society of Cataract and Refractive Surgeons (ESCRS).
JCRS publishes high quality articles on all aspects of anterior segment surgery. In addition to original clinical studies, the journal features a consultation section, practical techniques, important cases, and reviews as well as basic science articles.