Abstract
Anterior chamber depth has a direct proportional relation with axial length, corneal power and anterior chamber angle. It has an inverse proportional relation with age. Shallow anterior chamber depth was associated with and increased risk of endothelial cell density loss after phacoemulsification surgery, less ascorbic acid concentrations that translates to endothelial damage independently of surgery, angle closure glaucoma and angle closure secondary to retinal vein occlusions, trabeculectomy and tube placement complications and IOL formulae selection and refractive outcome inaccuracies.
Highlights
anterior chamber depth (ACD) corresponds to the distance between the corneal endothelium to the anterior lens capsule
Some authors may include the corneal thickness (CT) in this term, increasing approximately 0.5mm, corresponding to the average CT in mm. This is not a consensus, it is usually specified as ACD-CT [1]
Other variables like height, diabetes mellitus, iris curvature, IOP, cupto-disc ratios were not significantly associated with ACD [9]
Summary
Anterior Chamber Depth (ACD) plays an important role in several eye conditions, including inflammatory eye processes, keratoconus, endothelial cell density loss (ECDL), oxidative stress in endothelial cells, glaucoma surgical interventions, phacoemulsification surgery, anterior chamber dimensions, intraocular lens (IOL) formula calculations and surgical post refractive errors. In a cohort study comparing the AC in children (mean age 7.1 ± 3.3 years) and adults (73.7 ± 7.8 years), children had significantly deeper ACD, longer inter scleral-spur distance and larger corneal curvatures [12].
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