This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies.  Read our Cookies Policy.
Close
Eye News
  • Features
    • Close
    • Features
    • Allied Professions
    • Humanitarian
    • Interviews
    • AI & Oculomics
    • Ophthalmology
    • Optometry
    • Podcast videos
    • Supplements
  • Education
    • Close
    • Education
    • Learning Curve
    • Quiz
    • Top Tips
    • Trainees
    • Medico-Legal
    • The Truth Behind The Headlines
    • Case Reports
    • Pete's Bogus Journey
  • Reviews
    • Close
    • Reviews
    • Book Reviews
    • Journal Reviews
    • What's trending?
    • Tech Reviews
    • My Top Five
    • The Culture Section
  • Events
  • News
  • Product Guide
  • Industry News
  • Contact us
    • Close
    • Contact us
    • Write for Eye News
  • Home
  • Reviews
  • Journal Reviews
  • Van Herick Plus

Van Herick Plus
Reviewed by Jonathan Chan

2 December 2019 | Jonathan Chan | EYE - Glaucoma | angle, diagnostic tests/investigation, glaucoma incidence

This a consecutive cross-sectional study of 95 phakic patients over the age of 40-years-old. By applying a short, vertical slit beam, the inferior angle at the scleral-limbal junction at 6 o’clock position was evaluated, photographed and assessed by a ratio of peripheral anterior chamber depth to the peripheral corneal thickness (PAC-PCT) and the iridocorneal angle (ICA) on imageJ software. The inferior angle at the same meridian was also recorded on anterior segment optical coherence tomography (ASOCT). All the subjects were divided into four groups, based on the ratio of PAC/PCT: one (<1/4), two (1/4-1/2), three (>1/2-1), four (>1). The clinically assessed angle by short vertical slit beam correlated well with ASOCT values, scleral spur angle and trabecular-iris angle (TIA) (p<0.0001). The mean difference between ICA and TIA on ASOCT was 0.797 degrees (95% limits of agreement between 5.767 to 7.361 degrees). For narrow angles graded on ASOCT (TIA<20 degrees), using a cut-off of peripheral PAC: PCT<1/4, the area under the curve was 0.918 with a sensitivity of 85.2% and a specificity of 88.2%. The authors concluded that this clinical technique correlated well with ASOCT and was reliable and accurate screening tool for identifying occludable angles.

‘Van Herick Plus’: a modified grading scheme for the assessment of peripheral anterior chamber depth and angle.
Sihota R, Kamble N, Sharma AK, et al.
BRITISH JOURNAL OF OPHTHALMOLOGY
2019;103:960-5.
Share This
CONTRIBUTOR
Jonathan Chan

Royal Hallamshire Hospital, Sheffield, UK.

View Full Profile
Specialty
  • EYE - Cataract
  • EYE - Cornea
  • EYE - General
  • EYE - Glaucoma
  • EYE - Neuro-ophthalmology
  • EYE - Oculoplastic
  • EYE - Oncology
  • EYE - Orbit
  • EYE - Paediatrics
  • EYE - Pathology
  • EYE - Refractive
  • EYE - Strabismus
  • EYE - Vitreo-Retinal
Archive
  • 2025
  • 2024
  • 2023
  • 2022
  • 2021
  • 2020
  • 2019
  • 2018
  • 2017
  • 2016
  • 2015
  • 2014
  • 2013

Top Of Page

9 Gayfield Square, 
Edinburgh EH1 3NT, UK.

Call: +44 (0)131 557 4184
www.pinpoint-scotland.com

WEBSITE DETAILS
  • Cookie Policy
  • Data Protection Notice
  • Privacy Policy
  • Terms and Conditions
ABOUT US
  • Who we are
  • Register
  • Contact us
  • Contributors
  • Company Awards
DIGITAL ISSUES/GUIDELINES
  • Digital issues - Library
  • Supplements - Library
  • Guidelines
Accreditations
IPSO_FLAG_TEAL 2025.png cpdcertified.png

Pinpoint Scotland Ltd (Registered in Scotland No. SC068684) | © 2025 - Website by Gecko Agency