Pilot report: objective quantification of trabecular meshwork pigmentation using densitometry and the NIDEK GS-1 gonioscope in glaucoma patients

Daniel Laroche, Aaron Brown, Jose Sinon, Alexander Martin, Chester Ng, Sohail Sakkari

Research output: Contribution to journalArticlepeer-review

Abstract

In this case series, we present a methodology for a proof of principle for the development of a unique biomarker for pigmentary glaucoma to detect progression before nerve fiber layer loss. Out of the five patients in this case series, one was excluded because of an outlier due to pseudoexfoliation syndrome with excessively dense pigmentation of the trabecular meshwork. The remaining patients displayed a decreased visual field loss with increased superior to inferior trabecular meshwork ratios. This methodology, though limited due to small sample size, shows that in a limited number of patients, visual field loss is positively correlated with increased superior to inferior trabecular meshwork ratios. The next steps would be to look at patients without glaucoma and patients with pigmentary glaucoma, along with complete inter-eye comparisons for patients with unilateral exfoliation syndrome to act as controls. To our knowledge, this is a novel methodology, and if the pattern holds, it can act as proof of principle for the development of a novel early biomarker for pigmentary glaucoma to improve early intervention and delay vision loss.

Original languageEnglish
Article number1322178
JournalFrontiers in Ophthalmology
Volume3
DOIs
StatePublished - 2023

Keywords

  • NIDEK GS-1
  • biomarkers
  • densitometry
  • pigment dispersion glaucoma
  • pigmentary glaucoma
  • trabecular meshwork pigmentation

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