Gracitelli 2014.
Study characteristics | |||
Patient Sampling | Cohort study. Participants with glaucoma or who were glaucoma suspects were enrolled when attending an outpatient clinic. Data from one eye were included in the analysis. | ||
Patient characteristics and setting | Sample size: 45 eyes (9 narrow angle and 36 open angle). Age: mean (SD), 47.1 ± 16.4, range 19‐85 years. Sex: 30 (67.7%) female. Setting: secondary care. Country: Brazil. Ethnicity: not reported. Exclusions: conditions precluding clear visualization of the AC (e.g. pterygium, corneal opacity), congenital anterior segment, abnormalities, eyelid alterations, ocular trauma and intraocular surgery (incisional or laser procedures). |
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Index tests | Flashlight: A flashlight beam was directed parallel to the iris from the temporal side. Eyes identified as having a narrow anterior chamber were those in which a nasal iris shadow, formed between the limbus and the pupillary edge, was visualised (grade 1). Cut‐off value grade 1 was used for the analysis. | ||
Target condition and reference standard(s) | Gonioscopy was performed in a dark room. An occludable angle was defined as the posterior trabecular meshwork not visible in 2 or more quadrants without indentation (≥ 180 degrees). | ||
Flow and timing | Eyes which were excluded or had uninterpretable test results were not reported. The index test and reference standard were conducted on the same occasion. | ||
Comparative | |||
Notes | Conflict of interest: authors reported no conflicts of interest. | ||
Methodological quality | |||
Item | Authors' judgement | Risk of bias | Applicability concerns |
DOMAIN 1: Patient Selection | |||
Was a consecutive or random sample of patients enrolled? | Unclear | ||
Was a case‐control design avoided? | Yes | ||
Did the study avoid inappropriate exclusions? | Yes | ||
Could the selection of patients have introduced bias? | Unclear risk | ||
Are there concerns that the included patients and setting do not match the review question? | Low concern | ||
DOMAIN 2: Index Test (LACD) | |||
DOMAIN 2: Index Test (Scheimpflug photography) | |||
DOMAIN 2: Index Test (AS‐OCT) | |||
DOMAIN 2: Index Test (SPAC) | |||
DOMAIN 2: Index Test (Flashlight) | |||
Were the index test results interpreted without knowledge of the results of the reference standard? | Yes | ||
If a threshold was used, was it pre‐specified? | Yes | ||
Could the conduct or interpretation of the index test have introduced bias? | Low risk | ||
Are there concerns that the index test, its conduct, or interpretation differ from the review question? | Unclear | ||
DOMAIN 3: Reference Standard | |||
Is the reference standards likely to correctly classify the target condition? | Yes | ||
Were the reference standard results interpreted without knowledge of the results of the index tests? | Yes | ||
Could the reference standard, its conduct, or its interpretation have introduced bias? | Low risk | ||
Are there concerns that the target condition as defined by the reference standard does not match the question? | Low concern | ||
DOMAIN 4: Flow and Timing | |||
Was there an appropriate interval between index test and reference standard? | Yes | ||
Were all patients included in the analysis? | Yes | ||
Did all patients receive a reference standard | Yes | ||
Could the patient flow have introduced bias? | Low risk |