Wong 2009b.
| Study characteristics | |||
| Patient Sampling | Cohort study. Recruited from a glaucoma clinic. Data from one eye were included in the analysis. | ||
| Patient characteristics and setting | Sample size: 45 eyes (17 narrow angle and 28 open angle). Age: mean (SD), 62.5 ± 9.1 years. Sex: 28 (62.2%) female. Setting: secondary care. Country: Singapore. Ethnicity: 41 (91.1%) Chinese. Exclusions: history of previous intraocular surgery or penetrating trauma or any cornea opacities or abnormalities that precluded angle imaging.. |
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| Index tests |
AS‐OCT: time domain, Visante; Carl Zeiss Meditec HD‐OCT: spectral domain, Cirrus‐OCT; Carl Zeiss Meditec Dublin, California Subjective cut‐off criteria used for both devices i.e. if there was any contact between the iris and angle wall anterior to the scleral spur in one quadrant. |
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| Target condition and reference standard(s) | Gonioscopy, an angle was considered occludable if the posterior trabecular meshwork could not be seen in the primary position without indentation (Scheie grade 3 or 4) in at least 90 degrees. | ||
| Flow and timing | There were no uninterpretable test results or exclusions reported. The index test and reference standard were conducted on the same occasion. | ||
| Comparative | |||
| Notes | Conflict of interest: Dr Wong has received financial support and honoraria for travel to conferences from Carl Zeiss Meditec and Heidelberg Engineering. Dr Friedman has received an instrument loan and has been a consultant for Carl Zeiss Meditec. Dr T. Aung has received grant funding as well as financial support and honoraria for travel to conferences from Carl Zeiss Meditec. Patients who had undergone peripheral iridotomy were not excluded. |
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| Methodological quality | |||
| Item | Authors' judgement | Risk of bias | Applicability concerns |
| DOMAIN 1: Patient Selection | |||
| Was a consecutive or random sample of patients enrolled? | Yes | ||
| Was a case‐control design avoided? | Yes | ||
| Did the study avoid inappropriate exclusions? | Yes | ||
| Could the selection of patients have introduced bias? | Low 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) | |||
| 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? | Low concern | ||
| DOMAIN 2: Index Test (SPAC) | |||
| DOMAIN 2: Index Test (Flashlight) | |||
| 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 | ||