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The EZ ratio method is one way to calculate the estimated anterior chamber depth. [2] To start, the patient looks at a target in the distance with one eye covered. The examiner takes a digital photograph of the open, examined eye, from the side, perpendicular to the visual axis (a profile photograph).
The Van Herick's technique has become the most commonly used qualitative method of assessing the size of the anterior chamber angle (ACA). Whereby, it involves comparing the depth of the peripheral anterior chamber to the thickness of the cornea, when a narrow beam is shone within the limbus at a 60°angle. [4]
The anterior chamber angle is a part of the eye located between the cornea and iris which contains the trabecular meshwork. The size of this angle is an important determinant of the rate aqueous humour flows out of the eye, and thus, the intraocular pressure. The anterior chamber angle is the structure which determines the anterior chamber depth.
Anterior chamber depth (ACD, i.e. the distance between the crystalline lens and cornea including the corneal thickness) is required before the surgery and measured with the use of ultrasound. Iris-fixated IOLs are fixated to iris therefore they have the advantage of being one size (8.5 mm).
The anterior segment or anterior cavity [1] is the front third of the eye that includes the structures in front of the vitreous humour: the cornea, iris, ciliary body, and lens. [2] [3] Within the anterior segment are two fluid-filled spaces: the anterior chamber between the posterior surface of the cornea (i.e. the corneal endothelium) and the ...
The former, the anterior segment is the front sixth [8] of the eye that includes the structures in front of the vitreous humour: the cornea, iris, ciliary body, and lens. [6] [11] Within the anterior segment are two fluid-filled spaces: the anterior chamber between the posterior surface of the cornea (i.e. the corneal endothelium) and the iris.
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The central corneal power is the second important factor in the calculation formula. To simplify the calculation, the cornea is assumed to be a thin spherical lens with a fixed anterior to posterior corneal curvature ratio and an index of refraction of 1.3375. Central corneal power can be measured by keratometry or corneal topography.