Evaluation of Ocular Anterior Chamber Depth and Body Mass Index in Normal Blacks in a Nigerian City

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I. N. Aprioku
C. S. Ejimadu


Aim: To evaluate ocular anterior chamber depth (ACD) and body mass index (BMI) in a normal population in Port Harcourt City Local Government Area (LGA), with a view to determine formulae in estimating intraocular lens power for cataract surgeries and possible association with angle closure glaucoma and other ocular pathological conditions.           

Methods: This is a multi-stage study with inclusion criteria of Visual Acuity > 6/18, age greater than 18 years with no history of past ocular surgeries or trauma. Data obtained through a structured proforma included age, sex, tribe, occupation and level of education. Body Mass Index (BMI) was measured using a standard height and weight automated scale (SECA 769,220). Comprehensive ocular examination done and Anterior Chamber Depth (ACD) measured using Amplitude (A) scan ultrasonography (SONOMED PACSCAN 300AP). Data was analyzed using SPSS (Version 17), and p value was set at ≤ 0.05.

Results: Four hundred and sixty six (466) subjects participated in the study made up of two hundred and twelve (212) males (45.5%) and two hundred and fifty four (254) females (54.5%) with M: F ratio of 1:1.2. The age range was 18-92 years and mean age of the subjects studied 43.0±14.2 years. Findings revealed mean ACD and Body Mass Index to be 3.1±0.5 mm and 26.9±6.2 kg/m2 respectively. The mean ACD was greater in males than females. There was a statistically significant relationship between age and ACD. Obesity was found to be higher in females (n=97; 78.2%) compared to the males among those with BMI >30Kg/m2 and this was found to be statistically significant (p=0.0001). A larger proportion of subjects with normal BMI and overweight BMI 25-29.5 Kg/m2 were males. There was a statistically significant difference in the ACD values between genders among those overweight (BMI 25- 29.5 Kg/m2) and the obese (BMI >30 Kg/m2).

Conclusion: There was a statistically significant difference in the ACD values between genders among those overweight.

Evaluation, ocular, anterior, chamber, depth, mass index, black

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How to Cite
Aprioku, I., & Ejimadu, C. (2019). Evaluation of Ocular Anterior Chamber Depth and Body Mass Index in Normal Blacks in a Nigerian City. Ophthalmology Research: An International Journal, 11(1), 1-8. https://doi.org/10.9734/or/2019/v11i130116
Original Research Article


Nangia V, Jonas JB, Matin A, Kulkarni M, Sinha A, Gupta R. Body height and ocular dimensions in the adult population in rural Central India. The Central India Eye and Medical Study. Graefes Arch Clin Exp Ophthalmol. 2010;248:1657–1666.

Patel RP, Pandit RT. Comparison of Anterior Chamber Depth Measurements from the Galilei Dual Scheimpflug Analyzer with IOLMaster. J Ophthalmol. 2012; 430249.

Jonas JB, Nangia V, Gupta R, Khare A, Sinha A, Agarwal S, et al. Anterior chamber depth and its associations with ocular and general parameters in adults. Clin Exp Ophthalmol. 2012;40:550–556.

Duane P, Fellman RLSL. Gonioscopy. In: Duane’s Ophthalmology on CD-ROM. Lipincotts Williams and Wilkins. 2006;3: (Chapter 44).

Foster PJ, Broadway DC, Hayat S, Luben R, Dalzell N, Bingham S, et al. Refractive error, axial length and anterior chamber depth of the eye in British adults: the EPIC-Norfolk Eye Study. Br J Ophthalmol. 2010;94:827–830.

Hoffer KJ. Axial dimension of the human cataractous lens. Arch Ophthalmol. 1993; 111:914–918.

Axial length. Encycl. Ophthalmol; 2013.
Available:http://www.springerreference.com/docs/html/chapterdbid/335541.html [Assessed 22 Jul 2014]

Caulfield LE, West SK, Barrón Y, Cid-Ruzafa J. Anthropometric status and cataract: The Salisbury Eye Evaluation project. Am J Clin Nutr. 1999;69:237–242.

Wong TY, Foster PJ, Johnson GJ, Klein BE, Seah SK. The relationship between ocular dimensions and refraction with adult stature: The Tanjong Pagar survey. Invest Ophthalmol Vis Sci. 2001;42:1237–1242.

Momeni-Moghaddam H, Kundart J, Ehsani M, Abdeh-Kykha A. Body mass index and binocular vision skills. Saudi J Ophthalmol. 2012;26:331–334.

Cheung N, Saw SM, Islam FMA, Rogers SL, Shankar A, de Haseth K, et al. BMI and retinal vascular caliber in children. Obes (Silver Spring). 2007;15:209–215.

Lin CP, Lin YS, Wu SC, Ko YS. Age- and gender-specific association between intraocular pressure and metabolic variables in a Taiwanese population. Eur J Intern Med. 2012;23:76–82.

Comparison of IOL master and ultrasound biomicroscopy in anterior chamber depth measurement. Int J Ophthalmol. 2009;2: 352–354.

Wong TY, Liew G, Cheung N. Gonioscopy. In: Ophthalmology Examinations Review. Singapore: World Scientific Publishing Co. Pte.Ltd. 2011;61–63.

Wong TY, Foster PJ, Ng TP, Tielsch JM, Johnson GJ, Seah SK. Variations in ocular biometry in an adult Chinese population in Singapore: The Tanjong Pagar survey. Invest Ophthalmol Vis Sci. 2001;42:73–80.

Shufelt C, Fraser-Bell S, Ying-Lai M, Torres M, Varma R. Refractive error, ocular biometry, and lens opalescence in an adult population: the Los Angeles Latino Eye Study. Invest Ophthalmol Vis Sci. 2005;46:4450–4460.

Olurin O. Anterior chamber depths of Nigerians. Ann Ophthalmol. 1977;9:315–326.

Ashaye AO. The anterior chamber angles in Nigerians. Afr J Med Med Sci. 2003; 32:315–320.

Wang D, Huang G, He M, Wu L, Lin S. Comparison of anterior ocular segment biometry features and related factors among American Caucasians, American Chinese and mainland Chinese. Clin Exp Ophthalmol. 2012;40:542–549.

Fotedar R, Wang JJ, Burlutsky G, Morgan IG, Rose K, Wong TY, et al. Distribution of axial length and ocular biometry measured using partial coherence laser interfer-ometry (IOL Master) in an older white population. Ophthalmology. 2010;117:417–423.

Elabjer BK, Petrinović-Doresić J, Durić M, Busić M, Elabjer E. Cross-sectional study of ocular optical components interactions in emmetropes. Coll Antropol. 2007;31: 743–749.

WHO. The International Classification of adult underweight, overweight and obesity according to BMI; 2011.
[Assessed Jun 23 2014]

Stevens GA, Singh GM, Lu Y, Danaei G, Lin JK, Finucane MM, et al. National, regional, and global trends in adult overweight and obesity prevalences. Popul Heal Metr. 2012;10:22.

Chiu HC, Chang HY, Mau LW, Lee TK, Liu HW. Height, weight, and body mass index of elderly persons in Taiwan. J Gerontol A Biol Sci Med Sci. 2000;55: M684–690.

Desalu OO, Salami AK, Oluboyo POOJ. Prevalence and sociodemographic determinants of obesity among adults in an urban Nigerian population. Sahel Med J. 2008;11:61–64.

John C, Ohagwu KA, Isa SE, Ogah OS. Prevalence of overweight and obesity in adult Nigerians – A systematic review. Diabetes, Metabollic Syndr Obes Targets Ther. 2013;6:43–47.

Adio AO, Onua AA, Arowolo D. Ocular Axial Length and Keratometry Readings of Normal Eyes in Southern Nigeria. Niger J Ophthalmol. 2010;18:12–14.

Hashemi H, Khabazkhoob M, Miraftab M, Emamian MH, Shariati M, Abdolahinia T, et al. The distribution of axial length, anterior chamber depth, lens thickness, and vitreous chamber depth in an adult population of Shahroud, Iran. BMC Ophthalmol. 2012;12:50.