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Concerns Regarding ACADEMIA—Reply
Christopher Kai-shun Leung, MB, ChB, MD;
Dexter Yu-lung Leung, MRCS(Ed), DRCOphth;
Clement Chi-yung Tham, FRCS(G);
Dennis Shun-chiu Lam, MD, FRCOphth
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In reply
We thank Dr Kumar and colleagues for their interest in our work on the ACADEMIA.1 We fully agree that the independence of scleral spur identification limits the potential of the ACADEMIA to give a precise measurement in appositional angle closure. From the clinical point of view, it would be less meaningful to subject an image to angle measurement if it is already evident that the angle is appositionally closed, and this was addressed in our article. We would expect similar problems to occur whenever there is iridocorneal apposition at or above the level of the trabecular meshwork. Nevertheless, as long as there is no iridocorneal touch, most of the narrow angles can be correctly identified and measured by the algorithm. The ACADEMIA is a reproducible algorithm because any . . . [Full Text of this Article]
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RELATED LETTER
Concerns Regarding ACADEMIA
Rajesh S. Kumar, Lisandro M. Sakata, and Tin Aung
Arch Ophthalmol. 2007;125(8):1140.
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Novel Approach for Anterior Chamber Angle Analysis: Anterior Chamber Angle Detection With Edge Measurement and Identification Algorithm (ACADEMIA)
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Arch Ophthalmol. 2006;124(10):1395-1401.
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