Roszkowska Anna M, Colosi Pietro, Ferreri Felicia M B, Galasso Santo
Ophthalmology Clinic, Department of the Surgical Specialties, University of Messina, Messina, Italy.
Ophthalmologica. 2004 Sep-Oct;218(5):350-5. doi: 10.1159/000079478.
To evaluate central and peripheral corneal sensitivity (CS) in relation to age.
Five hundred eyes of 320 healthy subjects (185 males and 135 females) were examined. The age of participants ranged from 20 to 90 years. All subjects were divided into 3 groups according to age. CS was assessed with the Cochet-Bonnet esthesiometer in the central cornea and in 8 peripheral points. The averages were used as the values of central and peripheral CS.
In the young population, CS was equal in both examined zones (p > 0.05); although, with respect to the periphery after the fifth decade, it was significantly higher in the centre (p < 0.05). Both central and peripheral sensitivity decreased with age (p < 0.05), and such variations are represented by parabolic curves. No differences were observed between males and females.
The age-related decrement of CS involves at first the corneal periphery and successively spreads toward the central zone. Topographical distribution and age-related modifications should be considered in clinical investigations of CS, especially in patients who underwent any corneal surgical procedure.
评估中央和周边角膜敏感性(CS)与年龄的关系。
对320名健康受试者(185名男性和135名女性)的500只眼睛进行检查。参与者年龄在20至90岁之间。所有受试者根据年龄分为3组。使用科谢-博内眼压计评估中央角膜和8个周边点的CS。平均值用作中央和周边CS的值。
在年轻人群中,两个检查区域的CS相等(p>0.05);然而,在第五个十年之后,相对于周边,中央的CS显著更高(p<0.05)。中央和周边敏感性均随年龄下降(p<0.05),且这种变化由抛物线曲线表示。男性和女性之间未观察到差异。
与年龄相关的CS降低首先涉及角膜周边,随后向中央区域扩散。在CS的临床研究中,尤其是在接受过任何角膜手术的患者中,应考虑地形分布和与年龄相关的变化。