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韩国青光眼患者的中央角膜厚度

Central corneal thickness of Korean patients with glaucoma.

作者信息

Lee Eun Suk, Kim Chan Yun, Ha Seung Joo, Seong Gong Je, Hong Young Jae

机构信息

Department of Ophthalmology, Inha University College of Medicine, Incheon, Korea.

出版信息

Ophthalmology. 2007 May;114(5):927-30. doi: 10.1016/j.ophtha.2006.09.036. Epub 2007 Feb 21.

Abstract

OBJECTIVE

To characterize the central corneal thickness (CCT) in Koreans and assess CCT variation in different types of glaucoma.

DESIGN

Observational cross-sectional study.

PARTICIPANTS

Patients previously diagnosed as primary open-angle glaucoma (POAG, n = 343), normal-tension glaucoma (NTG, n = 192), and ocular hypertension (OHT, n = 44), as well as nonglaucomatous patients (n = 224) examined in a glaucoma clinic in Korea.

METHODS

Participants' CCT was measured by ultrasound pachymetry.

MAIN OUTCOME MEASURES

Mean CCT and its correlations with glaucoma diagnosis, age, spherical equivalent, gender, diabetes, and hypertension.

RESULTS

Mean CCT was highest in eyes with OHT (582.1 microm, P<0.0001), lowest in NTG (537.5 microm, P<0.0001), and intermediate and similar in eyes with POAG and healthy eyes (550.7 and 553.6 microm, respectively, P = 0.289). Central corneal thickness was inversely correlated with age (r = -0.12; P<0.0001). There was no statistically significant difference in mean CCT between eyes with different gender or presence of diabetes and hypertension. Mean CCT in normal and OHT eyes was weakly correlated with refractive error (P<0.05).

CONCLUSIONS

In Korean subjects, CCT is greatest in eyes with OHT and least in eyes with NTG.

摘要

目的

描述韩国人的中央角膜厚度(CCT)特征,并评估不同类型青光眼患者的CCT变化情况。

设计

观察性横断面研究。

参与者

在韩国一家青光眼诊所接受检查的既往诊断为原发性开角型青光眼(POAG,n = 343)、正常眼压性青光眼(NTG,n = 192)和高眼压症(OHT,n = 44)的患者,以及非青光眼患者(n = 224)。

方法

采用超声测厚法测量参与者的CCT。

主要观察指标

平均CCT及其与青光眼诊断、年龄、等效球镜度、性别、糖尿病和高血压的相关性。

结果

OHT患者的平均CCT最高(582.1微米,P<0.0001),NTG患者的平均CCT最低(537.5微米,P<0.0001),POAG患者和健康眼睛的平均CCT居中且相似(分别为550.7和553.6微米,P = 0.289)。中央角膜厚度与年龄呈负相关(r = -0.12;P<0.0001)。不同性别、是否患有糖尿病和高血压的患者之间,平均CCT无统计学显著差异。正常眼和OHT眼的平均CCT与屈光不正呈弱相关(P<0.05)。

结论

在韩国人群中,OHT患者的CCT最大,NTG患者的CCT最小。

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