Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, 100005, Beiing, China.
Graefes Arch Clin Exp Ophthalmol. 2010 Nov;248(11):1579-85. doi: 10.1007/s00417-010-1369-y. Epub 2010 May 22.
To examine a potential correlation between a thin cornea, a thin lamina cribrosa and a thin peripapillary sclera in normal eyes of Chinese, as surrogate for a presumed association between a thin cornea and an increased glaucoma susceptibility.
The histomorphometric study included 55 non-glaucomatous globes (55 patients; mean age: 41.6 ± 13.6 years) enucleated due to a malignant choroidal melanoma without involvement of the optic nerve or trabecular meshwork. The axial length ranged between 21 and 27 mm. Histological sections through the pupil and the optic disc were morphometrically evaluated. We measured the thickness of the central cornea, central and peripheral lamina cribrosa, and peripapillary sclera.
The mean central corneal thickness (500 ± 68 μm) was statistically not significantly associated with the thickness of the central lamina cribrosa (207 ± 60 μm) (P = 0.62), peripheral lamina cribrosa (P = 0.61), peripapillary sclera close to the optic nerve canal (P = 0.18), peripapillary sclera just outside of the optic nerve meninges (P = 0.11), nor with the shortest distance between the prelaminar space and cerebrospinal fluid space (P = 0.09).
In Chinese, central corneal thickness is not significantly correlated with the thickness of the central and peripheral lamina cribrosa and the thickness of the peripapillary sclera nor with the shortest distance between the intraocular space and the cerebrospinal fluid space. These histomorphometric data do not support a relationship between central corneal thickness and thickness of structures of the optic nerve head, and thus do not support an association between a thin cornea and increased structural glaucoma susceptibility.
研究中国人正常眼中薄角膜、薄筛板和视乳头周围巩膜之间的潜在相关性,作为薄角膜与增加青光眼易感性之间假定关联的替代指标。
这项组织形态计量学研究纳入了 55 例(55 只眼)因恶性脉络膜黑色素瘤而摘除的非青光眼眼球(平均年龄:41.6±13.6 岁),这些眼球未累及视神经或小梁网。眼轴长度在 21 至 27 毫米之间。通过瞳孔和视盘进行组织学切片,并进行形态计量评估。我们测量了中央角膜、中央和周边筛板以及视乳头周围巩膜的厚度。
中央角膜平均厚度(500±68μm)与中央筛板(207±60μm)(P=0.62)、周边筛板(P=0.61)、视神经管附近的视乳头周围巩膜(P=0.18)、视神经脑膜外的视乳头周围巩膜(P=0.11)以及前房与脑脊液空间之间最短距离(P=0.09)均无统计学显著相关性。
在中国人群中,中央角膜厚度与中央和周边筛板的厚度以及视乳头周围巩膜的厚度之间无显著相关性,也与眼内空间与脑脊液空间之间最短距离无相关性。这些组织形态计量学数据不支持中央角膜厚度与视神经头结构厚度之间存在关系,因此不支持薄角膜与增加结构性青光眼易感性之间的关联。