Cohen S R, Polse K A, Brand R J, Mandell R B
University of California, School of Optometry, Berkeley 94720.
Invest Ophthalmol Vis Sci. 1990 Jul;31(7):1282-7.
Overall corneal hydration control expressed as the percent recovery per hour (PRPH) can be assessed with an exponential model that uses data derived from two kinds of corneal thickness measurements; one from monitoring recovery after inducing corneal swelling, and the other from measurements made after the eye has been open long enough to reach its open-eye steady-state (OESS) corneal thickness. Up to now these thickness measurements have been made without controlling the ambient humidity. It is possible that changes in relative humidity may effect tear film osmolarity sufficiently to change the state of corneal hydration. To evaluate the effects of humidity on hydration control, the OESS and PRPH were determined under several humidity levels. For both the OESS and the PRPH, two substudies were conducted. For the OESS, substudy 1 consisted of measuring corneal thickness when humidity was changed from 30% (ambient) to 52 or 97% controlled humidity. This resulted in mean +/- standard deviation (SD) changes in OESS thickness amounting to -0.33 +/- 3.5 microns and 2.6 +/- 3.4 microns, respectively, with a differential change of 2.94 +/- 3.04 microns (95% confidence interval [CI] from 0.77 to 5.11 microns). Corresponding results for substudy 2 connected with changes from 43% (ambient) to 12 or 97% controlled humidity were -2.4 +/- 2.7 microns and -0.3 +/- 1.9 microns, respectively, with a differential change of 2.1 +/- 1.8 microns (95% CI from 0.9 to 3.4 microns).(ABSTRACT TRUNCATED AT 250 WORDS)
整体角膜水合控制以每小时恢复百分比(PRPH)表示,可通过指数模型进行评估,该模型使用来自两种角膜厚度测量的数据;一种来自诱导角膜肿胀后监测恢复情况,另一种来自眼睛睁开足够长时间以达到其睁眼稳态(OESS)角膜厚度后的测量。到目前为止,这些厚度测量是在未控制环境湿度的情况下进行的。相对湿度的变化可能足以影响泪膜渗透压,从而改变角膜水合状态。为了评估湿度对水合控制的影响,在几个湿度水平下测定了OESS和PRPH。对于OESS和PRPH,都进行了两项子研究。对于OESS,子研究1包括在湿度从30%(环境湿度)变为52%或97%控制湿度时测量角膜厚度。这导致OESS厚度的平均±标准差(SD)变化分别为-0.33±3.5微米和2.6±3.4微米,差异变化为2.94±3.04微米(95%置信区间[CI]为0.77至5.11微米)。与湿度从43%(环境湿度)变为12%或97%控制湿度相关的子研究2的相应结果分别为-2.4±2.7微米和-0.3±1.9微米,差异变化为2.1±1.8微米(95%CI为0.9至3.4微米)。(摘要截断于250字)