Ahmed Mohamed Attia Ali, Abdelhalim Ahmed Shawkat
Ophthalmology Department, Faculty of Medicine, Minia University, Minia, Egypt.
Clin Ophthalmol. 2020 Dec 24;14:4501-4506. doi: 10.2147/OPTH.S288391. eCollection 2020.
To evaluate variability in measured intraocular pressure (IOP) values when correlated with central corneal thickness measurements obtained by both ultrasonic and optical tools.
We included 46 eyes of 46 healthy subjects (age range 35-76 years). Exclusion criteria for the current study were patients with confirmed diagnosis of glaucoma, glaucoma suspect patients and those having corneal opacities, scars or prior cornea-based laser vision correction. Central corneal thickness (CCT) was measured using two methods: ultrasonically (CCT1) by pachymeter and optically (CCT2) using anterior-segment optical coherence tomography (AS-OCT). The IOP was measured in all subjects using Goldmann applanation tonometry (GAT).
No significant difference was detected comparing intraocular pressure values and CCT-corrected intraocular pressure (IOPcc1 and IOPcc2) (=0.47 and =0.06, respectively) among the study participants. A significant negative correlation was found between corneal thickness-corrected IOP values and the measured central corneal thickness by both optical and ultrasonic tools (=0.004 and =0.001, respectively).
Intraocular pressure appears to be dependent and positively correlated with CCT changes. However, this does not appear to depend largely on methods used for measuring the CCT in the current study. Corrected intraocular pressure is negatively correlated to both ultrasonically and optically measured central corneal thickness.
评估与通过超声和光学工具获得的中央角膜厚度测量值相关时,测量的眼压(IOP)值的变异性。
我们纳入了46名健康受试者(年龄范围35 - 76岁)的46只眼睛。本研究的排除标准为确诊青光眼患者、青光眼疑似患者以及有角膜混浊、瘢痕或既往接受过角膜屈光手术的患者。使用两种方法测量中央角膜厚度(CCT):通过测厚仪超声测量(CCT1)以及使用眼前节光学相干断层扫描(AS - OCT)进行光学测量(CCT2)。所有受试者均使用Goldmann压平眼压计(GAT)测量眼压。
在研究参与者中,比较眼压值和CCT校正眼压(IOPcc1和IOPcc2)时未检测到显著差异(分别为=0.47和=0.06)。通过光学和超声工具测量的角膜厚度校正眼压值与测量的中央角膜厚度之间均发现显著负相关(分别为=0.004和=0.001)。
眼压似乎依赖于CCT变化且呈正相关。然而,在本研究中,这似乎在很大程度上并不取决于用于测量CCT的方法。校正眼压与超声和光学测量的中央角膜厚度均呈负相关。