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通过中央角膜厚度测量校正眼内压变异性。

Corrected Intraocular Pressure Variability with Central Corneal Thickness Measurement.

作者信息

Ahmed Mohamed Attia Ali, Abdelhalim Ahmed Shawkat

机构信息

Ophthalmology Department, Faculty of Medicine, Minia University, Minia, Egypt.

出版信息

Clin Ophthalmol. 2020 Dec 24;14:4501-4506. doi: 10.2147/OPTH.S288391. eCollection 2020.

DOI:10.2147/OPTH.S288391
PMID:33380784
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7769138/
Abstract

PURPOSE

To evaluate variability in measured intraocular pressure (IOP) values when correlated with central corneal thickness measurements obtained by both ultrasonic and optical tools.

PATIENTS AND METHODS

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).

RESULTS

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).

CONCLUSION

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.

摘要

目的

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。

患者与方法

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。

结果

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)。

结论

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。

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Clin Optom (Auckl). 2019 Oct 17;11:127-133. doi: 10.2147/OPTO.S220776. eCollection 2019.
2
Difference in intraocular pressure measurements between non-contact tonometry and Goldmann applanation tonometry and the role of central corneal thickness in affecting glaucoma referrals.非接触眼压测量法与戈德曼压平眼压测量法之间眼压测量值的差异以及中央角膜厚度在影响青光眼转诊中的作用。
Ir J Med Sci. 2019 Feb;188(1):321-325. doi: 10.1007/s11845-018-1795-0. Epub 2018 Apr 4.
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Tonometers-which one should I use?眼压计——我应该用哪一种?
Eye (Lond). 2018 May;32(5):931-937. doi: 10.1038/s41433-018-0040-4. Epub 2018 Feb 19.
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Clinical Evaluation of Methods to Correct Intraocular Pressure Measurements by the Goldmann Applanation Tonometer, Ocular Response Analyzer, and Corvis ST Tonometer for the Effects of Corneal Stiffness Parameters.通过Goldmann压平眼压计、眼反应分析仪和Corvis ST眼压计校正眼压测量方法对角膜硬度参数影响的临床评估
J Glaucoma. 2016 Jun;25(6):510-9. doi: 10.1097/IJG.0000000000000359.
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