Corneal biomechanical properties in primary open angle glaucoma and normal tension glaucoma.

PURPOSE: To determine and compare the corneal biomechanical properties between eyes with primary open angle glaucoma (POAG) and eyes with normal tension glaucoma (NTG). PATIENTS AND METHODS: Prospective cross-sectional study. Consecutive eligible POAG and NTG patients attending the Glaucoma Clinic...

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Main Authors: Ang, G, Bochmann, F, Townend, J, Azuara-Blanco, A
Format: Journal article
Language:English
Published: 2008
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author Ang, G
Bochmann, F
Townend, J
Azuara-Blanco, A
author_facet Ang, G
Bochmann, F
Townend, J
Azuara-Blanco, A
author_sort Ang, G
collection OXFORD
description PURPOSE: To determine and compare the corneal biomechanical properties between eyes with primary open angle glaucoma (POAG) and eyes with normal tension glaucoma (NTG). PATIENTS AND METHODS: Prospective cross-sectional study. Consecutive eligible POAG and NTG patients attending the Glaucoma Clinic had assessment of their corneal biomechanical properties-corneal hysteresis (CH) and corneal resistance factor (CRF)-using the Ocular Response Analyzer by an observer masked to the diagnosis. Exclusion criteria included previous intraocular surgery, corneal pathology, inflammatory connective tissue disease, and refraction of 5-dimensional or over. If both eyes were eligible, then the right eye was used for analysis. The main outcome measures were corneal hysteresis and CRF measurements. Data analysis was performed using the t test and general linear model. RESULTS: Eighty-one patients (80 whites) were analyzed. Forty had NTG, whereas 41 had POAG. Thirty-five were females. There was a statistically significant difference in mean CH (NTG 9.6+/-1.3 mm Hg; POAG 9.0+/-1.4 mm Hg; P=0.01), but not in mean CRF (NTG 9.9+/-1.4; POAG 10.8+/-1.7; P=0.06). The highest recorded Goldmann applanation intraocular pressure (IOP) was statistically significantly associated with lower CH (P=0.01) and higher CRF (P=0.02). CONCLUSIONS: There was a small but statistically significant difference in the mean CH between POAG and NTG (CH was higher in NTG). The highest recorded Goldmann applanation IOP was also statistically significantly correlated with lower CH and higher CRF, suggesting that alterations to the corneal biomechanical properties may occur as a result of chronic raised IOP in POAG.
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spelling oxford-uuid:b97e0d98-b12a-4fb5-974b-47ef29e69d6c2022-03-27T05:03:11ZCorneal biomechanical properties in primary open angle glaucoma and normal tension glaucoma.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:b97e0d98-b12a-4fb5-974b-47ef29e69d6cEnglishSymplectic Elements at Oxford2008Ang, GBochmann, FTownend, JAzuara-Blanco, A PURPOSE: To determine and compare the corneal biomechanical properties between eyes with primary open angle glaucoma (POAG) and eyes with normal tension glaucoma (NTG). PATIENTS AND METHODS: Prospective cross-sectional study. Consecutive eligible POAG and NTG patients attending the Glaucoma Clinic had assessment of their corneal biomechanical properties-corneal hysteresis (CH) and corneal resistance factor (CRF)-using the Ocular Response Analyzer by an observer masked to the diagnosis. Exclusion criteria included previous intraocular surgery, corneal pathology, inflammatory connective tissue disease, and refraction of 5-dimensional or over. If both eyes were eligible, then the right eye was used for analysis. The main outcome measures were corneal hysteresis and CRF measurements. Data analysis was performed using the t test and general linear model. RESULTS: Eighty-one patients (80 whites) were analyzed. Forty had NTG, whereas 41 had POAG. Thirty-five were females. There was a statistically significant difference in mean CH (NTG 9.6+/-1.3 mm Hg; POAG 9.0+/-1.4 mm Hg; P=0.01), but not in mean CRF (NTG 9.9+/-1.4; POAG 10.8+/-1.7; P=0.06). The highest recorded Goldmann applanation intraocular pressure (IOP) was statistically significantly associated with lower CH (P=0.01) and higher CRF (P=0.02). CONCLUSIONS: There was a small but statistically significant difference in the mean CH between POAG and NTG (CH was higher in NTG). The highest recorded Goldmann applanation IOP was also statistically significantly correlated with lower CH and higher CRF, suggesting that alterations to the corneal biomechanical properties may occur as a result of chronic raised IOP in POAG.
spellingShingle Ang, G
Bochmann, F
Townend, J
Azuara-Blanco, A
Corneal biomechanical properties in primary open angle glaucoma and normal tension glaucoma.
title Corneal biomechanical properties in primary open angle glaucoma and normal tension glaucoma.
title_full Corneal biomechanical properties in primary open angle glaucoma and normal tension glaucoma.
title_fullStr Corneal biomechanical properties in primary open angle glaucoma and normal tension glaucoma.
title_full_unstemmed Corneal biomechanical properties in primary open angle glaucoma and normal tension glaucoma.
title_short Corneal biomechanical properties in primary open angle glaucoma and normal tension glaucoma.
title_sort corneal biomechanical properties in primary open angle glaucoma and normal tension glaucoma
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