1 / 12

Biomechanical Properties of the Cornea in Normal-Tension Glaucoma

Authors: Leonidas Traipe Ines Cayuqueo Fabiola Cerfogli Claudia Goya Allister Gibbons. Biomechanical Properties of the Cornea in Normal-Tension Glaucoma. The authors have no financial interest. Universidad de Chile. Fundación Oftalmológica los Andes. Purpose/Objectives.

eli
Download Presentation

Biomechanical Properties of the Cornea in Normal-Tension Glaucoma

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Authors: Leonidas Traipe Ines Cayuqueo Fabiola Cerfogli Claudia Goya Allister Gibbons Biomechanical Properties of the Cornea in Normal-Tension Glaucoma The authors have no financial interest Universidad de Chile. Fundación Oftalmológica los Andes.

  2. Purpose/Objectives • To evaluate corneal Hysteresis (CH), Corneal resistance factor (CRF), Corneal Compensated IOP (ccIOP) and Goldman type IOP (gIOP), in patients with the diagnosis of normal-tension glaucoma.

  3. Materials/Methods • We analyzed 49 eyes of 26 patients seen in our center. 22 (84.6%) of patients were female. The total sample had on average 68 ± 9.9 years. • We identified the patients through the retrospective revision of clinical charts, and posteriorly examined them between March and July of 2008. • The patients were examined with the Reichert Ocular Response Analyzer and Ultrasonic Pachimetry (CCT).

  4. Inclusion Criteria • • Confirmed Diagnosis of Normal-Tension Glaucoma (NTG) • • IOP < 21 mmHg with the Goldman aplanation Tonometer in all examinations without treatment • • Open Angle determined by gonioscopy • • Typicall glaucomatous optic disc damage, excavation size, notch, etc. • • Visual Field Defect compatible with the Optic Nerve Defect • • No previous intraocular surgery • Exclusion Criteria • • IOP > 21 mmHg with the Goldman aplanation Tonometer in any examination without treatment • • Corneal ectasia • • Contact lens user • • Pregnancy

  5. Results / CH R = 0.763 p<0.0001 R = 0.554 p<0.0001

  6. Results / CRF R = 0.761 p <0.0001 R = 0.649 p <0.0001

  7. R = 0.407 p < 0.004 • Practically no correlation (r = 0.407). • This means aproximately only 16.6% of ccIOP could be explained by the CRF (R2 = 0,166)

  8. Results / gIOP R = 0.902 p <0.0001 R = 0.434 p < 0.002

  9. R = 0.182 p < 0.19 • ccIOP and CCT do not seem to be governed by a linear relantionship. Either: • There is no relationship • The relationship is more complex

  10. ccIOP was significantly higher than the gIOP. The average difference was 2.01 mmHg

  11. Conclusions • In our sample of NTG patients, Corneal Compensated IOP was higher than goldman simulated IOP - Approximately 2 mmHg. • Corneal Resistance Factor: • Correlated positively with gIOP (R=0,76) • Correlated poorly with ccIOP (R=0,41) • There was a strong correlation between Corneal Hysteresis and Corneal Resistance Factor.

  12. Conclusions • In our study population, our results differed from expected in that: • We found some correlation between Corneal Hysteresis and Corneal Resistance Factor with the Central Corneal Thickness. • There seems to be none or poor correlation between gIOP or ccIOP with Central Corneal Thickness. • This could be explained in part because: • We used a diseased population. • We studied a population (chilean) for which we have no normal values calculated.

More Related