Presentation on theme: "Biomechanical Properties of the Cornea in Normal- Tension Glaucoma Authors: Leonidas Traipe Ines Cayuqueo Fabiola Cerfogli Claudia Goya Allister Gibbons."— Presentation transcript:
Biomechanical Properties of the Cornea in Normal- Tension Glaucoma Authors: Leonidas Traipe Ines Cayuqueo Fabiola Cerfogli Claudia Goya Allister Gibbons Universidad de Chile. Fundación Oftalmológica los Andes. The authors have no financial interest
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.
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).
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
Results / CH R = 0.763 p<0.0001 R = 0.554 p<0.0001
Results / CRF R = 0.649 p <0.0001 R = 0.761 p <0.0001
Practically no correlation (r = 0.407). This means aproximately only 16.6% of ccIOP could be explained by the CRF (R 2 = 0,166) R = 0.407 p < 0.004
Results / gIOP R = 0.902 p <0.0001 R = 0.434 p < 0.002
ccIOP and CCT do not seem to be governed by a linear relantionship. Either: –There is no relationship –The relationship is more complex R = 0.182 p < 0.19
ccIOP was significantly higher than the gIOP. The average difference was 2.01 mmHg
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.
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. Conclusions