Central corneal thickness, radius of the corneal curvature and intraocular pressure in normal subjects using non-contact techniques: Reykjavik Eye Study.

PURPOSE To establish a population profile of central corneal thickness (CCT), radius of the corneal curvature (CC) and intraocular pressure (IOP) and the relationships between them using non-contact techniques. METHODS We used a population-based random sample of 415 male and 510 female Caucasians aged 50 years and older. CCT and the radius of CC were measured with Scheimpflug anterior segment photography. IOP was measured with air-puff tonometry. RESULTS The mean IOP of right eyes was 15.1 mmHg (SD 3.3) among men and 15.8 mmHg among women (SD 3.1), which is a statistically significant difference. The mean radius of CC for male right eyes was 7.78 (SD 0.60) and for females 7.62 (SD 0.58) which is also statistically significant. Mean CCT for male right eyes was 0.528 mm (SD 0.041) and for females 0.526 mm (SD 0.037), which is not a significant difference. Linear regression analysis shows no relationship between the radius of CC and IOP or between age and radius of CC. Linear regression analysis of the relationship between CCT and IOP suggests higher IOP measurements with thicker corneas. There was no significant correlation between age and CCT. CONCLUSION IOP was found to be independent of age and significantly higher in females than in males. Radius of CC was found to be age-independent and significantly steeper in females than in males. CCT appears to be independent of age and gender. Greater CCT is associated with higher mean IOP.

[1]  C. Creuzot-Garcher,et al.  Falsely elevated intraocular pressure due to increased central corneal thickness , 1999, Graefe's Archive for Clinical and Experimental Ophthalmology.

[2]  F. K. Hansen,et al.  ELEVATED TONOMETER READINGS CAUSED BY A THICK CORNEA , 1971, Acta ophthalmologica.

[3]  R. Klein,et al.  Prevalence of glaucoma. The Beaver Dam Eye Study. , 1992, Ophthalmology.

[4]  A. Mermoud,et al.  Corneal thickness in ocular hypertension, primary open-angle glaucoma, and normal tension glaucoma. , 1999, Archives of ophthalmology.

[5]  R. Weinreb,et al.  Scheimpflug anterior segment photography assessment of wound healing after myopic excimer laser photorefractive keratectomy , 1996, Journal of cataract and refractive surgery.

[6]  Jørgen Nissen,et al.  A clinical comparison of optical and ultrasonic pachometry , 1991, Acta ophthalmologica.

[7]  H. H. Mark,et al.  Corneal curvature in applanation tonometry. , 1973, American journal of ophthalmology.

[8]  K. Damji,et al.  Positive correlation between Tono-Pen intraocular pressure and central corneal thickness. , 1998, Ophthalmology.

[9]  G. Björnsson The primary glaucoma in Iceland. Epidemiological studies. , 1967, Acta ophthalmologica.

[10]  F. Jónasson,et al.  Cortical lens opacification in Iceland. Risk factor analysis -- Reykjavik Eye Study. , 2001, Acta ophthalmologica Scandinavica.

[11]  F. Jónasson,et al.  The Reykjavik Eye Study – Prevalence of Lens Opacification with Reference to Identical Japanese Studies , 2000, Ophthalmologica.

[12]  P. Alsbirk,et al.  CORNEAL THICKNESS: II. Environmental and Genetic Factors , 1978, Acta ophthalmologica.

[13]  H. D. Cavanagh,et al.  Reliability of intraocular pressure measurements after myopic excimer photorefractive keratectomy. , 1998, Ophthalmology.

[14]  A. Hofman,et al.  Distribution of central corneal thickness and its association with intraocular pressure: The Rotterdam Study. , 1997, American journal of ophthalmology.

[15]  F. Jónasson,et al.  Risk factors for nuclear lens opacification: the Reykjavik Eye Study. , 2002, Developments in ophthalmology.

[16]  D. Pye,et al.  Determination of the true intraocular pressure and modulus of elasticity of the human cornea in vivo , 1999, Bulletin of mathematical biology.

[17]  M. Breve,et al.  Goldmann applanation tonometry after myopic photorefractive keratectomy. , 1998, Acta ophthalmologica Scandinavica.

[18]  P. Cho,et al.  Comparison of the Performance of the Nidek NT-2000 Noncontact Tonometer with the Keeler Pulsair 2000 and the Goldmann Applanation Tonometer , 1997, Optometry and vision science : official publication of the American Academy of Optometry.

[19]  S. Shah,et al.  Reduction in intraocular pressure after excimer laser photorefractive keratectomy. Correlation with pretreatment myopia. , 1997, Ophthalmology.

[20]  F. Hollows,et al.  Intra-ocular pressure, glaucoma, and glaucoma suspects in a defined population. , 1966, The British journal of ophthalmology.

[21]  K. Sasaki,et al.  Reproducibility of data obtained by a newly developed anterior eye segment analysis system, EAS-1000. , 1992, Ophthalmic research.

[22]  P. Foster,et al.  Central corneal thickness and intraocular pressure in a Mongolian population. , 1998, Ophthalmology.

[23]  P. Herse,et al.  The effect of age on human corneal thickness , 1993, Acta ophthalmologica.

[24]  K. Sasaki,et al.  Accuracy of biometrical data obtained from the NIDEK EAS-1000 , 1994 .

[25]  F. K. Hansen,et al.  CENTRAL CORNEAL THICKNESS IN LOW‐TENSION GLAUCOMA , 1974, Acta ophthalmologica.