Review article
Corneal Thickness in Congenital Glaucoma
Maja Novak-Stroligo
Zvjezdana Alpeza-Dunato
Damir Kovacevic
Tea Čaljkušić-Mance
Abstract
Central corneal thickness is very important measurement in glaucoma treatment because it influences the eye pressure
measurements. A thinner cornea gives us artifactually lower intraocular pressure and a thicker cornea gives higher
intraocular pressure reading, so it has to be corrected in both cases. The aim of this study is to compare central corneal
thickness between congenital glaucoma patients and normal subjects. Prospective study included 27 patients with congenital
glaucoma and 35 patients in control group. First group was subdivided in two subgroups: A – 8 earlier operated
patients, B – 19 patinets treated with topic therapy. Patients had no other corneal disorders, history of trauma, corneal
surgery and they were not contact lens wearers. Measurements were performed by specular microscope Tomey EM 3000
on central corneas. This study showed that patients with congenital glaucoma have lower central corneal thickness than
normal subjects. Also, the study showed that antiglaucomatous operation doesn’t influence central corneal thickness.
Central corneal thickness need to be a routine part of examination measurements because of need to correct intraocular
pressure according to it, but also the thinner corneas values can suggest congenital glaucoma diagnosis beside the other
parameters.
Keywords
corneal thickness; pachymetry; congenital glaucoma
Hrčak ID:
72297
URI
Publication date:
25.9.2011.
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