Relationship of Corneal Hysteresis and Anterior Lamina Cribrosa Displacement in Glaucoma.


Journal

American journal of ophthalmology
ISSN: 1879-1891
Titre abrégé: Am J Ophthalmol
Pays: United States
ID NLM: 0370500

Informations de publication

Date de publication:
04 2020
Historique:
received: 01 08 2019
revised: 12 11 2019
accepted: 14 11 2019
pubmed: 27 11 2019
medline: 10 5 2020
entrez: 27 11 2019
Statut: ppublish

Résumé

To investigate the relationship between corneal hysteresis (CH) and anterior lamina cribrosa surface (ALCS) displacement over time in a cohort of patients with glaucoma. Prospective observational case series. In this study, 147 eyes from 96 glaucoma or glaucoma suspect patients were followed for a mean of 3.5 years and 7.9 visits. Baseline CH measurements were obtained using the Ocular Response Analyzer (ORA; Reichert Ophthalmic Instruments Inc, Depew, New York, USA). The mean anterior lamina cribrosa surface depth (ALCSD) and choroidal thickness were by automated segmentation of spectral-domain optical coherence tomography (SD-OCT) scans. The rate of change of ALCSD was calculated using linear mixed effects models. Relationship between baseline CH and follow-up ALCSD rate of change was adjusted for confounding factors, including age, intraocular pressure (IOP), and choroidal thickness. The mean baseline CH was 9.4 mm Hg (95% confidence interval [CI] 9.1-9.7). Overall, the ALCS was displaced posteriorly at a rate of 0.78 μm/y (95% CI -1.82, 0.26). Seventeen eyes (11.5%) showed a significant posterior displacement of ALCS, whereas 22 eyes (15.0%) showed a significant anterior displacement of ALCS. The choroidal thickness thinned at a rate of -1.09 μm/y during the follow-up (P = .001). Multivariable mixed modeling showed that choroidal thinning, lower IOP change, and lower corneal hysteresis were significantly associated with posterior ALCS displacement over time (P = .034, P = .037, and P = .048). Each 1 mm lower CH was associated with 0.66 μm/y posterior displacement of the ALCS. Lower corneal hysteresis was significantly associated with posterior displacement of the anterior lamina cribrosa over time. These data provide additional support for lower corneal hysteresis being a risk factor for glaucoma progression.

Identifiants

pubmed: 31770514
pii: S0002-9394(19)30573-2
doi: 10.1016/j.ajo.2019.11.017
pmc: PMC7113091
mid: NIHMS1545299
pii:
doi:

Types de publication

Journal Article Observational Study Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

134-143

Subventions

Organisme : NEI NIH HHS
ID : R01 EY011008
Pays : United States
Organisme : NEI NIH HHS
ID : R01 EY029058
Pays : United States
Organisme : NEI NIH HHS
ID : R01 EY027510
Pays : United States
Organisme : NEI NIH HHS
ID : U10 EY014267
Pays : United States
Organisme : NEI NIH HHS
ID : R01 EY026574
Pays : United States
Organisme : NEI NIH HHS
ID : P30 EY022589
Pays : United States
Organisme : NEI NIH HHS
ID : T32 EY026590
Pays : United States
Organisme : NEI NIH HHS
ID : R21 EY027945
Pays : United States
Organisme : NEI NIH HHS
ID : R01 EY019869
Pays : United States

Informations de copyright

Copyright © 2019 Elsevier Inc. All rights reserved.

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Auteurs

Brandon J Wong (BJ)

Shiley Eye Institute, Hamilton Glaucoma Center, University of California San Diego, La Jolla, California, USA; USC Roski Eye institute, Department of Ophthalmology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.

Sasan Moghimi (S)

Shiley Eye Institute, Hamilton Glaucoma Center, University of California San Diego, La Jolla, California, USA.

Linda M Zangwill (LM)

Shiley Eye Institute, Hamilton Glaucoma Center, University of California San Diego, La Jolla, California, USA.

Mark Christopher (M)

Shiley Eye Institute, Hamilton Glaucoma Center, University of California San Diego, La Jolla, California, USA.

Akram Belghith (A)

Shiley Eye Institute, Hamilton Glaucoma Center, University of California San Diego, La Jolla, California, USA.

Eren Ekici (E)

Shiley Eye Institute, Hamilton Glaucoma Center, University of California San Diego, La Jolla, California, USA.

Christopher Bowd (C)

Shiley Eye Institute, Hamilton Glaucoma Center, University of California San Diego, La Jolla, California, USA.

Massimo A Fazio (MA)

Department of Ophthalmology and Vision Science, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.

Christopher A Girkin (CA)

Department of Ophthalmology and Vision Science, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.

Robert N Weinreb (RN)

Shiley Eye Institute, Hamilton Glaucoma Center, University of California San Diego, La Jolla, California, USA. Electronic address: rweinreb@ucsd.edu.

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Classifications MeSH