Corneal Elevation Topography in Primary Open Angle Glaucoma

PURPOSE OF THE STUDY:The purpose of the study was to describe and compare anterior and posterior topographic elevation maps in primary open angle glaucoma patients with functional damage staging and in healthy controls. METHODS:A total of 217 subjects were consecutively recruited, including 111 prim...

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Veröffentlicht in:Journal of glaucoma 2017-02, Vol.26 (2), p.e41-e45
Hauptverfasser: Gil, Pedro, Pires, Joana, Matos, Rita, Cardoso, Mariana S, Lopes, Nádia, Matias, João, Mariano, Manuel
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container_end_page e45
container_issue 2
container_start_page e41
container_title Journal of glaucoma
container_volume 26
creator Gil, Pedro
Pires, Joana
Matos, Rita
Cardoso, Mariana S
Lopes, Nádia
Matias, João
Mariano, Manuel
description PURPOSE OF THE STUDY:The purpose of the study was to describe and compare anterior and posterior topographic elevation maps in primary open angle glaucoma patients with functional damage staging and in healthy controls. METHODS:A total of 217 subjects were consecutively recruited, including 111 primary open angle glaucoma patients (patients), and 106 healthy individuals (controls). All patients performed Pentacam HR corneal topography. Mean anterior keratometry and anterior and posterior topographic elevation maps were compared in the central 3, 5, and 7 mm. Humphrey automated perimetry results from the patient group were classified according to the Glaucoma Staging System. RESULTS:Age (patients72.32±8.09; controls70.82±8.36; P=0.18) and central corneal pachymetry (patients541.13±36.98; controls548.67±34.56; P=0.12) were similar in both groups. Maximum elevation readings in the central 5 mm were significantly (P
doi_str_mv 10.1097/IJG.0000000000000535
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METHODS:A total of 217 subjects were consecutively recruited, including 111 primary open angle glaucoma patients (patients), and 106 healthy individuals (controls). All patients performed Pentacam HR corneal topography. Mean anterior keratometry and anterior and posterior topographic elevation maps were compared in the central 3, 5, and 7 mm. Humphrey automated perimetry results from the patient group were classified according to the Glaucoma Staging System. RESULTS:Age (patients72.32±8.09; controls70.82±8.36; P=0.18) and central corneal pachymetry (patients541.13±36.98; controls548.67±34.56; P=0.12) were similar in both groups. Maximum elevation readings in the central 5 mm were significantly (P&lt;0.05) higher in the anterior (patients8.21±8.63; controls5.79±3.62) and posterior (patients16.17±8.72; controls13.92±6.03) corneal topography of the glaucomatous patients, as well as in the anterior (patients17.32±20.78; controls9.61±5.64) and posterior (patients38.81±19.78; controls26.38±12.73) central 7 mm. There was a weak but significant correlation between the Glaucoma Staging System stage and both the anterior 5 mm (r=0.397) and 7 mm (r=0.304) maximum, as well as the posterior 5 mm (r=0.233) and 7 mm (r=0.241) maximum. CONCLUSIONS:In patients with primary open angle glaucoma, there is a forward shifting of the posterior and anterior corneal surfaces. This appears to be correlated with more advanced stages of functional damage, pointing to a possible link between corneal structural changes and duration and intensity of elevated intraocular pressure. Further studies may ascertain the potential for this biological marker to be used in monitoring primary open angle glaucoma patients.</description><identifier>ISSN: 1057-0829</identifier><identifier>EISSN: 1536-481X</identifier><identifier>DOI: 10.1097/IJG.0000000000000535</identifier><identifier>PMID: 27599178</identifier><language>eng</language><publisher>United States: Copyright Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Aged ; Cornea - pathology ; Corneal Diseases - diagnosis ; Corneal Diseases - etiology ; Corneal Diseases - physiopathology ; Corneal Pachymetry ; Corneal Topography ; Female ; Glaucoma, Open-Angle - complications ; Glaucoma, Open-Angle - diagnosis ; Glaucoma, Open-Angle - physiopathology ; Humans ; Intraocular Pressure ; Male</subject><ispartof>Journal of glaucoma, 2017-02, Vol.26 (2), p.e41-e45</ispartof><rights>Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3565-f0984ebfcdb073fc27d6bd535e28811014f56b12123989c09083beb7866162fb3</citedby><cites>FETCH-LOGICAL-c3565-f0984ebfcdb073fc27d6bd535e28811014f56b12123989c09083beb7866162fb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27599178$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gil, Pedro</creatorcontrib><creatorcontrib>Pires, Joana</creatorcontrib><creatorcontrib>Matos, Rita</creatorcontrib><creatorcontrib>Cardoso, Mariana S</creatorcontrib><creatorcontrib>Lopes, Nádia</creatorcontrib><creatorcontrib>Matias, João</creatorcontrib><creatorcontrib>Mariano, Manuel</creatorcontrib><title>Corneal Elevation Topography in Primary Open Angle Glaucoma</title><title>Journal of glaucoma</title><addtitle>J Glaucoma</addtitle><description>PURPOSE OF THE STUDY:The purpose of the study was to describe and compare anterior and posterior topographic elevation maps in primary open angle glaucoma patients with functional damage staging and in healthy controls. METHODS:A total of 217 subjects were consecutively recruited, including 111 primary open angle glaucoma patients (patients), and 106 healthy individuals (controls). All patients performed Pentacam HR corneal topography. Mean anterior keratometry and anterior and posterior topographic elevation maps were compared in the central 3, 5, and 7 mm. Humphrey automated perimetry results from the patient group were classified according to the Glaucoma Staging System. RESULTS:Age (patients72.32±8.09; controls70.82±8.36; P=0.18) and central corneal pachymetry (patients541.13±36.98; controls548.67±34.56; P=0.12) were similar in both groups. Maximum elevation readings in the central 5 mm were significantly (P&lt;0.05) higher in the anterior (patients8.21±8.63; controls5.79±3.62) and posterior (patients16.17±8.72; controls13.92±6.03) corneal topography of the glaucomatous patients, as well as in the anterior (patients17.32±20.78; controls9.61±5.64) and posterior (patients38.81±19.78; controls26.38±12.73) central 7 mm. There was a weak but significant correlation between the Glaucoma Staging System stage and both the anterior 5 mm (r=0.397) and 7 mm (r=0.304) maximum, as well as the posterior 5 mm (r=0.233) and 7 mm (r=0.241) maximum. CONCLUSIONS:In patients with primary open angle glaucoma, there is a forward shifting of the posterior and anterior corneal surfaces. This appears to be correlated with more advanced stages of functional damage, pointing to a possible link between corneal structural changes and duration and intensity of elevated intraocular pressure. Further studies may ascertain the potential for this biological marker to be used in monitoring primary open angle glaucoma patients.</description><subject>Aged</subject><subject>Cornea - pathology</subject><subject>Corneal Diseases - diagnosis</subject><subject>Corneal Diseases - etiology</subject><subject>Corneal Diseases - physiopathology</subject><subject>Corneal Pachymetry</subject><subject>Corneal Topography</subject><subject>Female</subject><subject>Glaucoma, Open-Angle - complications</subject><subject>Glaucoma, Open-Angle - diagnosis</subject><subject>Glaucoma, Open-Angle - physiopathology</subject><subject>Humans</subject><subject>Intraocular Pressure</subject><subject>Male</subject><issn>1057-0829</issn><issn>1536-481X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM1OwzAQhC0EolB4A4Ry5JLinzi2xamqSimqVA5F4mbZidMG3DjYCVXfnqAUhDiwl93DzOzoA-AKwRGCgt3OH2cj-HsooUfgDFGSxglHL8fdDSmLIcdiAM5DeIUQQ4zRKRhgRoVAjJ-Bu4nzlVE2mlrzoZrSVdHK1W7tVb3ZR2UVPflyq_w-WtamisbV2ppoZlWbua26ACeFssFcHvYQPN9PV5OHeLGczSfjRZwRmtK4gIInRhdZriEjRYZZnuq8a2sw5whBlBQ01QgjTAQXGRSQE20042mKUlxoMgQ3fW7t3XtrQiO3ZciMtaoyrg0ScSoYEoKwTpr00sy7ELwpZN33lwjKL2yywyb_Yuts14cPrd6a_Mf0zakT8F6wc7YxPrzZdme83HTkms3_2Z_Q4XdI</recordid><startdate>201702</startdate><enddate>201702</enddate><creator>Gil, Pedro</creator><creator>Pires, Joana</creator><creator>Matos, Rita</creator><creator>Cardoso, Mariana S</creator><creator>Lopes, Nádia</creator><creator>Matias, João</creator><creator>Mariano, Manuel</creator><general>Copyright Wolters Kluwer Health, Inc. All rights reserved</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201702</creationdate><title>Corneal Elevation Topography in Primary Open Angle Glaucoma</title><author>Gil, Pedro ; Pires, Joana ; Matos, Rita ; Cardoso, Mariana S ; Lopes, Nádia ; Matias, João ; Mariano, Manuel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3565-f0984ebfcdb073fc27d6bd535e28811014f56b12123989c09083beb7866162fb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Cornea - pathology</topic><topic>Corneal Diseases - diagnosis</topic><topic>Corneal Diseases - etiology</topic><topic>Corneal Diseases - physiopathology</topic><topic>Corneal Pachymetry</topic><topic>Corneal Topography</topic><topic>Female</topic><topic>Glaucoma, Open-Angle - complications</topic><topic>Glaucoma, Open-Angle - diagnosis</topic><topic>Glaucoma, Open-Angle - physiopathology</topic><topic>Humans</topic><topic>Intraocular Pressure</topic><topic>Male</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gil, Pedro</creatorcontrib><creatorcontrib>Pires, Joana</creatorcontrib><creatorcontrib>Matos, Rita</creatorcontrib><creatorcontrib>Cardoso, Mariana S</creatorcontrib><creatorcontrib>Lopes, Nádia</creatorcontrib><creatorcontrib>Matias, João</creatorcontrib><creatorcontrib>Mariano, Manuel</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of glaucoma</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gil, Pedro</au><au>Pires, Joana</au><au>Matos, Rita</au><au>Cardoso, Mariana S</au><au>Lopes, Nádia</au><au>Matias, João</au><au>Mariano, Manuel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Corneal Elevation Topography in Primary Open Angle Glaucoma</atitle><jtitle>Journal of glaucoma</jtitle><addtitle>J Glaucoma</addtitle><date>2017-02</date><risdate>2017</risdate><volume>26</volume><issue>2</issue><spage>e41</spage><epage>e45</epage><pages>e41-e45</pages><issn>1057-0829</issn><eissn>1536-481X</eissn><abstract>PURPOSE OF THE STUDY:The purpose of the study was to describe and compare anterior and posterior topographic elevation maps in primary open angle glaucoma patients with functional damage staging and in healthy controls. METHODS:A total of 217 subjects were consecutively recruited, including 111 primary open angle glaucoma patients (patients), and 106 healthy individuals (controls). All patients performed Pentacam HR corneal topography. Mean anterior keratometry and anterior and posterior topographic elevation maps were compared in the central 3, 5, and 7 mm. Humphrey automated perimetry results from the patient group were classified according to the Glaucoma Staging System. RESULTS:Age (patients72.32±8.09; controls70.82±8.36; P=0.18) and central corneal pachymetry (patients541.13±36.98; controls548.67±34.56; P=0.12) were similar in both groups. Maximum elevation readings in the central 5 mm were significantly (P&lt;0.05) higher in the anterior (patients8.21±8.63; controls5.79±3.62) and posterior (patients16.17±8.72; controls13.92±6.03) corneal topography of the glaucomatous patients, as well as in the anterior (patients17.32±20.78; controls9.61±5.64) and posterior (patients38.81±19.78; controls26.38±12.73) central 7 mm. There was a weak but significant correlation between the Glaucoma Staging System stage and both the anterior 5 mm (r=0.397) and 7 mm (r=0.304) maximum, as well as the posterior 5 mm (r=0.233) and 7 mm (r=0.241) maximum. CONCLUSIONS:In patients with primary open angle glaucoma, there is a forward shifting of the posterior and anterior corneal surfaces. This appears to be correlated with more advanced stages of functional damage, pointing to a possible link between corneal structural changes and duration and intensity of elevated intraocular pressure. Further studies may ascertain the potential for this biological marker to be used in monitoring primary open angle glaucoma patients.</abstract><cop>United States</cop><pub>Copyright Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>27599178</pmid><doi>10.1097/IJG.0000000000000535</doi></addata></record>
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subjects Aged
Cornea - pathology
Corneal Diseases - diagnosis
Corneal Diseases - etiology
Corneal Diseases - physiopathology
Corneal Pachymetry
Corneal Topography
Female
Glaucoma, Open-Angle - complications
Glaucoma, Open-Angle - diagnosis
Glaucoma, Open-Angle - physiopathology
Humans
Intraocular Pressure
Male
title Corneal Elevation Topography in Primary Open Angle Glaucoma
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