Abstract：
PURPOSE:To examine the association between central corneal thickness (CCT) and glaucoma. METHODS:This was a nested case-control study using 1090 subjects from an eye disease population survey in Singapore and 243 participants from a hospital glaucoma surgery clinical trial in Singapore. RESULTS:Mean CCT in 938 community subjects was 539 μm ± 32 μm, and in 12 community subjects with primary open angle glaucoma (POAG) the mean CCT was 545 μm ± 38 μm. In the hospital cohort, mean CCT was 552 μm ± 38 μm in 138 patients with POAG and 551 μm ± 33 μm in 105 patients with primary angle closure glaucoma (PACG). No individuals had undergone previous intraocular surgery or had other significant ocular pathology. Regression models showed POAG diagnosis was not associated with CCT (P = 0.42) or age (P = 0.062) in community subjects but was associated with IOP (P = 0.005). Similar analyses for hospital cases showed CCT to be significantly higher in both POAG and PACG (both P = 0.001), but this became nonsignificant after controlling for IOP and age (P = 0.26, POAG; P = 0.08, PACG). Both age (P = 0.043) and IOP (P = 0.001) were highly associated with hospital POAG; only IOP (P = 0.001) was associated with hospital PACG. Further regression analyses for community subjects showed diabetic status and pseudophakia had no significant effect on CCT (P = 0.33 and P = 0.11, respectively). CONCLUSIONS:The authors found no evidence to support the previous observation that thinner corneas may be independently associated with POAG or PACG. Age and IOP are significantly associated with CCT, and this should be taken into account by future studies investigating CCT as an independent risk factor for glaucoma diagnosis.
journal_name
Invest Ophthalmol Vis Scijournal_title
Investigative ophthalmology & visual scienceauthors
Day AC,Machin D,Aung T,Gazzard G,Husain R,Chew PT,Khaw PT,Seah SK,Foster PJdoi
10.1167/iovs.11-7927subject
Has Abstractpub_date
2011-10-28 00:00:00pages
8407-12issue
11eissn
0146-0404issn
1552-5783pii
iovs.11-7927journal_volume
52pub_type
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