NDLI: Diagnostic Efficacy of Normalization of Corneal Deformation Variables by the Intraocular Pressure in Glaucomatous Eyes.

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Diagnostic Efficacy of Normalization of Corneal Deformation Variables by the Intraocular Pressure in Glaucomatous Eyes.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Tejwani, Sushma Devi, Sathi Shetty, Rohit Dinakaran, Shoruba Francis, Mathew Meshram, Priti Sinha Roy, Abhijit
Description	Country affiliation: India Author Affiliation: Tejwani S ( Glaucoma and Ocular Hypertension Division Narayana Nethralaya, India.); Devi S ( Glaucoma and Ocular Hypertension Division Narayana Nethralaya, India.); Dinakaran S ( Glaucoma and Ocular Hypertension Division Narayana Nethralaya, India.); Shetty R ( Vice-Chairman, Narayana Nethralaya, India.); Meshram P ( Glaucoma and Ocular Hypertension Division Narayana Nethralaya, India.); Francis M ( Imaging, Biomechanics and Mathematical Modeling Solutions, Narayana Nethralaya Foundation, Bangalore, India.); Sinha Roy A ( Imaging, Biomechanics and Mathematical Modeling Solutions, Narayana Nethralaya Foundation, Bangalore, India.)
Abstract	PURPOSE: To analyze the diagnostic efficacy of normalization of corneal deformation variables by the IOP in healthy, primary-angle closure (PACG), and primary open angle glaucoma (POAG) patients. METHODS: Fifty-nine healthy, 83 POAG, and 57 PACG eyes, matched for age and pachymetry, were included in a prospective, observational, cross-sectional study. Goldmann applanation tonometry (GAT-IOP), Corvis-ST IOP, IOPg (Goldmann correlated), and IOPcc (cornea compensated) from the ocular response analyzer were acquired. Corneal hysteresis (CH) and corneal resistance factor (CRF) from the ORA, and deformation amplitude (DA) from Corvis-ST were analyzed. Further, ratios of CH, CRF, and DA to IOP were assessed among the groups and defined as new variables (e.g., ratio [CH, IOPcc] was the ratio of CH to IOPcc). RESULTS: Goldmann applanation tonometry-IOP, IOPcc, and IOPg of PACG and POAG eyes were significantly higher than normal (P < 0.05). Corvis-ST IOP of healthy eyes was similar to POAG (P > 0.05) but lower than PACG (P = 0.02). Corneal hysteresis and CRF of PACG and POAG were significantly lower than normal (P < 0.0001). The ratio (CH, IOPcc), ratio (CRF, IOPcc), and ratio (DA, IOPcc) of healthy eyes were significantly higher than those of PACG and POAG eyes (P < 0.0001). The sensitivity and specificity of ratio (CRF, IOPcc) and ratio (DA, IOPcc) was significantly better than CRF and DA alone in PACG eyes (P < 0.001). However in POAG, only the sensitivity and specificity of ratio (DA, IOPcc) was significantly better than DA alone (P < 0.001). CONCLUSIONS: Presence of glaucoma may be indicated better by ratio variables than by CH, CRF, or DA alone.
ISSN	01460404
e-ISSN	15525783
Journal	Investigative Opthalmology & Visual Science
Issue Number	3
Volume Number	57
Language	English
Publisher	Association for Research in Vision and Ophthalmology
Publisher Date	2016-03-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Cornea Pathology Glaucoma, Angle-closure Glaucoma, Open-angle Intraocular Pressure Physiology Visual Fields Physiopathology Corneal Pachymetry Cross-sectional Studies Elasticity Diagnosis Gonioscopy Prospective Studies Reproducibility Of Results Tonometry, Ocular Observational Study Discipline Ophthalmology
Content Type	Text
Resource Type	Article
Subject	Ophthalmology Sensory Systems Cellular and Molecular Neuroscience

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