Corneal Viscoelasticity Differences Between Diabetic and Nondiabetic Glaucomatous Patients

Purpose: To investigate corneal viscoelasticity in primary open-angle glaucoma patients with and without diabetes mellitus, and to correlate corneal hysteresis (CH) with central corneal thickness (CCT).Methods: in this cross-sectional study, 44 primary open-angle glaucoma patients [19 with diabetes...

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Detalles Bibliográficos
Autores: Engel Castro, Dinorah Piacentini [UNIFESP], Prata, Tiago Santos [UNIFESP], Lima, Veronica Castro [UNIFESP], Biteli, Luis Gustavo [UNIFESP], Vasconcelos de Moraes, Carlos Gustavo, Paranhos, Augusto [UNIFESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2010
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:inglés
OAI Identifier:oai:repositorio.unifesp.br:11600/32561
Acceso en línea:http://dx.doi.org/10.1097/IJG.0b013e3181b4caa1
http://repositorio.unifesp.br/handle/11600/32561
Access Level:acceso abierto
Palabra clave:primary open-angle glaucoma
corneal hysteresis
central corneal thickness
diabetes
Descripción
Sumario:Purpose: To investigate corneal viscoelasticity in primary open-angle glaucoma patients with and without diabetes mellitus, and to correlate corneal hysteresis (CH) with central corneal thickness (CCT).Methods: in this cross-sectional study, 44 primary open-angle glaucoma patients [19 with diabetes (34 eyes) and 25 without diabetes (40 eyes)] underwent a complete ophthalmic examination. Data collected by masked investigators included CH and CCT using the Ocular Response Analyzer. the mean of 3 measurements was considered for each test. We analyzed the difference between the mean CH in both groups using a general linear model. Partial correlation coefficient between CH and CCT was also calculated.Results: Mean +/- SD age in diabetic and nondiabetic groups was 67.1 +/- 8.7 and 65.9 +/- 15.1, respectively (P=0.77). There was no significant difference regarding mean CCT between diabetic (531.7 +/- 31.3 mm) and nondiabetic (546.6 +/- 37.3 mm) groups (P=0.21). Patients with diabetes presented significantly higher CH values than patients without diabetes (9.1 +/- 1.9 mm Hg vs. 7.8 +/- 1.7 mm Hg, P=0.04). There was a significant and positive correlation between CH and CCT for all patients (r=0.407, P<0.001).Conclusions: Primary open-angle glaucoma patients with diabetes have significantly higher CH values than those without diabetes. CH and CCT results were positively correlated. These findings merit further investigation to assess the role of different CH values on glaucoma evaluation and susceptibility.