Relationship between corneal stiffness parameters and lamina cribrosa curvature in normal tension glaucoma. Issue 6 (November 2021)

• Record Type: Journal Article
• Authors: Sun, Yunxiao; Guo, Yiqin; Cao, Kai; Zhang, Yue; Xie, Yuan; Pang, Ruiqi; Shi, Yan; Wang, Huaizhou; Wang, Ningli
• Is Part Of: European journal of ophthalmology. Volume 31:Issue 6(2021)
• Page Start: 3049
• Page End: 3056
• Publication Date: 2021-11
• Subjects: Corneal stiffness parameters -- lamina cribrosa curvature -- normal tension glaucoma -- corneal visualization scheimpflug technology -- swept-source optical coherence tomography; Ophthalmology -- Periodicals; Eye -- Diseases -- Periodicals; 617.7005
• DOI: 10.1177/1120672120982521
• Languages: English
• ISSNs: 1120-6721

Abstract

Purpose: To evaluate the relationship between corneal biomechanical parameters and lamina cribrosa (LC) curvature in normal tension glaucoma (NTG). Methods: 95 eyes of 56 NTG patients were enrolled in this prospective, observational study. Corneal biomechanical parameters, including stiffness parameters at applanation 1 (SP-A1), deformation amplitude ratio (DA ratio), inverse concave radius and biomechanically corrected intraocular pressure estimate (bIOP), were captured using the Corneal Visualization Scheimpflug Technology instrument (Corvis-ST). LC curvature was evaluated by mean adjusted LC curvature index (maLCCI) averaged by the measurements on 12 radial B-scan images obtained using swept-source optical coherence tomography (SS-OCT). Linear mixed models were constructed to assess the relationship between corneal biomechanical parameters and LC curvature. Results: The mean age of participants was 51.04 ± 13.74 years (range, 24–82 years). The SP-A1 and maLCCI were 93.50 ± 13.82 mm Hg/mm and 7.57 ± 1.58, respectively. In univariate and multivariate analysis, SP-A1 ( p < 0.001 and p = 0.001) and age ( p = 0.010 and p = 0.024) were both significantly associated with maLCCI. The LC curvature increased with softer cornea demonstrated by lower SP-A1 and younger eyes. There was no statistical significance interaction between SP-A1 and age ( p = 0.194). Conclusions: The greater posterior LC curvature was associated with lower corneal stiffness parameters and younger eyes in NTG patients. Clinical Trial Registration: Chinese Clinical Trial Registry, ChiCTR1900021465.