Pachymetry in Glaucoma Patients

Overview

Central corneal thickness (CCT) was measured in 328 eyes of 167 patients (50 menand 117 women, an average age was 62 years). CCT was determinated by ultrasonicpachymeter NIDEC, design UP-1000, at Eye Department of 3rd Medical Faculty ofPrague.Results: The mean CCT at glaucoma patients was 561 m mm, in margins 490 - 650 m mm.CCT for right eyes were 0,567 ± 0,035 mm, for left eyes 0,569 ± 0,037 mm. Therewere no influence by previous operations (cataract, trabeculectomy and combinedoperations). NTG had the lowest CCT value 551 m mm, POAG had 569 m mm and OHTthe greates value, CCT is 588 m mm. CCT in patients with NTG was significantly lower(p = 0.047) than in POAG. The higher difference is between NTG a OHT (p = 0.015).We had no statistical difference in CCT between hypermetropic, emetropic andmyopic eyes. The corneal thickness is decreasing during ageing.CCT is another clinically helpful factor for evaluation our glaucoma patients. CCTtogether with other risk factors can help us in establishing a target pressure.Patients after refractive surgery (PRK, LASIK) should be more carefully evaluatednot to miss early stages of glaucoma.

Key words:
ageing, central corneal thickness (CCT), glaucoma, intraocular pres-sure (IOP), normal tension glaucoma (NTG), ocular hypertension (OHT), pachy-metry