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Abstract #25170 Published in IGR 12-1
Changes in corneal endothelial cell density in patients with normal-tension glaucoma
Cho SW; Kim JM; Choi CY; Park KHJapanese Journal of Ophthalmology 2009; 53: 569-573
PURPOSE: To study the changes in corneal endothelial cell density in eyes with normal-tension glaucoma compared with those in controls. METHODS: A total of 227 subjects in three groups, one each of normal-tension glaucoma and primary open-angle glaucoma patients and one of normal controls, were studied from January 2008 to July 2008 in the Ophthalmology Department of Kangbuk Samsung Hospital. The glaucoma (normal-tension glaucoma and primary open-angle glaucoma) patients included monocular and binocular glaucoma patients. Corneal endothelial cells were examined using a noncontact specular microscope. RESULTS: The mean endothelial cell densities in the three groups were as follows: normal-tension glaucoma group, 2696.7+/-303.9 cell/mm2; primary open-angle glaucoma group, 2370.5+/-392.3 cell/mm2; and normal group, 2723.6+/-300.6 cell/mm2. The endothelial cell count was not significantly different between normal-tension glaucoma and normal groups (P=1.000). Primary open-angle glaucoma patients had significantly lower endothelial cell counts (P<0.001) than the normal group. The endothelial cell count was also significantly lower in eyes with primary open-angle glaucoma than in normal-tension glaucoma eyes (P<0.001). CONCLUSIONS: There was a significant decrease in corneal endothelial cell density in eyes with primary open-angle glaucoma, but not in eyes with normal-tension glaucoma. Elevated intraocular pressure likely affected the decrease of corneal endothelial cell density in eyes with glaucoma.
Department of Ophthalmology, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital, Seoul, Korea.
Classification:
9.2.4 Normal pressure glaucoma (Part of: 9 Clinical forms of glaucomas > 9.2 Primary open angle glaucomas)
2.2 Cornea (Part of: 2 Anatomical structures in glaucoma)
