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Abstract #70188 Published in IGR 18-2
Longitudinal evaluation of central corneal thickness in congenital glaucoma
Paletta Guedes RA; Pena AB; Paletta Guedes VM; Chaoubah AJournal Français d'Ophtalmologie 2016; 39: 706-710
PURPOSE: To assess the central corneal thickness in primary congenital glaucoma before and after surgical treatment and compare it with a normal population. METHODS: We conducted a longitudinal analysis of primary congenital glaucoma patients, in whom we measured central corneal thickness before and after treatment (Group 1). We compared our results with a normal population (Group 2), who underwent ophthalmological examination under anesthesia for other reasons. RESULTS: Mean age (months) in Group 1 (N=23) and Group 2 (N=40) at the time of the first exam was 5.5 and 9.2 (P=0.004), respectively. Mean central corneal thickness (microns) in Group 1 was: 663 before treatment and 557 after treatment (P<0.001). In Group 2, mean central corneal thickness (microns) was 551. Comparisons show statistical difference between mean values before and after treatment (P<0.001), but not between post-treatment CCT mean values in Group 1 and mean CCT values in Group 2 (P=0.627). CONCLUSION: In primary congenital glaucoma, central corneal thickness values show unique peculiarities. They are higher than normal before treatment (thicker corneas), due to corneal edema caused by elevated intraocular pressure. After surgical treatment, central corneal thickness measurements decrease toward the mean values for the normal population.
Paletta Guedes Ophthalmological Center, Juiz de Fora, MG, Brazil; Santa Casa de Misericórdia Hospital, Juiz de Fora, MG, Brazil; Federal University of Juiz de Fora, Juiz de Fora, MG, Brazil. Electronic address: palettaguedes@yahoo.com.
Full articleClassification:
9.1.1 Congenital glaucoma, Buphthalmos (Part of: 9 Clinical forms of glaucomas > 9.1 Developmental glaucomas)
2.2 Cornea (Part of: 2 Anatomical structures in glaucoma)
