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PURPOSE: To evaluate central corneal thickness in children with congenital glaucoma. MATERIAL AND METHODS: Central corneal thickness was measured with the use of ultrasound pachymeter in 49 eyes of 30 children, with congenital glaucoma aged 0-12 years. RESULTS: Mean central corneal thickness was 462 μm. Very large differences between minimum and maximum recorded values were observed (380-780 μm). Three groups of patients could be distinguished: with very thin cornea of 380-450 μm (73% children), with normal corneal thickness of about 550 μm (15%) and with very thick cornea of 680-780 μm (12% patients). CONCLUSIONS: 1. Mean central corneal thickness in children with congenital glaucoma is significantly thinner than in healthy children in the same age and in adult patients with glaucoma. Very large differences between minimum and maximum recorded values, are observed in these patients. 2. The results of applanation tonometric measurements are underestimated in most cases or less frequently overestimated. 3. The measurements of central corneal thickness should be performed in every patient with congenital glaucoma to correct the IOP values. LA: Polish
Dr. M.E. Prost, Z Centrum Okulistyki Dzieciecej w Warszawie, Poland
2.2 Cornea (Part of: 2 Anatomical structures in glaucoma)
6.1 Intraocular pressure measurement; factors affecting IOP (Part of: 6 Clinical examination methods)