Central corneal thickness to adjust IOP measurements

<p> <b>A.V.&nbsp;Korneeva<sup>1</sup>, A.V.&nbsp;Kuroyedov<sup>2,3</sup>, D.N.&nbsp;Lovpache<sup>1</sup>, I.R.&nbsp;Gazizova<sup>4</sup>, S.Yu. Petrov<sup>5</sup>, I.A.&nbsp;Loskutov<sup>6</sup>&...

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Main Authors: A.V. Korneeva, A.V. Kuroyedov, D.N. Lovpache, I.R. Gazizova, S.Yu. Petrov, I.A. Loskutov
Format: Article
Language:Russian
Published: Prime-Media 2020-03-01
Series:РМЖ "Клиническая офтальмология"
Online Access:http://clinopht.com/upload/iblock/138/138eb2b0860a5e7a7f5616021fdebc41.pdf
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author A.V. Korneeva
A.V. Kuroyedov
D.N. Lovpache
I.R. Gazizova
S.Yu. Petrov
I.A. Loskutov
author_facet A.V. Korneeva
A.V. Kuroyedov
D.N. Lovpache
I.R. Gazizova
S.Yu. Petrov
I.A. Loskutov
author_sort A.V. Korneeva
collection DOAJ
description <p> <b>A.V.&nbsp;Korneeva<sup>1</sup>, A.V.&nbsp;Kuroyedov<sup>2,3</sup>, D.N.&nbsp;Lovpache<sup>1</sup>, I.R.&nbsp;Gazizova<sup>4</sup>, S.Yu. Petrov<sup>5</sup>, I.A.&nbsp;Loskutov<sup>6</sup></b><br> </p> <p> <b><sup>1</sup>LLC “3-Z”, Moscow, Russian Federation</b> </p> <p> <b><sup>2</sup>P.V.&nbsp;Mandryka Military Clinical Hospital, Moscow, Russian Federation</b> </p> <p> <b><sup>3</sup>Pirogov Russian National Research Medical University, Moscow, Russian Federation</b> </p> <p> <b><sup>4</sup>Institute of Experimental Medicine of the Russian Academy of Sciences, St. Petersburg, Russian Federation</b> </p> <p> <b><sup>5</sup>Scientific Research Institute of Eye Diseases, Moscow, Russian Federation</b> </p> <p> <b><sup>6</sup>Department of Ophthalmology, Science Clinical Сenter of Russian Railways, Moscow, Russian Federation</b> </p> <p> <i>This article describes the effect of central corneal thickness (CCT) on intraocular pressure (IOP) measurements. CCT is known to affect applanation tonometry readings thus resulting in late glaucoma diagnosis and inadequate IOP-lowering treatment. In patients with thick cornea, ignoring of this parameter will lead to overdiagnosis and unreasonable therapies. In patients with thin cornea, “understated” IOP levels will lead to late glaucoma diagnosis and incorrect management. Data on CCT as a risk factor for glaucoma development and progression are addressed. The article discusses the effect of CCT on the readings of various methods of tonometry. In advanced glaucoma, CCT significantly reduces, as a result, the proportion of thin corneas increases as compared with early glaucoma. Practical need to measure CCT in the course of standard ocular examination is highlighted. However, until recently, the standards of IOP re-calculation adjusted for CCT are not deter mined yet thus requiring further studies.</i> </p> <p> <i><b>Keywords</b>: glaucoma, intraocular pressure, tonometry, central corneal thickness, corneal hysteresis.</i> </p> <p> <i><b>For citation: </b>Korneeva A.V., Kuroyedov A.V., Lovpache D.N. et al. Central corneal thickness to adjust IOP measurements. Russian Journal of Clinical Ophthalmology. 2020;20(1):–20. DOI: 10.32364/2311-7729-2020-20-1-15-20.</i> </p> <i><br> </i><br>
format Article
id doaj-art-44f53c21c83041e290d0bf67703cdb3b
institution Kabale University
issn 2311-7729
2619-1571
language Russian
publishDate 2020-03-01
publisher Prime-Media
record_format Article
series РМЖ "Клиническая офтальмология"
spelling doaj-art-44f53c21c83041e290d0bf67703cdb3b2025-01-16T09:39:38ZrusPrime-MediaРМЖ "Клиническая офтальмология"2311-77292619-15712020-03-0120131015Central corneal thickness to adjust IOP measurementsA.V. Korneeva0A.V. Kuroyedov1D.N. Lovpache2I.R. Gazizova3S.Yu. Petrov4I.A. Loskutov5Russian Journal of Clinical Ophthalmology, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399Russian Journal of Clinical Ophthalmology, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399Russian Journal of Clinical Ophthalmology, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399Russian Journal of Clinical Ophthalmology, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399Russian Journal of Clinical Ophthalmology, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399Russian Journal of Clinical Ophthalmology, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399<p> <b>A.V.&nbsp;Korneeva<sup>1</sup>, A.V.&nbsp;Kuroyedov<sup>2,3</sup>, D.N.&nbsp;Lovpache<sup>1</sup>, I.R.&nbsp;Gazizova<sup>4</sup>, S.Yu. Petrov<sup>5</sup>, I.A.&nbsp;Loskutov<sup>6</sup></b><br> </p> <p> <b><sup>1</sup>LLC “3-Z”, Moscow, Russian Federation</b> </p> <p> <b><sup>2</sup>P.V.&nbsp;Mandryka Military Clinical Hospital, Moscow, Russian Federation</b> </p> <p> <b><sup>3</sup>Pirogov Russian National Research Medical University, Moscow, Russian Federation</b> </p> <p> <b><sup>4</sup>Institute of Experimental Medicine of the Russian Academy of Sciences, St. Petersburg, Russian Federation</b> </p> <p> <b><sup>5</sup>Scientific Research Institute of Eye Diseases, Moscow, Russian Federation</b> </p> <p> <b><sup>6</sup>Department of Ophthalmology, Science Clinical Сenter of Russian Railways, Moscow, Russian Federation</b> </p> <p> <i>This article describes the effect of central corneal thickness (CCT) on intraocular pressure (IOP) measurements. CCT is known to affect applanation tonometry readings thus resulting in late glaucoma diagnosis and inadequate IOP-lowering treatment. In patients with thick cornea, ignoring of this parameter will lead to overdiagnosis and unreasonable therapies. In patients with thin cornea, “understated” IOP levels will lead to late glaucoma diagnosis and incorrect management. Data on CCT as a risk factor for glaucoma development and progression are addressed. The article discusses the effect of CCT on the readings of various methods of tonometry. In advanced glaucoma, CCT significantly reduces, as a result, the proportion of thin corneas increases as compared with early glaucoma. Practical need to measure CCT in the course of standard ocular examination is highlighted. However, until recently, the standards of IOP re-calculation adjusted for CCT are not deter mined yet thus requiring further studies.</i> </p> <p> <i><b>Keywords</b>: glaucoma, intraocular pressure, tonometry, central corneal thickness, corneal hysteresis.</i> </p> <p> <i><b>For citation: </b>Korneeva A.V., Kuroyedov A.V., Lovpache D.N. et al. Central corneal thickness to adjust IOP measurements. Russian Journal of Clinical Ophthalmology. 2020;20(1):–20. DOI: 10.32364/2311-7729-2020-20-1-15-20.</i> </p> <i><br> </i><br>http://clinopht.com/upload/iblock/138/138eb2b0860a5e7a7f5616021fdebc41.pdf
spellingShingle A.V. Korneeva
A.V. Kuroyedov
D.N. Lovpache
I.R. Gazizova
S.Yu. Petrov
I.A. Loskutov
Central corneal thickness to adjust IOP measurements
РМЖ "Клиническая офтальмология"
title Central corneal thickness to adjust IOP measurements
title_full Central corneal thickness to adjust IOP measurements
title_fullStr Central corneal thickness to adjust IOP measurements
title_full_unstemmed Central corneal thickness to adjust IOP measurements
title_short Central corneal thickness to adjust IOP measurements
title_sort central corneal thickness to adjust iop measurements
url http://clinopht.com/upload/iblock/138/138eb2b0860a5e7a7f5616021fdebc41.pdf
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AT dnlovpache centralcornealthicknesstoadjustiopmeasurements
AT irgazizova centralcornealthicknesstoadjustiopmeasurements
AT syupetrov centralcornealthicknesstoadjustiopmeasurements
AT ialoskutov centralcornealthicknesstoadjustiopmeasurements