The relationship between central corneal thickness and optic disc size in patients with primary open-angle glaucoma in a hospital-based population

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Naim Terai - , University Hospital Carl Gustav Carus Dresden, Department of Ophthalmology (Author)
  • Eberhard Spoerl - , Department of Ophthalmology, University Hospital Carl Gustav Carus Dresden (Author)
  • Lutz E. Pillunat - , Department of Ophthalmology, University Hospital Carl Gustav Carus Dresden (Author)
  • Eberhard Kuhlisch - , Institute for Medical Informatics and Biometry (Author)
  • Eckart Schmidt - , University Hospital Carl Gustav Carus Dresden, Department of Ophthalmology (Author)
  • Andreas G. Boehm - , University Hospital Carl Gustav Carus Dresden, Department of Ophthalmology (Author)

Abstract

Purpose: To investigate the relationship between central corneal thickness (CCT) and optic disc size in patients with primary open-angle glaucoma (POAG) in a hospital-based population. Methods: Data for the right eyes of 1435 White patients with POAG were included in a retrospective hospital-based study. All eyes underwent optic nerve head imaging using Heidelberg Retina Tomograph II (HRT II; Heidelberg Engineering, Heidelberg, Germany) and CCT measurement by ultrasound corneal pachymetry. Eyes with prior intraocular or corneal surgery were excluded. Low-quality HRT II images were also excluded. The impact of age, gender, CCT, intraocular pressure, cylindrical and spherical refractive error as independent factors on optic disc size was investigated in a multiple linear regression analysis. Results: The data for 1104 right eyes qualified for participation in the study. The median age of these patients was 65 years. The median CCT was 547 μm (25th-75th percentile 522-575 μm). The median optic disc size was 2.21 mm 2 (25th-75th percentile 1.89-2.60 mm 2). Multiple linear regression analysis revealed that age (p = 0.001), CCT (p = 0.001) and spherical equivalent (p = 0.049) were correlated to disc size according to the following formula: disc area = -0.004 × age - 0.001 × CCT - 0.014 × spherical equivalent +3.290. R 2 of the whole model was 0.021. Univariate regression analysis between age and disc area provided R 2 = 0.008 with p = 0.002. Univariate regression analysis between disc area and CCT provided R 2 = 0.005 with p = 0.02. Conclusion: In this retrospective hospital-based study we could not detect a clinically relevant correlation between optic disc size and CCT. The correlation between CCT and disc size and between age and disc size were statistically significant, but the R 2 values were very low. The results of the study are biased because of its hospital-based design, so the results of the study need to be confirmed in a large population-based study.

Details

Original languageEnglish
Pages (from-to)556-559
Number of pages4
JournalActa ophthalmologica
Volume89
Issue number6
Publication statusPublished - Sept 2011
Peer-reviewedYes

External IDs

PubMed 19878114

Keywords

ASJC Scopus subject areas

Keywords

  • corneal thickness, glaucoma, HRT, optic disc size