Relationship between novel intraocular pressure measurement from Corvis ST and central corneal thickness and corneal hysteresis

Br J Ophthalmol. 2020 Apr;104(4):563-568. doi: 10.1136/bjophthalmol-2019-314370. Epub 2019 Jul 30.

Abstract

Aims: Corvis ST (CST) yields biomechanical corrected IOP (bIOP) which is purported to be less dependent on biomechanical properties. In our accompanied paper, it was suggested that the repeatability of bIOP is high. The purpose of the current study was to assess the relationship between intraocular pressure (IOP) measured with CST and central corneal thickness (CCT) and corneal hysteresis (CH), in comparison with IOP measured with Goldmann applanation tonometry (GAT) and the ocular response analyzer (ORA).

Methods: A total of 141 eyes from 141 subjects (35 healthy eyes and 106 glaucomatous eyes) underwent IOP measurements with GAT, CST and ORA. The relationships between IOP measurements (ORA-IOPg, ORA-IOPcc, CST-bIOP and GAT IOP) and biomechanical properties (CCT, CH and corneal resistance factor (CRF)) were analysed using the linear regression analysis.

Results: IOPg, IOPcc and GAT IOP were significantly associated with CCT (p<0.001), whereas bIOP was not significantly associated with CCT (p=0.19). IOPg, bIOP and GAT IOP were significantly associated with CH (IOPg: p<0.001; bIOP: p<0.001; GAT IOP: p=0.0054), whereas IOPcc was not significantly associated with CH (p=0.18). All of IOP records were associated with CRF (p<0.001).

Conclusion: The bIOP measurement from CST is independent from CCT, but dependent on CH and CRF.

Keywords: glaucoma.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Biomechanical Phenomena / physiology
  • Cornea / physiopathology*
  • Elasticity / physiology*
  • Female
  • Glaucoma, Open-Angle / physiopathology*
  • Humans
  • Intraocular Pressure / physiology*
  • Low Tension Glaucoma / physiopathology*
  • Male
  • Middle Aged
  • Tonometry, Ocular / instrumentation*
  • Visual Fields
  • Young Adult