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Published in: Graefe's Archive for Clinical and Experimental Ophthalmology 11/2010

01-11-2010 | Basic Science

Central corneal thickness, lamina cribrosa and peripapillary scleral histomorphometry in non-glaucomatous chinese eyes

Authors: Ruojin Ren, Bin Li, Fei Gao, Liaoqing Li, Xiaolin Xu, Ningli Wang, Jost B. Jonas

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 11/2010

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Abstract

Background

To examine a potential correlation between a thin cornea, a thin lamina cribrosa and a thin peripapillary sclera in normal eyes of Chinese, as surrogate for a presumed association between a thin cornea and an increased glaucoma susceptibility.

Methods

The histomorphometric study included 55 non-glaucomatous globes (55 patients; mean age: 41.6 ± 13.6 years) enucleated due to a malignant choroidal melanoma without involvement of the optic nerve or trabecular meshwork. The axial length ranged between 21 and 27 mm. Histological sections through the pupil and the optic disc were morphometrically evaluated. We measured the thickness of the central cornea, central and peripheral lamina cribrosa, and peripapillary sclera.

Results

The mean central corneal thickness (500 ± 68 μm) was statistically not significantly associated with the thickness of the central lamina cribrosa (207 ± 60 μm) (P = 0.62), peripheral lamina cribrosa (P = 0.61), peripapillary sclera close to the optic nerve canal (P = 0.18), peripapillary sclera just outside of the optic nerve meninges (P = 0.11), nor with the shortest distance between the prelaminar space and cerebrospinal fluid space (P = 0.09).

Conclusions

In Chinese, central corneal thickness is not significantly correlated with the thickness of the central and peripheral lamina cribrosa and the thickness of the peripapillary sclera nor with the shortest distance between the intraocular space and the cerebrospinal fluid space. These histomorphometric data do not support a relationship between central corneal thickness and thickness of structures of the optic nerve head, and thus do not support an association between a thin cornea and increased structural glaucoma susceptibility.
Literature
1.
go back to reference Gordon MO, Beiser JA, Brandt JD, Heuer DK, Higginbotham EJ, Johnson CA, Keltner JL, Miller JP, Parrish RK 2nd, Wilson MR, Kass MA (2002) The Ocular Hypertension Treatment Study: baseline factors that predict the onset of primary open-angle glaucoma. Arch Ophthalmol 120:714–720PubMed Gordon MO, Beiser JA, Brandt JD, Heuer DK, Higginbotham EJ, Johnson CA, Keltner JL, Miller JP, Parrish RK 2nd, Wilson MR, Kass MA (2002) The Ocular Hypertension Treatment Study: baseline factors that predict the onset of primary open-angle glaucoma. Arch Ophthalmol 120:714–720PubMed
2.
go back to reference Herndon LW, Weizer JS, Stinnett SS (2004) Central corneal thickness as a risk factor for advanced glaucoma damage. Arch Ophthalmol 122:17–21CrossRefPubMed Herndon LW, Weizer JS, Stinnett SS (2004) Central corneal thickness as a risk factor for advanced glaucoma damage. Arch Ophthalmol 122:17–21CrossRefPubMed
3.
go back to reference Medeiros FA, Sample PA, Weinreb RN (2003) Corneal thickness measurements and frequency doubling technology perimetry abnormalities in ocular hypertensive eyes. Ophthalmology 110:1903–1908CrossRefPubMed Medeiros FA, Sample PA, Weinreb RN (2003) Corneal thickness measurements and frequency doubling technology perimetry abnormalities in ocular hypertensive eyes. Ophthalmology 110:1903–1908CrossRefPubMed
4.
go back to reference Burgoyne CF, Morrison JC (2001) The anatomy and pathophysiology of the optic nerve head in glaucoma. J Glaucoma 10(5 Suppl 1):S16–S18CrossRefPubMed Burgoyne CF, Morrison JC (2001) The anatomy and pathophysiology of the optic nerve head in glaucoma. J Glaucoma 10(5 Suppl 1):S16–S18CrossRefPubMed
5.
go back to reference Jonas JB, Berenshtein E, Holbach L (2004) Lamina cribrosa thickness and spatial relationships between intraocular space and cerebrospinal fluid space in highly myopic eyes. Invest Ophthalmol Vis Sci 45:2660–2665CrossRefPubMed Jonas JB, Berenshtein E, Holbach L (2004) Lamina cribrosa thickness and spatial relationships between intraocular space and cerebrospinal fluid space in highly myopic eyes. Invest Ophthalmol Vis Sci 45:2660–2665CrossRefPubMed
6.
go back to reference Jonas JB, Holbach L (2005) Central corneal thickness and thickness of the lamina cribrosa in human eyes. Invest Ophthalmol Vis Sci 46:1275–1279CrossRefPubMed Jonas JB, Holbach L (2005) Central corneal thickness and thickness of the lamina cribrosa in human eyes. Invest Ophthalmol Vis Sci 46:1275–1279CrossRefPubMed
7.
go back to reference Ren R, Wang N, Li B, Li L, Gao F, Xu X, Jonas JB (2009) Lamina cribrosa and peripapillary sclera histomorphometry in normal and advanced glaucomatous Chinese eyes with normal and elongated axial length. Invest Ophthalmol Vis Sci 50:2175–2184CrossRefPubMed Ren R, Wang N, Li B, Li L, Gao F, Xu X, Jonas JB (2009) Lamina cribrosa and peripapillary sclera histomorphometry in normal and advanced glaucomatous Chinese eyes with normal and elongated axial length. Invest Ophthalmol Vis Sci 50:2175–2184CrossRefPubMed
8.
go back to reference Bellezza AJ, Rintalan CJ, Thompson HW, Downs JC, Hart RT, Burgoyne CF (2003) Deformation of the lamina cribrosa and anterior scleral canal wall in early experimental glaucoma. Invest Ophthalmol Vis Sci 44:623–637CrossRefPubMed Bellezza AJ, Rintalan CJ, Thompson HW, Downs JC, Hart RT, Burgoyne CF (2003) Deformation of the lamina cribrosa and anterior scleral canal wall in early experimental glaucoma. Invest Ophthalmol Vis Sci 44:623–637CrossRefPubMed
9.
go back to reference Bellezza AJ, Hart RT, Burgoyne CF (2000) The optic nerve head as a biomechanical structure: initial finite element modeling. Invest Ophthalmol Vis Sci 41:2991–3000PubMed Bellezza AJ, Hart RT, Burgoyne CF (2000) The optic nerve head as a biomechanical structure: initial finite element modeling. Invest Ophthalmol Vis Sci 41:2991–3000PubMed
10.
go back to reference Burgoyne CF, Downs JC, Bellezza AJ, Suh JK, Hart RT (2005) The optic nerve head as biomechanical structure: a new paradigm for understanding the role of IOP-related stress and strain in the pathophysiology of glaucomatous optic nerve head damage. Prog Retin Eye Res 24:39–73CrossRefPubMed Burgoyne CF, Downs JC, Bellezza AJ, Suh JK, Hart RT (2005) The optic nerve head as biomechanical structure: a new paradigm for understanding the role of IOP-related stress and strain in the pathophysiology of glaucomatous optic nerve head damage. Prog Retin Eye Res 24:39–73CrossRefPubMed
11.
go back to reference Downs JC, Yang H, Girkin C, Sakata L, Bellezza A, Thompson H, Burgoyne CF (2007) Three-dimensional histomorphometry of the normal and early glaucomatous monkey optic nerve head: neural canal and subarachnoidal space architecture. Invest Ophthalmol Vis Sci 48:3195–3208CrossRefPubMed Downs JC, Yang H, Girkin C, Sakata L, Bellezza A, Thompson H, Burgoyne CF (2007) Three-dimensional histomorphometry of the normal and early glaucomatous monkey optic nerve head: neural canal and subarachnoidal space architecture. Invest Ophthalmol Vis Sci 48:3195–3208CrossRefPubMed
12.
go back to reference Sigal IA, Flanagan JG, Ethier CR (2005) Factors influencing optic nerve head biomechanics. Invest Ophthalmol Vis Sci 46:4189–4199CrossRefPubMed Sigal IA, Flanagan JG, Ethier CR (2005) Factors influencing optic nerve head biomechanics. Invest Ophthalmol Vis Sci 46:4189–4199CrossRefPubMed
13.
go back to reference Sigal IA, Flanagan JG, Tertinegg I, Ethier CR (2004) Finite element medelling of optic nerve head biomechanics. Invest Ophthalmol Vis Sci 45:4378–4387CrossRefPubMed Sigal IA, Flanagan JG, Tertinegg I, Ethier CR (2004) Finite element medelling of optic nerve head biomechanics. Invest Ophthalmol Vis Sci 45:4378–4387CrossRefPubMed
14.
go back to reference Jonas JB, Berenshtein E, Holbach L (2003) Anatomic relationship between lamina cribrosa, intraocular space, and cerebrospinal fluid space. Invest Ophthalmol Vis Sci 44:5189–5195CrossRefPubMed Jonas JB, Berenshtein E, Holbach L (2003) Anatomic relationship between lamina cribrosa, intraocular space, and cerebrospinal fluid space. Invest Ophthalmol Vis Sci 44:5189–5195CrossRefPubMed
15.
go back to reference Leske MC, Heijl A, Hussein M, Bengtsson B, Hyman L, Komaroff E, Early Manifest Glaucoma Trial Group (2003) Factors for glaucoma progression and the effect of treatment: the Early Manifest Glaucoma Trial. Arch Ophthalmol 121:48–56PubMed Leske MC, Heijl A, Hussein M, Bengtsson B, Hyman L, Komaroff E, Early Manifest Glaucoma Trial Group (2003) Factors for glaucoma progression and the effect of treatment: the Early Manifest Glaucoma Trial. Arch Ophthalmol 121:48–56PubMed
16.
go back to reference European Glaucoma Prevention Study (EGPS) Group, Miglior S, Pfeiffer N, Torri V, Zeyen T, Cunha-Vaz J, Adamsons I (2007) Predictive factors for open-angle glaucoma among patients with ocular hypertension in the European Glaucoma Prevention Study. Ophthalmology 114:3–9CrossRefPubMed European Glaucoma Prevention Study (EGPS) Group, Miglior S, Pfeiffer N, Torri V, Zeyen T, Cunha-Vaz J, Adamsons I (2007) Predictive factors for open-angle glaucoma among patients with ocular hypertension in the European Glaucoma Prevention Study. Ophthalmology 114:3–9CrossRefPubMed
17.
go back to reference Ocular Hypertension Treatment Study Group, European Glaucoma Prevention Study Group, Gordon MO, Torri V, Miglior S, Beiser JA, Floriani I, Miller JP, Gao F, Adamsons I, Poli D, D’Agostino RB, Kass MA (2007) Validated prediction model for the development of primary open-angle glaucoma in individuals with ocular hypertension. Ophthalmology 114:10–19CrossRefPubMed Ocular Hypertension Treatment Study Group, European Glaucoma Prevention Study Group, Gordon MO, Torri V, Miglior S, Beiser JA, Floriani I, Miller JP, Gao F, Adamsons I, Poli D, D’Agostino RB, Kass MA (2007) Validated prediction model for the development of primary open-angle glaucoma in individuals with ocular hypertension. Ophthalmology 114:10–19CrossRefPubMed
18.
go back to reference Leske MC, Heijl A, Hyman L, Bengtsson B, Dong L, Yang Z, EMGT Group (2007) Predictors of long-term progression in the Early Manifest Glaucoma Trial. Ophthalmology 114:1965–1972CrossRefPubMed Leske MC, Heijl A, Hyman L, Bengtsson B, Dong L, Yang Z, EMGT Group (2007) Predictors of long-term progression in the Early Manifest Glaucoma Trial. Ophthalmology 114:1965–1972CrossRefPubMed
19.
go back to reference Hong S, Kim CY, Seong GJ, Hong YJ (2007) Central corneal thickness and visual field progression in patients with chronic primary angle-closure glaucoma with low intraocular pressure. Am J Ophthalmol 143:362–363CrossRefPubMed Hong S, Kim CY, Seong GJ, Hong YJ (2007) Central corneal thickness and visual field progression in patients with chronic primary angle-closure glaucoma with low intraocular pressure. Am J Ophthalmol 143:362–363CrossRefPubMed
20.
go back to reference Medeiros FA, Weinreb RN, Zangwill LM, Alencar LM, Sample PA, Vasile C, Bowd C (2008) Long-term intraocular pressure fluctuations and risk of conversion from ocular hypertension to glaucoma. Ophthalmology 115:934–940CrossRefPubMed Medeiros FA, Weinreb RN, Zangwill LM, Alencar LM, Sample PA, Vasile C, Bowd C (2008) Long-term intraocular pressure fluctuations and risk of conversion from ocular hypertension to glaucoma. Ophthalmology 115:934–940CrossRefPubMed
21.
go back to reference Shah H, Kniestedt C, Bostrom A, Stamper R, Lin S (2007) Role of central corneal thickness on baseline parameters and progression of visual fields in open angle glaucoma. Eur J Ophthalmol 17:545–549PubMed Shah H, Kniestedt C, Bostrom A, Stamper R, Lin S (2007) Role of central corneal thickness on baseline parameters and progression of visual fields in open angle glaucoma. Eur J Ophthalmol 17:545–549PubMed
22.
go back to reference Kaushik S, Gyatsho J, Jain R, Pandav SS, Gupta A (2006) Correlation between retinal nerve fiber layer thickness and central corneal thickness in patients with ocular hypertension: an optical coherence tomography study. Am J Ophthalmol 141:884–890CrossRefPubMed Kaushik S, Gyatsho J, Jain R, Pandav SS, Gupta A (2006) Correlation between retinal nerve fiber layer thickness and central corneal thickness in patients with ocular hypertension: an optical coherence tomography study. Am J Ophthalmol 141:884–890CrossRefPubMed
23.
go back to reference Congdon NG, Broman AT, Bandeen-Roche K, Grover D, Quigley HA (2006) Central corneal thickness and corneal hysteresis associated with glaucoma damage. Am J Ophthalmol 141:868–875CrossRefPubMed Congdon NG, Broman AT, Bandeen-Roche K, Grover D, Quigley HA (2006) Central corneal thickness and corneal hysteresis associated with glaucoma damage. Am J Ophthalmol 141:868–875CrossRefPubMed
24.
go back to reference Stewart WC, Day DG, Jenkins JN, Passmore CL, Stewart JA (2006) Mean intraocular pressure and progression based on corneal thickness in primary open-angle glaucoma. J Ocul Pharmacol Ther 22:26–33CrossRefPubMed Stewart WC, Day DG, Jenkins JN, Passmore CL, Stewart JA (2006) Mean intraocular pressure and progression based on corneal thickness in primary open-angle glaucoma. J Ocul Pharmacol Ther 22:26–33CrossRefPubMed
25.
go back to reference Thomas R, Parikh R, George R, Kumar RS, Muliyil J (2003) Five-year risk of progression of ocular hypertension to primary open angle glaucoma. A population-based study. Indian J Ophthalmol 51:329–333PubMed Thomas R, Parikh R, George R, Kumar RS, Muliyil J (2003) Five-year risk of progression of ocular hypertension to primary open angle glaucoma. A population-based study. Indian J Ophthalmol 51:329–333PubMed
26.
go back to reference Jonas JB, Stroux A, Velten I, Juenemann A, Martus P, Budde WM (2005) Central corneal thickness correlated with glaucoma damage and rate of progression. Invest Ophthalmol Vis Sci 46:1269–1274CrossRefPubMed Jonas JB, Stroux A, Velten I, Juenemann A, Martus P, Budde WM (2005) Central corneal thickness correlated with glaucoma damage and rate of progression. Invest Ophthalmol Vis Sci 46:1269–1274CrossRefPubMed
27.
go back to reference Chauhan BC, Hutchison DM, LeBlanc RP, Artes PH, Nicolela MT (2005) Central corneal thickness and progression of the visual field and optic disc in glaucoma. Br J Ophthalmol 89:1008–1012CrossRefPubMed Chauhan BC, Hutchison DM, LeBlanc RP, Artes PH, Nicolela MT (2005) Central corneal thickness and progression of the visual field and optic disc in glaucoma. Br J Ophthalmol 89:1008–1012CrossRefPubMed
28.
go back to reference Xu L, Zhang H, Wang YX, Jonas JB (2008) Central corneal thickness and glaucoma in adult Chinese: the Beijing Eye Study. J Glaucoma 17:647–653CrossRefPubMed Xu L, Zhang H, Wang YX, Jonas JB (2008) Central corneal thickness and glaucoma in adult Chinese: the Beijing Eye Study. J Glaucoma 17:647–653CrossRefPubMed
29.
go back to reference Duke-Elder S, Cook C (1963) Normal and abnormal development. Part 1. Embryology. In: Duke-Elder S (ed) System of Ophthalmology, Vol. III. Henry Kimpton, London, pp 163–164 Duke-Elder S, Cook C (1963) Normal and abnormal development. Part 1. Embryology. In: Duke-Elder S (ed) System of Ophthalmology, Vol. III. Henry Kimpton, London, pp 163–164
30.
go back to reference Jonas JB, Naumann GO (1992) The optic nerve: Its embryology, histology and morphology. In: Varma R, Spaeth G, Parker K (eds) The optic disc in glaucoma. Lippincott Co, Philadelphia, pp 3–26 Jonas JB, Naumann GO (1992) The optic nerve: Its embryology, histology and morphology. In: Varma R, Spaeth G, Parker K (eds) The optic disc in glaucoma. Lippincott Co, Philadelphia, pp 3–26
Metadata
Title
Central corneal thickness, lamina cribrosa and peripapillary scleral histomorphometry in non-glaucomatous chinese eyes
Authors
Ruojin Ren
Bin Li
Fei Gao
Liaoqing Li
Xiaolin Xu
Ningli Wang
Jost B. Jonas
Publication date
01-11-2010
Publisher
Springer-Verlag
Published in
Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 11/2010
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-010-1369-y

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