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Published in: International Ophthalmology 8/2019

01-08-2019 | Review

Corneal hysteresis and glaucoma

Authors: Liang Liang, Ran Zhang, Li-Ye He

Published in: International Ophthalmology | Issue 8/2019

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Abstract

Purpose

To review and summarize the characteristics of corneal hysteresis (CH) and its relationship with glaucoma.

Methods

A PubMed search was carried out using the terms “corneal hysteresis”, “glaucoma”, and “biomechanics”. Up to March 2018, all studies published in English are included in this review.

Results

The value of CH reflects the ability of corneal tissue to absorb and release energy during bidirectional flattening. It is an important biomechanical parameter of the cornea. The CH value of healthy adults is about 11 mmHg. The measurement of CH is reproducible and different. People have different CH values, which are determined by the shape of the individual’s cornea. The study found that all types of glaucoma, including primary open angle glaucoma, angle-closure glaucoma, normal tension glaucoma, congenital glaucoma, binocular asymmetrical glaucoma, CH values are lower than normal people, therefore, CH is therefore a good indicator of glaucoma diagnosis and screening. Lower CH values are associated with thinner retinal nerve fiber layer (RNFL), larger linear cup/disk ratio (LCDR) and degree of optic disc defect. A lower CH value can also result in a lower visual field index. CH and the basic intraocular pressure play a synergistic role in the progression of glaucoma. The study found that CH can change with changes in basic intraocular pressure, means CH increases when intraocular pressure decreases, while the CH decreases conversely when intraocular pressure increases. Most clinical case studies have shown a decrease in CH after LASER refractive surgery. CH has its limitations, such as corneal damage or corneal surgery, but in general, CH is a risk factor for glaucoma progression.

Conclusion

CH is used as a predictor of glaucoma risk and may help to assess the effect of corneal thickness on intraocular pressure. The clinical significance of CH in the diagnosis and efficacy of glaucoma will become more explicit. In the future, CH can also play an important role in the diagnosis and treatment of glaucoma.
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Metadata
Title
Corneal hysteresis and glaucoma
Authors
Liang Liang
Ran Zhang
Li-Ye He
Publication date
01-08-2019
Publisher
Springer Netherlands
Published in
International Ophthalmology / Issue 8/2019
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI
https://doi.org/10.1007/s10792-018-1011-2

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