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Published in: International Ophthalmology 4/2020

01-04-2020 | Original Paper

Corneal biomechanics in different age groups

Authors: Ahmed Abdel Karim El Massry, Amr Ahmed Said, Ihab Mohamed Osman, Amr Saad Bessa, Mohammed Ahmed Elmasry, Eman Nabil Elsayed, Nader Hussein Lotfy Bayoumi

Published in: International Ophthalmology | Issue 4/2020

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Abstract

Purpose

To report on the corneal biomechanical characteristics, namely the corneal hysteresis (CH), corneal resistance factor (CRF), as well as the intraocular pressure (IOP) goldman compensated (IOPg), and the cornea compensated (IOPcc), using the ocular response analyzer (ORA) in different age groups in a cohort of normal individuals from the second decade to the seventh decade and beyond.

Patients and methods

The study was a cross-sectional survey conducted on 997 eyes of 508 normal individuals presenting for a routine ophthalmic examination at Alexandria Main University Hospital in Alexandria University, Alexandria, Egypt. The study subjects were age stratified into decades (10–20, 21–30, 31–40, 41–50, > 50) and the ORA parameters (CH, CRF, IOPg, IOPcc) reported and stratified. Correlations were sought between the ORA parameters and the age, gender, and laterality.

Results

The study was conducted on 997 (502 right) eyes of 508 (234 males) normal individuals. The mean ± SD ages of the study groups were 14.7 ± 3.2, 25.9 ± 3.0, 35.3 ± 2.8, 44.6 ± 2.9, and 61.1 ± 7.7 years. The mean ± SD of the CH in the study groups were 10.9 ± 2.4, 9.8 ± 1.5, 9.8 ± 1.4, 9.7 ± 1.7, and 9.5 ± 1.6 mmHg and of the CRF were 10.9 ± 2.4, 9.5 ± 1.7, 9.4 ± 1.8, 9.6 ± 1.9, and 9.6 ± 1.8 mmHg. A statistically significant negative correlation was found between age and each of CH and CRF. IOPcc demonstrated a fairly constant trend in the different age groups whereas IOPg demonstrated an initial decline followed by a gradual rise over time.

Conclusion

The corneal biomechanical properties CH and CRF decrease with age. IOPg and IOPcc change minimally with age.
Literature
1.
go back to reference Lu TW, Chang CF (2012) Biomechanics of human movement and its clinical applications. Kaohsiung J Med Sci 28:s13–s25CrossRef Lu TW, Chang CF (2012) Biomechanics of human movement and its clinical applications. Kaohsiung J Med Sci 28:s13–s25CrossRef
3.
go back to reference Kotecha A (2007) What biomechanical properties of the cornea are relevant for the clinician? Surv Ophthalmol 52(Suppl 2):S109–S114CrossRef Kotecha A (2007) What biomechanical properties of the cornea are relevant for the clinician? Surv Ophthalmol 52(Suppl 2):S109–S114CrossRef
4.
go back to reference Nyquist GW (1968) Rheology of the cornea: experimental techniques and results. Exp Eye Res 7(2):183–188CrossRef Nyquist GW (1968) Rheology of the cornea: experimental techniques and results. Exp Eye Res 7(2):183–188CrossRef
8.
go back to reference Kotecha A, Elsheikh A, Roberts CR, Zhu H, Garway-Heath DF (2006) Corneal thickness- and age-related biomechanical properties of the cornea measured with the ocular response analyzer. Invest Ophthalmol Vis Sci 47(12):5337–5347CrossRef Kotecha A, Elsheikh A, Roberts CR, Zhu H, Garway-Heath DF (2006) Corneal thickness- and age-related biomechanical properties of the cornea measured with the ocular response analyzer. Invest Ophthalmol Vis Sci 47(12):5337–5347CrossRef
10.
go back to reference Zareei A, Razeghinejad MR, Salouti R (2018) Corneal biomechanical properties and thickness in primary congenital glaucoma and normal eyes: a comparative study. Med Hypothesis Discov Innov Ophthalmol 7(2):68–72PubMedPubMedCentral Zareei A, Razeghinejad MR, Salouti R (2018) Corneal biomechanical properties and thickness in primary congenital glaucoma and normal eyes: a comparative study. Med Hypothesis Discov Innov Ophthalmol 7(2):68–72PubMedPubMedCentral
12.
go back to reference Luce DA (2005) Determining in vivo biomechanical properties of the cornea with an ocular response analyzer. J Cataract Refract Surg 31:156–162CrossRef Luce DA (2005) Determining in vivo biomechanical properties of the cornea with an ocular response analyzer. J Cataract Refract Surg 31:156–162CrossRef
14.
go back to reference Qiu K, Lu X, Zhang R, Wang G, Zhang M (2016) Corneal biomechanics determination in healthy myopic subjects. J Ophthalmol. 2016:2793516CrossRef Qiu K, Lu X, Zhang R, Wang G, Zhang M (2016) Corneal biomechanics determination in healthy myopic subjects. J Ophthalmol. 2016:2793516CrossRef
16.
go back to reference Valbon BF, Ambrósio R Jr, Fontes BM, Alves MR (2013) Effects of age on corneal deformation by non-contact tonometry integrated with an ultra-high-speed (UHS) Scheimpflug camera. Arq Bras Oftalmol. 76(4):229–232CrossRef Valbon BF, Ambrósio R Jr, Fontes BM, Alves MR (2013) Effects of age on corneal deformation by non-contact tonometry integrated with an ultra-high-speed (UHS) Scheimpflug camera. Arq Bras Oftalmol. 76(4):229–232CrossRef
17.
go back to reference Oncel B, Dinc UA, Gorgun E, Yalvaç BI (2009) Diurnal variation of corneal biomechanics and intraocular pressure in normal subjects. Eur J Ophthalmol 19(5):798–803CrossRef Oncel B, Dinc UA, Gorgun E, Yalvaç BI (2009) Diurnal variation of corneal biomechanics and intraocular pressure in normal subjects. Eur J Ophthalmol 19(5):798–803CrossRef
18.
go back to reference Tonnu PA, Ho T, Newson T et al (2005) The influence of central corneal thickness and age on intraocular pressure measured by pneumotonometry, non-contact tonometry, the Tono-Pen XL, and Goldmann applanation tonometry. Br J Ophthalmol 89(7):851–854CrossRef Tonnu PA, Ho T, Newson T et al (2005) The influence of central corneal thickness and age on intraocular pressure measured by pneumotonometry, non-contact tonometry, the Tono-Pen XL, and Goldmann applanation tonometry. Br J Ophthalmol 89(7):851–854CrossRef
Metadata
Title
Corneal biomechanics in different age groups
Authors
Ahmed Abdel Karim El Massry
Amr Ahmed Said
Ihab Mohamed Osman
Amr Saad Bessa
Mohammed Ahmed Elmasry
Eman Nabil Elsayed
Nader Hussein Lotfy Bayoumi
Publication date
01-04-2020
Publisher
Springer Netherlands
Published in
International Ophthalmology / Issue 4/2020
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI
https://doi.org/10.1007/s10792-019-01273-8

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