RESUMEN
The aim was to study gender differences in corneal thickness. We analysed the corneal thickness of 100 corneas of 100 healthy subjects (mean age 30.87±7.76 years; range, 19 to 54 years old) with the Orbscan Topography System II (Orbscan, Inc., Salt Lake City, UT. USA). The means of five consecutive measurements of the central and paracentral corneal thickness were obtained. No significant differences in mean corneal thickness between women and men at central (p=0.477), nasal (p=0.247), superonasal (p=0.242), inferonasal (p=0.554), temporal (p=0.538), superotemporal (p=0.524) and inferotemporal (p=0.860) corneal locations were found. In sum, there are no differences in mean central and paracentral corneal thickness values between women and men (AU)
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Asunto(s)
Femenino , Humanos , Masculino , Córnea/anatomía & histología , Córnea/fisiología , Implantes Orbitales/clasificación , Paquimetría Corneal/instrumentación , Paquimetría Corneal/métodos , Hormonas/síntesis química , Córnea/metabolismo , Córnea/fisiopatología , Implantes Orbitales , Paquimetría Corneal/clasificación , Paquimetría Corneal , HormonasRESUMEN
The aim of this work was to study the central corneal thickness values and interobserver variability using a noncontact specular microscope. Methods: 62 eyes from 31 healthy subjects were studied with the Topcon SP-2000P noncontact specular microscope (Topcon Corp., Tokyo, Japan). 16 (51.61%) were females, and 15 (48.38%) were males. The mean age of the sample was 31.83±5.68 years. The mean of three consecutive measurements of the central corneal thickness was recorded by two investigators. Results: Mean central corneal thickness was 497±53 ?m for physician I and 497±51 ?m for physician II (p=0.982). No significant differences were found between the left and right corneas (p=0.999), between females and males (p=0.756), between ? 29-years-olds and ? 30-years-olds (p=0.945) or between myopic and hyperopic eyes (p=0.994). Conclusion: Noncontact specular microscopy is a recently introduced anatomical tool that can be used to study the human cornea in vivo (AU)
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Asunto(s)
Femenino , Humanos , Masculino , Córnea/anomalías , Córnea/citología , Técnicas In Vitro/clasificación , Técnicas In Vitro/instrumentación , Paquimetría Corneal/instrumentación , Paquimetría Corneal/métodos , Oftalmología , Células Endoteliales/citología , Células Endoteliales/patología , Córnea/anatomía & histología , Córnea/patología , Técnicas In Vitro/métodos , Técnicas In Vitro , Paquimetría Corneal/clasificación , Paquimetría Corneal/enfermería , Oftalmología/métodos , Células Endoteliales/clasificación , Células Endoteliales/fisiologíaRESUMEN
The aim of this study was to investigate central corneal thickness values prior to and five years after ablation of the central cornea using 193 nm UV radiation. Thirty eight eyes of 38 subjects were analysed in a prospective study. Central corneal thickness measurements were carried out prior to and 60 months after corneal stromal photoablation under a 160 ?m flap with the Summit Excimed SVS plus excimer laser (Summit Technology, Inc. Walthan, MA). Mean intended ablation depth was 55±20 ?m. Central corneal thickness measurements were carried out with the DGH 2000 AP ultrasonic pachymeter (DGH Technology, Inc., San Diego, USA). Consecutive central corneal thickness readings were made until three consecutive measurements were within 5 mm of each other. The mean of these three consecutive readings was used as the value of central corneal thickness in this study. Preoperative mean central corneal thickness was 556±55 ?m; five years later it was 513.41 ?m (p<0.001). The difference between the "theoretical" postablative corneal thickness values and the "real" corneal thickness values observed 60 months after stromal photoablation was also significant (p<0.001). Five years after central corneal stromal photoablation using 193 nm UV radiation there was a disparity between the programmed postoperative residual corneal thickness and the corneal thickness obtained by ultrasound pachymetry. Further research is neccesary in order to identify possible unexpected values of corneal thickness after a paracentral corneal stromal photoablation has been carried out (AU)
El objetivo de este estudio era investigar los valores del espesor corneal previo a y cinco años tras la ablación de la córnea central empleando radiación UV de 193 nm. Treinta ojos de treinta sujetos fueron analizados en un estudio prospectivo. Las mediciones del espesor corneal se realizaron previo a y 60 meses tras la fotoablación estromal bajo un flap de 160 micras con el láser excimer Summit Excimed SVS plus (Summit Technology, Inc. Walthan, MA). La media de la ablación intentada fue de 55ñ20 micras. Las mediciones del espesor corneal central se realizaron con el paquímetro ultrasónico DGH 2000 AP (DGH Technology, Inc. San Diego, USA). Se realizaron mediciones consecutivas del espesor corneal hasta que tres consecutivas de ellas estuviesen entre 5 micras de diferencia. La media de estas tres mediciones consecutivas se usó como el valor del espesor central en este estudio. El espesor central medio era 565ñ55 micras; cinco años después era 513ñ41 micras (p<0.001). La diferencia entre los teóricos valores del espesor corneal y los verdaderos observados 60 meses tras la ablación estromal también fue significativa (p<0.001).Cinco años tras la fotoablación estromal empleando radiación UV de 193 nm existe una disparidad entre el espesor residual postoperativo programado y el espesor corneal obtenido mediante paquimetría ultrasónica. Es necesaria mayor investigación con la finalidad de identificar los posibles valores inesperados del espesor corneal tras ser realizada una ablación estromal paracentral (AU)
Asunto(s)
Adulto , Femenino , Masculino , Humanos , Córnea/anatomía & histología , Terapia Ultravioleta/efectos adversos , Sustancia Propia/anatomía & histología , Anestesia Local/efectos adversos , Rayos LáserRESUMEN
Purpose: To study the central corneal thickness values in two groups of extreme myopic patients (cycloplegic spherical equivalent refraction >=-12 diopters) and in a control group. Methods: We carried out ultrasonic pachymetry with the DGH 2000 AP ultrasonic pachymeter (DGH Technology, Inc., San Diego, CA, USA). Group I (n=45) was made up of patients with spherical equivalent refraction ranging from -12.00 to -18.00 diopters; group II (n=25) with spherical equivalent refraction > -18.00 diopters, and the control group (n = 34) was made up of patients with spherical equivalent refraction ranging from -0.25 to -3.00 diopters. Results: Mean central corneal thickness (mean±SD) was 531±42 ?m, 551±52 ?m and 538±35 ?m in groups I, II and controls, respectively (p=0.193). No significant differences between women and men were found in group I (p=0.314), group II (p=0.071) and the control group (p=0.113). No significant differences among age subgroups were found in group I (p=0.989), group II (p=0.641) or in the control group (p=0.397). Conclusions: In extreme myopic eyes there is a slight tendency for central corneal thickness to increase in the presence of higher degrees of myopia. Nevertheless, central corneal thickness in extreme myopic patients is similar to that noted in non-extreme myopic patients (AU)
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