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Influence of eye biometrics and corneal micro-structure on noncontact tonometry

Danilo A Jesus, Małgorzata Majewska, Patrycja Krzyżanowska-Berkowska and D Robert Iskander

PLOS ONE, 2017, vol. 12, issue 5, 1-15

Abstract: Purpose: Tonometry is widely used as the main screening tool supporting glaucoma diagnosis. Still, its accuracy could be improved if full knowledge about the variation of the corneal biomechanical properties was available. In this study, Optical Coherence Tomography (OCT) speckle statistics are used to infer the organisation of the corneal micro-structure and hence, to analyse its influence on intraocular pressure (IOP) measurements. Methods: Fifty-six subjects were recruited for this prospective study. Macro and micro-structural corneal parameters as well as subject age were considered. Macro-structural analysis included the parameters that are associated with the ocular anatomy, such as central corneal thickness (CCT), corneal radius, axial length, anterior chamber depth and white-to-white corneal diameter. Micro-structural parameters which included OCT speckle statistics were related to the internal organisation of the corneal tissue and its physiological changes during lifetime. The corneal speckle obtained from OCT was modelled with the Generalised Gamma (GG) distribution that is characterised with a scale parameter and two shape parameters. Results: In macro-structure analysis, only CCT showed a statistically significant correlation with IOP (R2 = 0.25, p

Date: 2017
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0177180

DOI: 10.1371/journal.pone.0177180

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