CCT Measurements (cct + measurement)

Distribution by Scientific Domains


Selected Abstracts


Retinal nerve fiber layer thickness and central corneal thickness in ocular hypertensive patients and healthy subjects

ACTA OPHTHALMOLOGICA, Issue 2009
AM BRON
Purpose To establish the correlation between central corneal thickness (CCT) and retinal nerve fiber layer (RNFL) thickness in ocular hypertensive patients and healthy subjects. Methods We prospectively collected charts of healthy subjects and ocular hypertensive (OHT) patients in one academic center between 2007 and 2008. OHT patients were defined by two measurements of intraocular pressure superior to 21mmHg without treatment, open angle in gonioscopy, normal appearing optic nerve head and normal visual field test Standard Automated Perimetry (SAP SITA) and Frequency Doubling Technique (FDT). Every patient underwent a standard clinical examination including optic nerve head examination, intraocular pressure, CCT measurement by ultrasonic (US) and anterior segment OCT pachymetry, visual field testing (SAP and FDT), RNFL thickness by scanning laser polarimetry (GDX-VCC) and optical coherence tomography (OCT). Results Eighty healthy subjects and 60 OHT patients were included. A correlation between US CCT and OCT CCT was found in both groups (r2=0.85 and r2= 0.87, p<0.001). There was no significant difference (p>0.15) in GDX-VCC and OCT RNFL thickness in both groups. In controls there was no correlation of any RNFL thickness measurement with the CCT. In OHT patients, the US CCT was weakly correlated with the average TSNIT evaluated by GDX-VCC (r2= 0.04, p<0.02). Conclusion This study did not show any relevant correlation between the RNFL thickness evaluated by GDX-VCC and the US CCT in healthy individuals and in OHT patients with a normal FDT. [source]


Comparisons between Pascal dynamic contour tonometry, the TonoPen, and Goldmann applanation tonometry in patients with glaucoma

ACTA OPHTHALMOLOGICA, Issue 3 2007
Maria L. Salvetat
Abstract. Purpose:, To compare intraocular pressure (IOP) measurements taken with Pascal dynamic contour tonometry (DCT), the TonoPen and the Goldmann applanation tonometry (GAT). The influence of central corneal thickness (CCT) on IOP measurements taken with Pascal DCT and the TonoPen was evaluated. Methods:, One eye in each of 101 consecutive patients with primary open-angle glaucoma (POAG) underwent ultrasonic CCT measurement and IOP evaluation with GAT, Pascal DCT and the TonoPen in random order. The agreement between results from Pascal DCT and the TonoPen and those of GAT was assessed using the Bland,Altman method. The deviation of Pascal DCT and TonoPen readings from GAT values, corrected for CCT, was calculated and correlated to CCT using a linear regression model. Results:, The mean of the differences in IOP measurements was 3.2 ± 2.4 mmHg for Pascal DCT minus GAT readings and 0.5 ± 4.5 mmHg for TonoPen minus GAT readings. The 95% confidence interval of differences in IOP measurements was higher between TonoPen and GAT readings (, 6 to 7 mmHg) than between Pascal and GAT readings (0.1,6.8 mmHg). Pascal DCT significantly overestimated IOP compared with GAT, especially for higher IOP readings. Bland,Altman scatterplots showed reasonable inter-method agreement between Pascal DCT and GAT measurements, and poor agreement between TonoPen and GAT measurements. The deviations of Pascal DCT and TonoPen readings from the corrected GAT values were both highly correlated with CCT values (linear regression analysis, p < 0.0001). The mean change in measured IOP for a 10-µm increase in CCT was 0.48 mmHg for Pascal DCT and 0.74 mmHg for the TonoPen. Conclusions:, Agreement with GAT measurements was higher for Pascal DCT than for TonoPen readings; however, Pascal DCT significantly overestimated IOP values compared with GAT. Measurements of IOP obtained with both Pascal DCT and the TonoPen appeared to be influenced by CCT, and this influence appeared to be greater for the latter. [source]


Randomised controlled trial of the effects of two rigid gas permeable (RGP) contact lens materials and two surface cleaners on straylight values

OPHTHALMIC AND PHYSIOLOGICAL OPTICS, Issue 5 2009
Marten F. Fortuin
Abstract Purpose:, In a double-masked randomized controlled crossover study we investigated both the retinal responses to straylight, and the effects of lens cleaners on straylight values, in two different RGP contact lens materials. Methods:, Thirty patients (20,59 years) wearing RGP lenses were refitted with new lenses made of Boston XO material in one eye and made of Comfort O2 (ONSI-56) material in the other eye. Reported wetting angles for the Boston XO material (103°) and for the ONSI-56 material (7.2°) were obtained by sessile drop measurements. After refitting, the study comprised three 5-week trial periods. In Period 1 half of the participants (Group A) wore Boston XO lenses in their right eye and Comfort O2 (ONSI-56) lenses in their left eye, and the other half (Group B) vice versa. In Period 2 Group A wore Comfort O2 (ONSI-56) lenses in their right eye and Boston XO lenses in their left, and Group B vice versa. All participants used Miraflow cleaner during periods 1 and 2. In Period 3, during which all participants used Boston cleaner, Group A wore Boston XO lenses in their right eye and Comfort O2 (ONSI-56) lenses in their left eye and Group B vice versa. Straylight data (log S) were obtained with and without contact lenses using the Oculus C-Quant straylight meter in all three periods. Central corneal thickness (CCT) was measured in the second and third periods. Results:, When not wearing lenses (n = 60 eyes) at the end of the second 5 week trial period straylight was measured twice with averages of 1.07 log S, and the corrected CCT measurements averaged 546 ,m. Straylight values with Comfort O2 (ONSI-56) reached 1.15 log S at the end of both the second (n = 25 eyes) and third periods (n = 23 eyes). Straylight values with Boston XO were 1.17 log S (n = 26 eyes) at the end of the second period, and 1.16 log S (n = 25 eyes) at the end of the third period. Conclusions:, Existing RGP lens wearers refitted with new lenses with different contact angles, made of Boston XO and Comfort O2 (ONSI-56) showed, over three 5 week periods, relatively small increases in straylight, which were functionally comparable, irrespective of the type of lens material or lens cleaner used. At every visit, straylight values and CCTs returned to baseline levels after RGP lens removal, confirming that the straylight fluctuations were mainly due to scattering from the RGP lenses; or tear film interaction; or a combination of both. [source]


Central corneal thickness in children with growth hormone deficiency

ACTA OPHTHALMOLOGICA, Issue 6 2010
Fulvio Parentin
Acta Ophthalmol. 2010: 88: 692,694 Abstract. Purpose:, To evaluate central corneal thickness (CCT), intraocular pressure (IOP) and eye refraction in patients with congenital growth hormone (GH) deficiency. Methods:, Retrospective case series. Forty-five patients with growth defect treated with recombinant GH and 45 healthy children underwent ophthalmological examination, including CCT measurements, applanation tonometry and cycloplaegic refraction. Results:, The average CCT in the GH deficiency group was 570.6 ,m [standard deviation (SD) 37.4]. In the control group, it was 546.0 (SD 24.9). The average IOP in the GH deficiency group was 18.2 mmHg (SD 3.4). In the control group, it was 14.6 (SD 2.0). The mean refractive error (spherical equivalent) in the GH deficiency group was 0.59 D (SD 1.9). In the control group, it was 0.11 (SD 2.1). Conclusion:, GH and insulin-like growth factor 1 are involved in ocular growth by influencing the synthesis of the extracellular matrix of the sclera. Children with congenital GH deficiency or insensitivity have a mean hyperopic defect related to a shorter axial length. A number of studies have demonstrated that CCT in newborns is significantly greater than in adults; a decrease in CCT is closely correlated with an increase in corneal diameter. This finding suggests that the growth of the eye, with possible remodelling and stretching of collagen fibres, may play an important role in the reduction of corneal thickness in the first years of life. Therefore, we conclude that a greater CCT can represent a sign of a delayed growth of the eye in patients with GH deficiency. Finally, our study confirms the influence of corneal thickness on IOP measures, and the prevalence of hyperopia among children with growth defect. [source]


Comparison of two partial coherence interferometers for corneal pachymetry in high myopia and after LASIK

ACTA OPHTHALMOLOGICA, Issue 4 2009
Anders Ivarsen
Abstract. Purpose:, We aimed to compare the Haag-Streit optical low-coherence reflectometry (OLCR) pachymeter and the Zeiss Anterior Chamber Master (ACMaster) for measuring central corneal thickness (CCT) in high myopes and after laser in situ keratomileusis (LASIK) for myopia. Methods:, Central corneal thickness was measured in 55 eyes of 30 myopic subjects (spherical equivalent refraction of , 5.25 D to , 10.75 D, maximal astigmatism of , 2 D), and in 37 eyes of 21 patients 3 months after LASIK for myopia (preoperative spherical equivalent refraction of , 6.0 D to , 10.75 D, maximal astigmatism of , 2 D). All measurements were performed with the Haag-Streit OLCR pachymeter and the Zeiss ACMaster, using group refractive indices of 1.376 and 1.3851, respectively. Thickness measurements were compared using paired t -tests, Pearson's correlation, linear regression and Bland,Altman plots. Results:, In myopic subjects, CCT measured 531 ± 28 ,m and 533 ± 27 ,m with the OLCR pachymeter and the ACMaster, respectively (p < 0.01); all measurements correlated closely (r = 0.99, p < 0.01). In LASIK-treated eyes, CCT measured 472 ± 24 ,m using the OLCR pachymeter and 475 ± 23 ,m using the ACMaster (p < 0.01), again with close correlation between the two instruments (r = 0.99, p < 0.01). Conclusions:, Measurements of CCT in high myopes and after myopic LASIK were very similar with the Haag-Streit OLCR pachymeter and the Zeiss ACMaster. Using the current group refractive indices, the observed difference between the two instruments of < 3 ,m is of little clinical importance. Thus, it would seem safe to use the OLCR pachymeter and the ACMaster interchangeably for CCT measurements in myopia as well as after myopic LASIK. [source]