With the obtained normal values, more precise determination of microcornea and macrocornea will be possible in the future. The horizontal corneal diameter was not significantly greater in males than in females. Further studies are needed to show the reasons for the age-related decrease in measurements.

. Purpose:  To compare the influence of aerobic and resistance exercise on intraocular pressure (IOP). Methods:  Twenty‐one healthy subjects participated. Aerobic exercise was performed using a cycle ergometer, and resistance exercise was performed with a leg curl and a butterfly machine. Intraocular pressure was measured at baseline, during exercise and 10 min after. During resistance exercise, a Valsalva manoeuvre was prevented. Results:  Before aerobic exercise, the mean IOP was 18.8 ± 2.7 mmHg. It was 16.5 ± 2.8 after 10, 17.1 ± 2.6 after 20 and 16.7 ± 3.3 mmHg after 30 min of exercise. After 10 min, the IOP returned to baseline (18.8 ± 2.7 mmHg). The mean IOP before resistance exercise with the leg curl machine was 17.0 (15.6–18.4; 65%Wmax) and 16.8 (15.3–18.3) mmHg; 75%Wmax) and did not change significantly during the experiment. The mean IOP before resistance exercise with the butterfly machine (65%Wmax) was 16.4 (15.2–17.6) and increased to 17.2 (16.0–18.4) mmHg (p < 0.05). After 10 min of recreation, it recovered to 16.3 (15.0–17.5) mmHg. At 75%Wmax, the mean baseline IOP was 16.3 (15.2–17.4) mmHg, and there were no significant changes. Conclusions:  Aerobic exercise leads to a significant decrease of IOP. There was no influence of resistance exercise on IOP as long as a Valsalva manoeuvre was prevented.

The aim of this study was to investigate the safety and performance of the second generation of an implantable intraocular pressure (IOP) sensor in patients with primary open angle glaucoma (POAG).DESIGN: prospective, noncomparative, open-label, multicenter clinical investigation.METHODS: In this study, patients with POAG, regularly scheduled for cataract surgery, were implanted with a ring-shaped, sulcus-placed, foldable IOP sensor in a single procedure after intraocular lens implantation. Surgical complications as well as adverse events (AEs) during 12 months of follow-up were recorded. At each follow-up visit, a complete ophthalmic examination, including visual acuity, IOP, slit lamp examination, and dilated funduscopy as well as comparative measurements between Goldmann applanation tonometry and the EYEMATE-IO implant were performed.RESULTS: The EYEMATE-IO implant was successfully implanted in 22 patients with few surgical complications and no unexpected device-related AEs. All ocular AEs resolved quickly under appropriate treatment. Comparative measurements showed good agreement between EYEMATE-IO and Goldmann applanation tonometry (GAT) with an intraclass correlation coefficient (ICC(3,k)) of 0.783 (95% confidence interval [CI]: 0.743, 0.817). EYEMATE-IO measurements were higher than GAT, with a mean difference of 3.2 mm Hg (95% CI: 2.8, 3.5 mm Hg).CONCLUSIONS: The EYEMATE-IO sensor was safely implanted in 22 patients and performed reliably until the end of follow-up. This device allows for continual and long-term measurements of IOP.

Retropupillar iris claw lenses are an alternative to scleral fixated secondary lenses, which are worth considering for aphakic patients without lens supporting apparatus. This approach appears to be recommendable even in cases requiring penetrating keratoplasty, and can be performed as a combined procedure. In these patients, the most frequent complication following iris claw lens implantation seems to be secondary glaucoma.

ABSTRACT.Purpose: Prior to phakic intraocular lens implantation, it is important to obtain precise knowledge of the anterior chamber depth (ACD). Accurate topographic evaluation of the iridocorneal angle is helpful in estimating risk for angle-closure glaucoma. This study investigated the use of the Orbscan II system to measure ACD and the iridocorneal angle in healthy subjects and assessed the influences of age, gender and spherical equivalent on these parameters. Methods: The Orbscan II system was used to determine the ACD and iridocorneal angle in eight different positions in 390 healthy White subjects with a mean age of 41 ± 16 years (range 10-80 years). The sample included 242 male and 148 female subjects. The influences of age, gender and spherical equivalent were assessed using multiple regression analysis. Results: Mean ACD was 2.87 ± 0.04 mm in male subjects and 2.81 ± 0.37 mm in female subjects. The explanatory variables relevant to the ACD were age (partial regression coefficient B = ) 0.0115, p < 0.0001), spherical equivalent (B = ) 0.0562, p < 0.0001) and gender (B = 0.0996, p = 0.0036). The mean iridocorneal angle (MIA) was 30.7 ± 2.0°in male and 31.6 ± 2.1°in female subjects. The variables relevant to the MIA were gender (B = ) 0.865, p < 0.0001), age (B = ) 0.017, p = 0.0007) and spherical equivalent (B = ) 0.121, p = 0.001). The superior iridocorneal angle displayed the strongest negative correlation with age, whereas the temporal angle exhibited the least correlation with age. Conclusions: The decline in ACD appears to be linear with age, amounting to a mean of 0.58 mm over 50 years. This may become clinically relevant in the use of phakic intraocular lenses. In addition, the angle is more severely constricted in the superior quadrant than in the temporal quadrant.

The corneal thickness can be measured touchless with the Pentacam system. The central corneal thickness seems to be correlated with the body weight. Anatomical features lead to lower peripheral corneal thickness values in the temporal and inferior areas than in the nasal and superior areas. In the nasal and in the superior areas the corneal thickness seems to decrease with age. Further trials are necessary to confirm these findings and to evaluate the precision, reproducibilitiy and independence of investigators of the corneal pachymetry with the Pentacam system.

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In the calculation of the residual corneal layer thickness in laser refractive surgery, the thinnest point of the cornea should form the basis.