Objective, noncontact measurement of central corneal thickness with the Pentacam Scheimpflug system and OLCR pachymeter was convenient and yielded excellent intraoperator repeatability and interoperator reproducibility. Central corneal thickness values obtained with the Pentacam were similar to those obtained with both the OLCR pachymeter and an US pachymeter. Further research is needed to corroborate whether central corneal thickness measurements by the Pentacam and OLCR devices can be used interchangeably and are more clinically useful than US pachymetry.
To determine whether intraocular pressure (IOP) monitoring outside of normal office hours adds clinically useful information.Methods: We reviewed the records of all patients with glaucoma who were admitted for 24-hour IOP monitoring during 3 years. Applanation IOP was recorded in the sitting position from 7 AM until midnight and in the supine position at 6 AM.Results: Thirty-two patients (22 women and 10 men) were enrolled (mean ± SD age, 67.3 ± 12.1 years). Mean±SD 24-hour IOP was 13.0±2.2 mm Hg. Mean±SD peak 24-hour IOP (16.8 ± 3.2 mm Hg) was significantly higher than peak office IOP (14.7±3.2 mm Hg) (PϽ.
Diabetes mellitus affected biomechanical parameters of the human corneas, including increased CH, CRF, and CCT. Whether this observation has implications in the clinical management and understanding of corneal ectasia and glaucoma requires further study.
Two years after CXL, the observation of stable UCVA, improved BCVA, and reduced keratometry suggests stabilization in progression of keratoconus. Unchanged corneal thickness, endothelial cell density, and foveal thickness suggest the long-term safety of this procedure. The observed increase in axial length and stability in corneal biomechanical parameters measured with the ocular response analyzer require further study for verification and explanation.
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