Synergic effect of corneal hysteresis and central corneal thickness in the risk of early‑stage primary open‑angle glaucoma progression
Purpose: To evaluate corneal hysteresis (CH), acquired with ocular response analyzer (ORA), as a risk factor for glaucoma progression in early-stage primary open-angle glaucoma (POAG). Methods: In a historical cohort study, patients diagnosed in 2011 with early-stage POAG according to the Hodapp, Pa...
| Authors: | ; ; ; ; ; |
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| Format: | Article |
| Publication date: | 2021 |
| Country: | España |
| Institution: | Universidad Complutense de Madrid (UCM) |
| Repository: | Docta Complutense |
| Language: | English |
| OAI Identifier: | oai:docta.ucm.es:20.500.14352/8156 |
| Online Access: | https://hdl.handle.net/20.500.14352/8156 |
| Access Level: | Open access |
| Keyword: | 617.7‑007.681 612.841 Perimetry Primary open-angle glaucoma Progression Corneal hysteresis Risk factors Oftalmología 3201.09 Oftalmología |
| _version_ | 1878741336697339904 |
|---|---|
| author | Jiménez Santos, María A. |
| author2 | Sáenz Francés, Federico Sánchez Jean, Rubén Martínez De La Casa Fernández-Borrella, José María García Feijoo, Julián Jañez Escalada, Luis |
| author2_role | author author author author author |
| author_browse | García Feijoo, Julián Jañez Escalada, Luis Jiménez Santos, María A. Martínez De La Casa Fernández-Borrella, José María Sáenz Francés, Federico Sánchez Jean, Rubén |
| author_facet | Jiménez Santos, María A. Sáenz Francés, Federico Sánchez Jean, Rubén Martínez De La Casa Fernández-Borrella, José María García Feijoo, Julián Jañez Escalada, Luis |
| author_role | author |
| collection | Docta Complutense |
| description | Purpose: To evaluate corneal hysteresis (CH), acquired with ocular response analyzer (ORA), as a risk factor for glaucoma progression in early-stage primary open-angle glaucoma (POAG). Methods: In a historical cohort study, patients diagnosed in 2011 with early-stage POAG according to the Hodapp, Parrish and Anderson classification modified for Octopus perimetry and followed up until glaucomatous progression development; otherwise, observations were censored in October 2018. Cox regression was used to obtain hazard ratios (HR) to evaluate baseline variables (CH, central corneal thickness, gender, age IOP and glaucoma family history) as risk factors for perimetric glaucoma progression. A likelihood ratio test for interaction was performed in order to assess the effect of the combination of CH and CCT on the risk of progression. Results: Of the cohort of 1573 patients, 11.38% developed early-stage POAG progression during the follow-up. The mean follow-up time was 3.28 ± 1.92 years. Patients without progression had a higher CH (11.35 ± 1.43 vs 9.07 ± 1.69 mmHg; p < 0.001) and CCT (570.75 ± 17.71 vs 554.51 ± 23.20; p < 0.001). In the multivariate analysis, each 1 mmHg of lower CH was associated with an increase of 2.13 times in the HR of progression (95% CI: 1.92–2.32; p < 0.001). CH hazard ratio was modified by CCT, with higher values of CCT and CH resulting in a higher HR of early glaucoma progression (p < 0.001). Conclusions: CH can be considered as a risk factor of progression in early-stage POAG. The risk associated with CH changed depending on CCT values, acting synergistically slowing the risk of glaucoma progression with higher values. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | ES_e35e4792c151e399ee4afde203d8d4f2 |
| institution | Universidad Complutense de Madrid (UCM) |
| instname_str | Universidad Complutense de Madrid (UCM) |
| language | eng |
| network_acronym_str | ES |
| network_name_str | España |
| oai_identifier_str | oai:docta.ucm.es:20.500.14352/8156 |
| publishDate | 2021 |
| publishDateSort | 2021 |
| publisher | Springer |
| publisherStr | Springer |
| reponame_str | Docta Complutense |
| spelling | Synergic effect of corneal hysteresis and central corneal thickness in the risk of early‑stage primary open‑angle glaucoma progression Jiménez Santos, María A. Sáenz Francés, Federico Sánchez Jean, Rubén Martínez De La Casa Fernández-Borrella, José María García Feijoo, Julián Jañez Escalada, Luis 617.7‑007.681 612.841 Perimetry Primary open-angle glaucoma Progression Corneal hysteresis Risk factors Oftalmología 3201.09 Oftalmología Purpose: To evaluate corneal hysteresis (CH), acquired with ocular response analyzer (ORA), as a risk factor for glaucoma progression in early-stage primary open-angle glaucoma (POAG). Methods: In a historical cohort study, patients diagnosed in 2011 with early-stage POAG according to the Hodapp, Parrish and Anderson classification modified for Octopus perimetry and followed up until glaucomatous progression development; otherwise, observations were censored in October 2018. Cox regression was used to obtain hazard ratios (HR) to evaluate baseline variables (CH, central corneal thickness, gender, age IOP and glaucoma family history) as risk factors for perimetric glaucoma progression. A likelihood ratio test for interaction was performed in order to assess the effect of the combination of CH and CCT on the risk of progression. Results: Of the cohort of 1573 patients, 11.38% developed early-stage POAG progression during the follow-up. The mean follow-up time was 3.28 ± 1.92 years. Patients without progression had a higher CH (11.35 ± 1.43 vs 9.07 ± 1.69 mmHg; p < 0.001) and CCT (570.75 ± 17.71 vs 554.51 ± 23.20; p < 0.001). In the multivariate analysis, each 1 mmHg of lower CH was associated with an increase of 2.13 times in the HR of progression (95% CI: 1.92–2.32; p < 0.001). CH hazard ratio was modified by CCT, with higher values of CCT and CH resulting in a higher HR of early glaucoma progression (p < 0.001). Conclusions: CH can be considered as a risk factor of progression in early-stage POAG. The risk associated with CH changed depending on CCT values, acting synergistically slowing the risk of glaucoma progression with higher values. Springer https://hdl.handle.net/20.500.14352/8156 |
| spellingShingle | Synergic effect of corneal hysteresis and central corneal thickness in the risk of early‑stage primary open‑angle glaucoma progression Jiménez Santos, María A. 617.7‑007.681 612.841 Perimetry Primary open-angle glaucoma Progression Corneal hysteresis Risk factors Oftalmología 3201.09 Oftalmología |
| title | Synergic effect of corneal hysteresis and central corneal thickness in the risk of early‑stage primary open‑angle glaucoma progression |
| title_full | Synergic effect of corneal hysteresis and central corneal thickness in the risk of early‑stage primary open‑angle glaucoma progression |
| title_fullStr | Synergic effect of corneal hysteresis and central corneal thickness in the risk of early‑stage primary open‑angle glaucoma progression |
| title_full_unstemmed | Synergic effect of corneal hysteresis and central corneal thickness in the risk of early‑stage primary open‑angle glaucoma progression |
| title_short | Synergic effect of corneal hysteresis and central corneal thickness in the risk of early‑stage primary open‑angle glaucoma progression |
| title_sort | Synergic effect of corneal hysteresis and central corneal thickness in the risk of early‑stage primary open‑angle glaucoma progression |
| topic | 617.7‑007.681 612.841 Perimetry Primary open-angle glaucoma Progression Corneal hysteresis Risk factors Oftalmología 3201.09 Oftalmología |
| topic_facet | 617.7‑007.681 612.841 Perimetry Primary open-angle glaucoma Progression Corneal hysteresis Risk factors Oftalmología 3201.09 Oftalmología |
| url | https://hdl.handle.net/20.500.14352/8156 |