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Corneal Thickness and Intraocular Pressure in the Barbados Eye Studies
Barbara Nemesure, PhD;
Suh-Yuh Wu, MA;
Anselm Hennis, MRCP(UK), PhD;
M. Cristina Leske, MD, MPH;
for the Barbados Eye Study Group
Arch Ophthalmol. 2003;121:240-244.
Objectives To describe the distribution of central corneal thickness (CCT) and evaluate its relationship to intraocular pressure (IOP) in the predominantly black population of the Barbados Eye Studies (BES).
Methods Participants received a standardized examination, including pachymetry, applanation tonometry, and a comprehensive ophthalmologic evaluation. Analyses were based on data from all eyes, and generalized estimating equation methods were applied to account for the correlation between eyes.
Results Among the 1142 consecutive participants with pachymetry measurements, the mean age was 64.3 years, and 58% were women. Black participants tended to have thinner corneas (mean thickness, 529.8 µm) than mixed (black and white) (537.8 µm) and white participants (545.2 µm), respectively. Among black participants, increasing values of CCT were significantly related to younger age (P<.001), diabetes history (P = .03), and refractive error (P = .03); a marginally significant relationship (with thinner corneas) was found with a clinical diagnosis of glaucoma (P = .07). Intraocular pressure was not associated with CCT in this population.
Conclusions Although other studies have reported a positive correlation between CCT and IOP, such a relationship was not substantiated in the black BES population. Black participants tended to have thinner corneas than white participants, whereas younger individuals, as well as those with a history of diabetes and more positive refractive errors, had thicker corneas.
From the University Medical Center, Stony Brook, NY (Drs Nemesure, Wu, Hennis, and Leske); the Ministry of Health and University of the West Indies, Barbados, West Indies (Dr Hennis); The Johns Hopkins University, Baltimore, Md; for the Barbados Eye Study Group.
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