Impact of pterygium on central corneal thickness measured by optical coherence tomography in older adults

Primer Autor
Berezovsky, Adriana
Co-autores
Dotto, Pedro Gabriel
Salomao, Solange Rios
Fernandes, Arthur Gustavo
Mitsuhiro, Marcia Regina Kimie Higashi
Ferraz, Nivea Nunes
Furtado, Joao Marcello
Watanabe, Sung Song
Cypel, Marcela
Sacai, Paula Yuri
Cunha, Cristina Coimbra
Vasconcelos, Galton Carvalho
Morales, Paulo Henrique
Cohen, Marcos Jacob
Cohen, Jacob Moyses
Campos, Mauro
Munoz, Sergio
Belfort Jr, Rubens
Título
Impact of pterygium on central corneal thickness measured by optical coherence tomography in older adults
Editorial
SAGE PUBLICATIONS LTD
Revista
EUROPEAN JOURNAL OF OPHTHALMOLOGY
Lenguaje
en
Resumen
Purpose To measure the central corneal thickness (CCT) using anterior segment optical coherence tomography (AS-OCT) in older adults with and without pterygium from the Brazilian Amazon Region Eye Survey (BARES). Methods BARES is a population-based epidemiological cross-sectional study conducted in Parintins city. Participants were residents >= 45 years of age identified through a door-to-door interview. Eligible participants were invited for a comprehensive eye exam. Pterygium occurrence and severity were assessed by ophthalmologists through slit-lamp examination considering its location (nasal or/and temporal) and severity (lesion with extension <3 mm, >= 3 mm not reaching the pupillary margin or >= 3 mm reaching the pupillary margin). CCTs were obtained and measurements from the more severely affected eye were included. Images were analyzed offline by masked observers. Results A total of 671 subjects, 533 (79.4%) with pterygium in at least one eye and 138 (20.6%) without pterygium in either eye, were examined. The mean CCT evaluated by multiple linear regression and adjusted for demographic variables and pterygium severity was 521 +/- 34 mu m (median = 521, range = 304-665). Decreased CCT was significantly associated with age and pterygium severity. Individuals aged 65-74 years had CCT 7 mu m thinner than those aged 45-54 years (p = 0.044), individuals aged 75 years and older had CCT 15 mu m thinner than those aged 45-54 years (p = 0.001), and eyes with severe pterygium had CCT 33 mu m thinner than eyes without pterygium (p < 0.001). Conclusions The CCT analysis in this population-based sample shows that a thinner cornea is associated with pterygium severity and older age.
Fecha Publicación
2023
Tipo de Recurso
artículo original
doi
10.1177/11206721231154433
Formato Recurso
PDF
Palabras Claves
Population-based
central corneal thickness
pterygium
optical coherence tomography
corneal pachymetry
Ubicación del archivo
Categoría OCDE
Oftalmología
Materias
Basado en la población
espesor corneal central
pterigión
La tomografía de coherencia óptica
paquimetría corneal
Página de inicio (Recomendado-único)
1583.0
Página final (Recomendado-único)
1588
Identificador del recurso (Mandatado-único)
artículo original
Versión del recurso (Recomendado-único)
versión publicada
Derechos de acceso
metadata
Access Rights
metadata
Id de Web of Science
WOS:000924449900001
ISSN
1120-6721
Tipo de ruta
verde / hibrido
Categoría WOS
Oftalmología
Referencia del Financiador (Mandatado si es aplicable-repetible)
CNPQ 402120/2012-4
LCIF SF1758
FAPESP 2013/16397-7
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