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Effect of Demographic Variables on the Regional Corneal Pachymetry
Nauman Hashmani1, Sharif Hashmani, Asif Murad
1Department of Ophthalmology and Visual Sciences, Hashmanis Hospital, Karachi, Pakistan.
Spectral-domain optical coherence tomography (SD-OCT) reveals corneal thickness varies by sector, decreasing with age but increasing with axial length. This highlights the importance of whole-corneal thickness mapping for disease detection.
Area of Science:
- Ophthalmology
- Medical Imaging
- Corneal Science
Background:
- Corneal thickness measurement is vital for diagnosing corneal diseases.
- Spectral-domain optical coherence tomography (SD-OCT) offers advanced imaging capabilities.
- Limited data exists on SD-OCT-based corneal sector analysis in Pakistan.
Purpose of the Study:
- To create a comprehensive corneal thickness map using SD-OCT.
- To investigate the relationship between corneal thickness and patient factors like age, sex, and axial length.
- To establish baseline corneal thickness data in a Pakistani population.
Main Methods:
- Utilized SD-OCT to scan the corneas of 214 healthy subjects.
- Generated a 9-mm diameter whole-corneal thickness map for each participant.
- Assessed scan reproducibility in 50 subjects with repeated measurements by two operators.
Main Results:
- Corneal thickness was thinnest inferotemporally and thickest superiorly/superonasally.
- No significant sex-based differences were found in corneal thickness, age, or axial length.
- A negative correlation was observed between age and corneal thickness in most sectors.
- A positive correlation was found between axial length and corneal thickness in central and temporal sectors.
Conclusions:
- Corneal sectors exhibit heterogeneous responses to patient characteristics.
- Whole-corneal thickness mapping may serve as a distinct clinical parameter.
- This approach can aid in the early identification of corneal disease processes.
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