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Corneal biomechanical changes in allergic conjunctivitis.

Qian Wang1, Yuqing Deng1, Saiqun Li1

  • 1State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Guangzhou, Guangdong, China.

Eye and Vision (London, England)
|May 3, 2021
PubMed
Summary
This summary is machine-generated.

Allergic conjunctivitis (AC) patients show altered corneal biomechanics and thinner epithelial thickness, increasing keratoconus (KC) risk. Tomography and biomechanical index (TBI) can indicate KC development risk in AC patients.

Keywords:
Allergic conjunctivitisCorneal biomechanicsCorneal densitometryCorneal epithelial thickness mappingCorneal tomography

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Area of Science:

  • Ophthalmology
  • Corneal Science
  • Biomechanical Engineering

Background:

  • Allergic conjunctivitis (AC) is associated with potential ocular changes.
  • Understanding corneal biomechanical alterations in AC is crucial for early disease detection.
  • Keratoconus (KC) development risk factors in AC patients require further investigation.

Purpose of the Study:

  • To investigate corneal biomechanical changes in patients with allergic conjunctivitis (AC).
  • To identify factors associated with these biomechanical changes.
  • To determine early indicators for keratoconus (KC) development risk in AC patients.

Main Methods:

  • Corneal tomography, biomechanics, and epithelial thickness were evaluated in 50 patients (30 with AC, 20 without).
  • Corneal imaging utilized Pentacam, Corvis ST, and RTvue OCT.
  • Clinical manifestations of AC, eye rubbing, and allergic sign scores were recorded.

Main Results:

  • AC patients exhibited significantly higher keratoconus index (KI) and tomography and biomechanical index (TBI) values.
  • Corneal epithelial thickness was significantly reduced in AC patients.
  • Higher ISV, IVA, KI, IHD, and BAD-D correlated with TBI and epithelial thickness changes, which were linked to eye rubbing and allergy severity.

Conclusions:

  • AC patients demonstrate altered corneal tomography and biomechanics.
  • Routine corneal measurements are recommended for AC patients.
  • The tomography and biomechanical index (TBI) may serve as an early indicator of KC risk in AC patients.