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. 2018 Feb;25(1):55-62.
doi: 10.1080/09286586.2017.1351997. Epub 2017 Sep 11.

Age-related change in corneal biomechanical parameters in a healthy Caucasian population

Ali Riza Cenk Celebi  1 , Ayse Ebru Kilavuzoglu  1 , Ugur Emrah Altiparmak  1 , C Banu Cosar Yurteri  1
Affiliations

Age-related change in corneal biomechanical parameters in a healthy Caucasian population

Ali Riza Cenk Celebi et al. Ophthalmic Epidemiol. 2018 Feb.

Abstract

Purpose: To determine the effect of aging on corneal biomechanical parameters measured via ocular response analyzer in a homogenous healthy Caucasian population.

Methods: A total of 2039 Caucasian adults were consecutively recruited and divided into seven groups according to decades of age. The difference in mean corneal hysteresis (CH), mean corneal resistance factor (CRF), mean Goldmann-correlated intraocular pressure (IOPg), and mean corneal-compensated IOP (IOPcc) between decades of age were investigated. The strength of the correlations between corneal biomechanical parameters, and between each biomechanical parameter and age were evaluated. The effect of age on each corneal biomechanical parameter was analyzed.

Results: Mean age of the participants (1173 female and 866 male) was 43.30 ± 14.64 years. Mean CH, CRF, IOPcc, and IOPg were 11.49 ± 1.89 mmHg, 11.40 ± 2.30 mmHg, 15.01 ± 3.11 mmHg, and 15.72 ± 3.80 mmHg, respectively. There were significant differences in mean CH, CRF, IOPcc, and IOPg between groups (p < 0.001 for all parameters). There was a significant negative correlation between age and CH (r = -0.067 and p = 0.003), and a significant negative correlation between age and CRF (r = -0.053 and p = 0.017). There was a significant positive correlation between age and IOPg (r = 0.25 and p < 0.001), and between age and IOPcc (r = 0.20 and p < 0.001). Linear regression analysis showed that for every 1-year increase CH decreased 0.011 mmHg, CRF decreased 0.004 mmHg, IOPcc increased 0.053 mmHg, and IOPg increased 0.047 mmHg.

Conclusions: Aging can cause significant changes in corneal biomechanical parameters. Corneal biomechanical parameters were correlated with each other, and each was correlated with aging.

Keywords: Aging; Goldmann-correlated intraocular pressure; corneal biomechanical properties; corneal hysteresis; corneal resistance factor; corneal-compensated intraocular pressure; ocular response analyzer.

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