Central Corneal Thickness In The Ocular Hypertension .
The multivariate model included race, gender, age attesting, baseline refraction, baseline IOP, baselinemedical history and the interaction of race with gender,systemic hypertension and diabetesSignificant relationships–––– Race (p 0.001)Age (p 0.0001)Gender (p 0.014)Diabetes (p 0.0016)Baseline refraction, Baseline IOP, systemic hypertensionand the racial interactions were not statisticallysignificant in the multivariate model
What is “Normal” Corneal Thickness? A recent meta-analysis* of the corneal thicknessliterature found that mean corneal thickness of„normal‟ eyes is 534 µM– 530 µM for optical pachometry– 544 µM for ultrasonic pachymetry Our study demonstrates that subjects in the OHTShave increased corneal thickness (572.4 39 µM)* Doughty & Zaman (2000)Survey of Ophthalmology 44:367-408
Race and Corneal ThicknessMost previous studies of corneal thickness havebeen performed in racially homogeneouspopulations Foster (1998) found thinner corneas (495 µM) in aMongolian population Our study demonstrates that African-AmericanOHTS subjects have thinner corneas than their„others‟ counterparts
Correcting IOP for Corneal Thickness Ehlers (1975) cannulated 29 eyes undergoing cataractsurgery– 5 mmHg/70 µM Doughty & Zaman (2000) meta-analysis– 2.5 mmHg/50 µM Whitacre (1993) and the Rotterdam Eye Study (1997)– 2.0 mmHg/100 µM
Baseline IOP20 Unadjusted15% of 10Subjects50510152025mmHg303540
“Corrected” IOP20 Unadjusted Whitacre15% of 10Subjects50510152025mmHg303540
“Corrected” IOP20 Unadjusted Whitacre15 Doughty% of 10Subjects50510152025mmHg303540
“Corrected” IOP20 Unadjusted Whitacre15 Doughty Ehlers% of 10Subjects50510152025mmHg303540
Clinical Significance45 % of „others‟ had a „corrected‟ IOP 21 mmHg 27.5% of African-American subjects had a „corrected‟IOP 21 mmHg If we choose an arbitrary cutoff of 600 µM, abovewhich corneal thickness affects applanation IOPmeasurement to a clinically significant degree, then: – 28 % of „Others‟ had corneal thickness 600 µM– 12% of African Americans had corneal thickness 600 µM
ConclusionsOHTS subjects have thicker corneas than„normal‟ subjects African-American OHTS subjects have thinnercorneas than their „others‟ counterparts Corneal thickness must be considered in thedevelopment of any risk model for ocularhypertensive patients
OHTS Clinical Centers Bascom Palmer Eye InstituteBaylor Eye ClinicCharles R. Drew UniversityDevers Eye InstituteEmory University Eye CenterEye Associates of Washington, DCEye Consultants of AtlantaEye Doctors of WashingtonEye Physicians and Surgeons of AtlantaGlaucoma Care CenterGreat Lakes OphthalmologyHenry Ford HospitalsJohns Hopkins UniversityJules Stein Eye Institute, UCLAKellogg Eye CenterKresge Eye Institute Krieger Eye InstituteMaryland Center for Eye CareMayo Clinic/FoundationNew York Eye & Ear InfirmaryOhio State UniversitySalus UniversityScheie Eye InstituteUniversity of California, DavisUniversity of California, San DiegoUniversity of California, San FranciscoUniversity of LouisvilleUniversity Suburban Health CenterWashington Eye Physicians & SurgeonsWashington University, St. Louis
OHTS Resource CentersStudy Chairman’s Office&Coordinating CenterWashington UniversitySt. Louis, MOOptic Disc Reading CenterVisual Field Reading CenterBascom Palmer Eye InstituteUniversity of MiamiMiami, FLUniversity of California, DavisSacramento, CA
Eye Consultants of Atlanta Eye Doctors of Washington Eye Physicians and Surgeons of Atlanta Glaucoma Care Center Great Lakes Ophthalmology Henry Ford Hospitals Johns Hopkins University Jules Stein Eye Institute, UCLA Kellogg Eye Center Kresge Eye Institute Krieger Eye Institute Maryland Center for Eye Care
May 02, 2018 · D. Program Evaluation ͟The organization has provided a description of the framework for how each program will be evaluated. The framework should include all the elements below: ͟The evaluation methods are cost-effective for the organization ͟Quantitative and qualitative data is being collected (at Basics tier, data collection must have begun)
Silat is a combative art of self-defense and survival rooted from Matay archipelago. It was traced at thé early of Langkasuka Kingdom (2nd century CE) till thé reign of Melaka (Malaysia) Sultanate era (13th century). Silat has now evolved to become part of social culture and tradition with thé appearance of a fine physical and spiritual .
On an exceptional basis, Member States may request UNESCO to provide thé candidates with access to thé platform so they can complète thé form by themselves. Thèse requests must be addressed to esd rize unesco. or by 15 A ril 2021 UNESCO will provide thé nomineewith accessto thé platform via their émail address.
̶The leading indicator of employee engagement is based on the quality of the relationship between employee and supervisor Empower your managers! ̶Help them understand the impact on the organization ̶Share important changes, plan options, tasks, and deadlines ̶Provide key messages and talking points ̶Prepare them to answer employee questions
Dr. Sunita Bharatwal** Dr. Pawan Garga*** Abstract Customer satisfaction is derived from thè functionalities and values, a product or Service can provide. The current study aims to segregate thè dimensions of ordine Service quality and gather insights on its impact on web shopping. The trends of purchases have
r ¼ radius of anterior corneal curvature total corneal power ¼ Pa þ Pb d Pa Pb 1:376 Pa ¼ refractive power of the anterior cornea Pb ¼ refractive power of the posterior cornea d ¼ corneal thickness refractive index of the cornea ¼ 1:376 In this study, the AS-OCT was used to measure and calculate keratometric and total corneal astigmatism.
GAT measurement was found to be influenced by the individual's central corneal thickness. If changes in the central corneal thickness are not considered, GAT assumes a standard of 520 μm for all corneas.23In most studies, the normal range was from 427 to 620 μm.24 Int
(CPT code 65772) or corneal wedge resection (CPT code 65775) (i.e., astigmatic keratotomy [AK]), post-cataract or post-corneal transplant surgery is considered medically necessary in an individual who is intolerant of glasses or contact lenses. Corneal relaxing incision (CPT code 65772) or corneal
