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Intraocular Pressure and Central Corneal Thickness in the COMET Cohort

Fern, Karen D.; Manny, Ruth E.; Gwiazda, Jane; Hyman, Leslie; Weise, Katherine; Marsh-Tootle, Wendy; The COMET Study Group

doi: 10.1097/OPX.0b013e3182639fc7
Original Articles

Purpose. To describe intraocular pressure (IOP) and central corneal thickness (CCT) in ethnically diverse, myopic young adults enrolled in COMET (the Correction of Myopia Evaluation Trial) and their association with ocular and demographic factors.

Methods. IOP (Goldmann tonometry), CCT (handheld pachymetry), refractive error (cycloplegic autorefraction), and ocular components (A-scan ultrasonography) were measured in 385 of the original 469 subjects (mean age = 20.3 ± 1.3 years). Summary statistics for descriptive analysis, Pearson correlation coefficients, and linear regression models to formally test the association of IOP and CCT with other covariates were used.

Results. Mean IOP was 15.1 ± 0.1 mm Hg and differed by ethnicity and CCT but did not vary by gender, magnitude of myopia, or vitreous chamber depth (VCD). Adjusting for CCT, IOP in black participants was 1.8 mm Hg higher than in Hispanics (p = 0.0001) and 0.8 mm Hg higher than in whites (p = 0.03). Mean CCT was 562.4 ± 1.8 μm and differed by ethnicity, VCD, and IOP after adjusting for covariates. Blacks had thinner corneas than Asians, whites, and Hispanics, with adjusted differences of 15.4, 11.8, and 15.3 μm (p = 0.03, < 0.01 and < 0.01), respectively. Eyes with shorter VCD (<17.8 mm) had 8.0-μm thinner CCT (p = 0.03). CCT did not vary by gender or magnitude of myopia. Overall, a modest positive correlation (r = 0.25, P < 0.0001) was found between IOP and CCT, which varied by ethnicity in Asians (r = 0.47; p = 0.008), blacks (r = 0.29; p = 0.002), and whites (r = 0.24; p = 0.002).

Conclusions. Myopic, black young adults had higher IOP and thinner corneas relative to other ethnic groups, suggesting that evaluation of these parameters during routine examination of these individuals should begin at a young age. Their thinner CCT should also be considered in evaluations for refractive surgery.

*OD, FAAO

OD, PhD, FAAO

PhD, FAAO

§PhD

OD, MS, FAAO

University of Houston College of Optometry, Houston, Texas (KDF, REM), Vision Science Department, New England College of Optometry, Boston, Massachusetts (JG), Department of Preventive Medicine, Stony Brook University Health Sciences Center, Stony Brook, New York (LH), and School of Optometry, University of Alabama Birmingham, Birmingham, Alabama (KW, WM-T).

Received February 4, 2012; accepted April 2, 2012.

Karen D. Fern College of Optometry University of Houston 505 J. Davis Armistead Building Houston, TX 77204-2020 e-mail: kfern@optometry.uh.edu

© 2012 American Academy of Optometry