Relationship between intraocular pressure and ...

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Sep 13, 2016 - lis OCT (software version 5.3, Heidelberg Engineering GmbH,. Heidelberg, Germany). .... Seo and colleagues (4) reported larger ALCD in male than in female subjects. However, their .... conflict of interest with this submission.
EJO ISSN 1120-6721

Eur J Ophthalmol 2016; 00 (00): 000-000 DOI: 10.5301/ejo.5000867

ORIGINAL ARTICLE

Relationship between intraocular pressure and anterior lamina cribrosa depth: a cross-sectional observational study in a healthy Portuguese population David Cordeiro Sousa1-3, Inês Leal1-3, Carlos Marques-Neves1-3, Filomena Pinto1,2, Luís Abegão Pinto1-3 Departamento de Oftalmologia, Hospital de Santa Maria, Lisboa - Portugal Faculdade de Medicina, Universidade de Lisboa, Lisboa - Portugal 3 Centro de Estudos das Ciências da Visão, Lisboa - Portugal 1 2

Abstract Purpose: To investigate the association between anterior lamina cribrosa depth (ALCD), determined with enhanced depth imaging spectral-domain optical coherence tomography (EDI-OCT), and intraocular pressure (IOP) in a healthy Portuguese population. Methods: In this cross-sectional observational study conducted between January and July 2015, 2 optic nerve head (ONH)–centered EDI-OCT cross-scans were performed and ALCD was defined as the perpendicular distance between the line connecting both edges of Bruch’s membrane opening and the anterior border of the lamina cribrosa at the maximum depth point. A multivariate regression model was performed to assess the association of IOP and ALCD. Results: The studied population included 59 subjects (35 women) with a mean age of 61.7 ± 15.1 years. Mean vertical and horizontal maximum ALCD was 444.5 ± 92.2 μm and 427.6 ± 82.7 μm, respectively. When controlling for age and spherical equivalent, maximum vertical and horizontal ALCD were positively correlated with intraocular pressure (R2>0.20) by 8.58 μm (95% confidence interval [CI] 2.80-14.36 μm; p0.05). Nevertheless, IOP was positively associated with ALCD (p