PMID- 31770514 OWN - NLM STAT- MEDLINE DCOM- 20200508 LR - 20210402 IS - 1879-1891 (Electronic) IS - 0002-9394 (Print) IS - 0002-9394 (Linking) VI - 212 DP - 2020 Apr TI - Relationship of Corneal Hysteresis and Anterior Lamina Cribrosa Displacement in Glaucoma. PG - 134-143 LID - S0002-9394(19)30573-2 [pii] LID - 10.1016/j.ajo.2019.11.017 [doi] AB - PURPOSE: To investigate the relationship between corneal hysteresis (CH) and anterior lamina cribrosa surface (ALCS) displacement over time in a cohort of patients with glaucoma. DESIGN: Prospective observational case series. METHODS: In this study, 147 eyes from 96 glaucoma or glaucoma suspect patients were followed for a mean of 3.5 years and 7.9 visits. Baseline CH measurements were obtained using the Ocular Response Analyzer (ORA; Reichert Ophthalmic Instruments Inc, Depew, New York, USA). The mean anterior lamina cribrosa surface depth (ALCSD) and choroidal thickness were by automated segmentation of spectral-domain optical coherence tomography (SD-OCT) scans. The rate of change of ALCSD was calculated using linear mixed effects models. Relationship between baseline CH and follow-up ALCSD rate of change was adjusted for confounding factors, including age, intraocular pressure (IOP), and choroidal thickness. RESULTS: The mean baseline CH was 9.4 mm Hg (95% confidence interval [CI] 9.1-9.7). Overall, the ALCS was displaced posteriorly at a rate of 0.78 mum/y (95% CI -1.82, 0.26). Seventeen eyes (11.5%) showed a significant posterior displacement of ALCS, whereas 22 eyes (15.0%) showed a significant anterior displacement of ALCS. The choroidal thickness thinned at a rate of -1.09 mum/y during the follow-up (P = .001). Multivariable mixed modeling showed that choroidal thinning, lower IOP change, and lower corneal hysteresis were significantly associated with posterior ALCS displacement over time (P = .034, P = .037, and P = .048). Each 1 mm lower CH was associated with 0.66 mum/y posterior displacement of the ALCS. CONCLUSIONS: Lower corneal hysteresis was significantly associated with posterior displacement of the anterior lamina cribrosa over time. These data provide additional support for lower corneal hysteresis being a risk factor for glaucoma progression. CI - Copyright (c) 2019 Elsevier Inc. All rights reserved. FAU - Wong, Brandon J AU - Wong BJ AD - Shiley Eye Institute, Hamilton Glaucoma Center, University of California San Diego, La Jolla, California, USA; USC Roski Eye institute, Department of Ophthalmology, Keck School of Medicine, University of Southern California, Los Angeles, California, USA. FAU - Moghimi, Sasan AU - Moghimi S AD - Shiley Eye Institute, Hamilton Glaucoma Center, University of California San Diego, La Jolla, California, USA. FAU - Zangwill, Linda M AU - Zangwill LM AD - Shiley Eye Institute, Hamilton Glaucoma Center, University of California San Diego, La Jolla, California, USA. FAU - Christopher, Mark AU - Christopher M AD - Shiley Eye Institute, Hamilton Glaucoma Center, University of California San Diego, La Jolla, California, USA. FAU - Belghith, Akram AU - Belghith A AD - Shiley Eye Institute, Hamilton Glaucoma Center, University of California San Diego, La Jolla, California, USA. FAU - Ekici, Eren AU - Ekici E AD - Shiley Eye Institute, Hamilton Glaucoma Center, University of California San Diego, La Jolla, California, USA. FAU - Bowd, Christopher AU - Bowd C AD - Shiley Eye Institute, Hamilton Glaucoma Center, University of California San Diego, La Jolla, California, USA. FAU - Fazio, Massimo A AU - Fazio MA AD - Department of Ophthalmology and Vision Science, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA. FAU - Girkin, Christopher A AU - Girkin CA AD - Department of Ophthalmology and Vision Science, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA. FAU - Weinreb, Robert N AU - Weinreb RN AD - Shiley Eye Institute, Hamilton Glaucoma Center, University of California San Diego, La Jolla, California, USA. Electronic address: rweinreb@ucsd.edu. LA - eng GR - R01 EY011008/EY/NEI NIH HHS/United States GR - R01 EY029058/EY/NEI NIH HHS/United States GR - R01 EY027510/EY/NEI NIH HHS/United States GR - U10 EY014267/EY/NEI NIH HHS/United States GR - R01 EY026574/EY/NEI NIH HHS/United States GR - P30 EY022589/EY/NEI NIH HHS/United States GR - T32 EY026590/EY/NEI NIH HHS/United States GR - R21 EY027945/EY/NEI NIH HHS/United States GR - R01 EY019869/EY/NEI NIH HHS/United States PT - Journal Article PT - Observational Study PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20191123 PL - United States TA - Am J Ophthalmol JT - American journal of ophthalmology JID - 0370500 SB - IM MH - Aged MH - Case-Control Studies MH - Cornea/*physiology MH - Elasticity/physiology MH - Female MH - Glaucoma/*physiopathology MH - Humans MH - Male MH - Prospective Studies MH - Risk Factors MH - Time Factors PMC - PMC7113091 MID - NIHMS1545299 EDAT- 2019/11/27 06:00 MHDA- 2020/05/10 06:00 PMCR- 2021/04/01 CRDT- 2019/11/27 06:00 PHST- 2019/08/01 00:00 [received] PHST- 2019/11/12 00:00 [revised] PHST- 2019/11/14 00:00 [accepted] PHST- 2019/11/27 06:00 [pubmed] PHST- 2020/05/10 06:00 [medline] PHST- 2019/11/27 06:00 [entrez] PHST- 2021/04/01 00:00 [pmc-release] AID - S0002-9394(19)30573-2 [pii] AID - 10.1016/j.ajo.2019.11.017 [doi] PST - ppublish SO - Am J Ophthalmol. 2020 Apr;212:134-143. doi: 10.1016/j.ajo.2019.11.017. Epub 2019 Nov 23.