Correlation between central corneal thickness and myopia

  • Michael Mimouni
  • Victor Flores
  • Yinon Shapira
  • Shmuel Graffi
  • Shmuel Levartovsky
  • Tzahi Sela
  • Gur Munzer
  • Igor Kaiserman
Original Paper
  • 37 Downloads

Abstract

Purpose

To analyze the correlation between central corneal thickness (CCT) and myopia in refractive surgery candidates.

Materials and methods

Patients that underwent myopic laser refractive surgery between January 2000 and December 2014 were included. Preoperative CCT was measured by ultrasonic pachymetry, and refractive status determined by manifest and cycloplegic refraction.

Results

A total of 30,245 individuals were included. Mean age was 28.2 ± 8.6 years, and 45.9% were female. Mean refractive error was 4.02 ± 2.17 D (range 0.25–19.5), and the mean CCT measurement was 533.5 ± 35.5 µm (range 404–794). Younger individuals showed higher degree of myopia (p = 0.006). No difference in CCT was found between women and men (533.0 ± 35.1 and 533.6 ± 35.9 µm, respectively, p = 0.19). Though CCT showed no correlation with age (p = 0.226) participants above age 40 expressed higher CCT values (p < 0.001). No significant correlation was found between the CCT and cylinder (p > 0.05). An increase in mean keratometry was associated with a decrease in CCT (p < 0.001). There was a direct correlation between the degree of myopia and CCT (r = 0.94, p < 0.001). The result remained the same after adjusting for age group and gender in stepwise backward regression analysis (p < 0.001).

Conclusion

Central corneal thickness is correlated with the degree of myopia among adults undergoing refractive surgery.

Keywords

Myopia Central corneal thickness Spherical equivalence Astigmatism 

Notes

Authors’ contribution

All authors substantially contributed to this study.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

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Copyright information

© Springer Science+Business Media B.V. 2017

Authors and Affiliations

  1. 1.Department of OphthalmologyRambam Health Care Campus, Technion-Israel Institute of TechnologyHaifaIsrael
  2. 2.Department of Ophthalmology, Barzilai Medical Center, Ashkelon and the Faculty of Health SciencesBen-Gurion University of the NegevBeer ShebaIsrael
  3. 3.Care-Vision Laser CentersTel AvivIsrael

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