Distribution of intraocular pressure, central corneal thickness and vertical cup-to-disc ratio in a healthy Iranian population: the Yazd Eye Study

Mohammad Pakravan, Mohammad Ali Javadi, Shahin Yazdani, Elham Ghahari, Zohreh Behroozi, Reza Soleimanizad, Sasan Moghimi, Naveed Nilforoushan, Reza Zarei, Yadollah Eslami, Mahmood Ghassami, Hossein Ziaei, Marzieh Katibeh, Hanif Tabesh, Mehdi Yaseri

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

Purpose: To determine the distribution of intraocular pressure (IOP), central corneal thickness (CCT) and vertical cup-to-disc ratio (VCDR) in the healthy Iranian population. Methods: This population-based, epidemiologic study evaluated Iranian aged 40–80 years, residing in Yazd, Iran, in 2010–2011. Eligible subjects were selected by cluster random sampling. Each participant underwent an interview and ophthalmologic examination including slit lamp examination, Goldmann applanation tonometry, binocular optic disc evaluation, stereoscopic fundus photography, ultrasonic pachymetry and visual field testing. Results: Of 2320 eligible individuals, 2098 subjects (response rate of 90.4%) participated in the study. One eye from 1159 subjects (total of 2262 normal eyes) were randomly selected for the purpose of the study. Mean age was 53.1 ± 9.6 years. Mean IOP, CCT and VCDR were 14.2 ± 2.5 mmHg, 543 ± 37 μm and 0.32 ± 0.14, respectively. Multiple regression analysis showed a significant correlation between IOP and age (regression coefficient = 0.02 per year, p = 0.015), CCT (regression coefficient = 0.02 per micron, p < 0.001), Spherical equivalent (regression coefficient = −0.15 per dioptre, p = 0.0.024) and smoking (regression coefficient = 0.89 higher for smokers, p = 0.009); it also showed a significant correlation between CCT with spherical equivalent (regression coefficient = 3.6 per dioptre, p = 0.002) and IOP (regression coefficient = 3.6 per mmHG, p < 0.001). There was no significant correlation with VCDR. Conclusions: Mean IOP, CCT and VCDR were 14.2 ± 2.5 mmHg, 543 ± 35 μm and 0.32 ± 0.14, respectively, in healthy Iranians that is different from other ethnicities. It seems advisable to pay attention to ethnicity for interpretation of each person's variables.

Original languageEnglish (US)
Pages (from-to)e144-e151
JournalActa Ophthalmologica
Volume95
Issue number2
DOIs
StatePublished - Mar 1 2017
Externally publishedYes

Keywords

  • central corneal thickness
  • healthy normal
  • intraocular pressure
  • vertical cup-to-disc ratio

ASJC Scopus subject areas

  • Ophthalmology

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