Changes in Anterior and Posterior Corneal Elevation in Patients With Allergic Conjunctivitis

Purpose: To evaluate corneal elevation changes in patients with allergic conjunctivitis (AC) and to analyze their correlations with ocular allergy signs and corneal biomechanical alterations.Methods: Thirty patients (30 eyes) with AC and twenty normal subjects (20 eyes) were included in this prospec...

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Autores principales: Qian Wang, Fei Yu, Ziqing Feng, Weihua Li, Naiyang Li, Xinyue Du, Xuan Zhao, Saiqun Li, Jin Yuan
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Lenguaje:EN
Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/c6e53847f46349ac8031fc0558c3093e
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spelling oai:doaj.org-article:c6e53847f46349ac8031fc0558c3093e2021-11-30T16:53:26ZChanges in Anterior and Posterior Corneal Elevation in Patients With Allergic Conjunctivitis2296-858X10.3389/fmed.2021.788302https://doaj.org/article/c6e53847f46349ac8031fc0558c3093e2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fmed.2021.788302/fullhttps://doaj.org/toc/2296-858XPurpose: To evaluate corneal elevation changes in patients with allergic conjunctivitis (AC) and to analyze their correlations with ocular allergy signs and corneal biomechanical alterations.Methods: Thirty patients (30 eyes) with AC and twenty normal subjects (20 eyes) were included in this prospective study. All participants underwent a complete ocular examination, including corneal tomography by Pentacam and corneal biomechanics evaluation by Corvis ST. AC patients were evaluated for their eye rubbing frequency and ocular allergic signs.Results: The elevation at the thinnest location (TE) and the central location (CE), the elevation difference at the thinnest location (TED) and the central location (CED), and the mean value of elevation difference in the central 4 mm zoom (MED) of both the anterior and posterior corneal surface were significantly higher in the AC group than in the normal group (p < 0.05 for all). In AC patients, only anterior corneal elevation parameters were positively correlated with eye rubbing frequency and ocular allergy sign severity (p < 0.05 for all), while the tomography and biomechanical index (TBI) was positively correlated with the elevation parameters of both the anterior and posterior corneal surfaces (p < 0.05 for all).Conclusion: AC patients carry an increased risk of corneal ectasia. Posterior corneal elevation parameters are sensitive and reliable predictors of keratoconus (KC) risk in AC patients.Clinical Trial Registration:https://clinicaltrials.gov/ct2/show/NCT04299399, identifier [NCT04299399].Qian WangFei YuZiqing FengWeihua LiNaiyang LiXinyue DuXuan ZhaoSaiqun LiJin YuanFrontiers Media S.A.articleallergic conjunctivitiscorneal tomographycorneal surface elevationcorneal posterior surfacecorneal biomechanicsMedicine (General)R5-920ENFrontiers in Medicine, Vol 8 (2021)
institution DOAJ
collection DOAJ
language EN
topic allergic conjunctivitis
corneal tomography
corneal surface elevation
corneal posterior surface
corneal biomechanics
Medicine (General)
R5-920
spellingShingle allergic conjunctivitis
corneal tomography
corneal surface elevation
corneal posterior surface
corneal biomechanics
Medicine (General)
R5-920
Qian Wang
Fei Yu
Ziqing Feng
Weihua Li
Naiyang Li
Xinyue Du
Xuan Zhao
Saiqun Li
Jin Yuan
Changes in Anterior and Posterior Corneal Elevation in Patients With Allergic Conjunctivitis
description Purpose: To evaluate corneal elevation changes in patients with allergic conjunctivitis (AC) and to analyze their correlations with ocular allergy signs and corneal biomechanical alterations.Methods: Thirty patients (30 eyes) with AC and twenty normal subjects (20 eyes) were included in this prospective study. All participants underwent a complete ocular examination, including corneal tomography by Pentacam and corneal biomechanics evaluation by Corvis ST. AC patients were evaluated for their eye rubbing frequency and ocular allergic signs.Results: The elevation at the thinnest location (TE) and the central location (CE), the elevation difference at the thinnest location (TED) and the central location (CED), and the mean value of elevation difference in the central 4 mm zoom (MED) of both the anterior and posterior corneal surface were significantly higher in the AC group than in the normal group (p < 0.05 for all). In AC patients, only anterior corneal elevation parameters were positively correlated with eye rubbing frequency and ocular allergy sign severity (p < 0.05 for all), while the tomography and biomechanical index (TBI) was positively correlated with the elevation parameters of both the anterior and posterior corneal surfaces (p < 0.05 for all).Conclusion: AC patients carry an increased risk of corneal ectasia. Posterior corneal elevation parameters are sensitive and reliable predictors of keratoconus (KC) risk in AC patients.Clinical Trial Registration:https://clinicaltrials.gov/ct2/show/NCT04299399, identifier [NCT04299399].
format article
author Qian Wang
Fei Yu
Ziqing Feng
Weihua Li
Naiyang Li
Xinyue Du
Xuan Zhao
Saiqun Li
Jin Yuan
author_facet Qian Wang
Fei Yu
Ziqing Feng
Weihua Li
Naiyang Li
Xinyue Du
Xuan Zhao
Saiqun Li
Jin Yuan
author_sort Qian Wang
title Changes in Anterior and Posterior Corneal Elevation in Patients With Allergic Conjunctivitis
title_short Changes in Anterior and Posterior Corneal Elevation in Patients With Allergic Conjunctivitis
title_full Changes in Anterior and Posterior Corneal Elevation in Patients With Allergic Conjunctivitis
title_fullStr Changes in Anterior and Posterior Corneal Elevation in Patients With Allergic Conjunctivitis
title_full_unstemmed Changes in Anterior and Posterior Corneal Elevation in Patients With Allergic Conjunctivitis
title_sort changes in anterior and posterior corneal elevation in patients with allergic conjunctivitis
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/c6e53847f46349ac8031fc0558c3093e
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