Your intraocular eye pressure (IOP) is important to determining your risk for glaucoma. If you have high IOP, careful management of your eye pressure with medications can help prevent vision loss. Studies about the cornea, the clear part of the eye’s protective covering, show that corneal thickness is an important factor in accurately diagnosing eye pressure.
In 2002, the five-year report of the Ocular Hypertension Study (OHTS) was released. The study’s goal was to determine if early intervention with pressure lowering medications could reduce the number of ocular hypertensive (OHT) patients that develop glaucoma. During the study, a critical discovery was made regarding corneal thickness and its role in intraocular eye pressure and glaucoma development.
Why is Corneal Thickness Important?
Corneal thickness is important because it can mask an accurate reading of eye pressure, causing doctors to treat you for a condition that may not really exist or to treat you unnecessarily when are normal. Actual IOP may be underestimated in patients with thinner CCT, and overestimated in patients with thicker CCT.
This may be important to your diagnosis; some people originally diagnosed with normal tension glaucoma may in fact be more accurately treated as having regular glaucoma; others diagnosed with ocular hypertension may be better treated as normal based on accurate CCT measurement. In light of this discovery, it is important to have your eyes checked regularly and to make sure your doctor takes your CCT into account for diagnosis.
A Thin Cornea – The Danger of Misreading Eye Pressure
Many times, patients with thin corneas (less than 555 µm) show artificially low IOP readings. This is dangerous because if your actual IOP is higher than your reading shows, you may be at risk for developing glaucoma and your doctor may not know it. Left untreated, high IOP can lead to glaucoma and vision loss. It is important that your doctor have an accurate IOP reading to diagnose your risk and decide upon a treatment plan.
A Thicker Cornea – May Mean Less Reason to Worry About Glaucoma
Those patients with thicker CCT may show a higher reading of IOP than actually exists. This means their eye pressure is lower than thought, a lower IOP means that risk for developing glaucoma is lowered. However, it is still important to have regular eye exams to monitor eye pressure and stay aware of changes.
Pachymetry – A Simple Test to Determine Corneal Thickness
A pachymetry test is a simple, quick, painless test to measure the thickness of your cornea. With this measurement, your doctor can better understand your IOP reading, and develop a treatment plan that is right for your condition. The procedure takes only about a minute to measure both eyes.
Who is at Risk for Glaucoma?
People at high risk for glaucoma includes people with increased eye pressure; everyone over the age of 60; people of African descent over the age of 40; and people who have a family history of glaucoma.
To help protect yourself from vision loss, from this disease, everyone in these risk groups should receive a comprehensive eye exam at least every two years.
Article by Michael V. Drake, MD. Last reviewed on March 23, 2022.
Michael V. Drake, MD
Dr. Michael V. Drake is the 21st president of the University of California. He oversees UC's world-renowned university system of 10 campuses, five medical centers, three nationally affiliated labs, more than 280,000 students and 230,000 faculty and staff.