Issue 10/2024
Getova, I., Yotsova, V., Boranov, P.
USBOBAL – Varna, Medical University – Varna
Over the last two decades, there has been growing interest in assessing corneal biomechanics in different diseases, such as keratoconus, glaucoma, and corneal disorders. Given the interaction and structural continuity between the cornea and sclera, evaluating corneal biomechanics may give us further insights into the pathogenesis, diagnosis, progression, and management of glaucoma. Therefore, some authorities have recommended baseline evaluations of corneal biomechanics in all glaucoma and glaucoma suspects patients. Currently, two devices (Ocular Response Analyzer and Corneal Visualization Schiempflug Technology) are commercially available for evaluating corneal biomechanics; however, each device reports different parameters, and there is a weak to moderate agreement between the reported parameters. Studies are further limited by the inclusion of glaucoma subjects taking topical prostaglandin analogues, which may alter corneal biomechanics and contribute to contradicting results, lack of proper stratification of patients, and misinterpretation of the results based on factors that are confounded by intraocular pressure changes. The aim is to summarize the recent evidence on corneal biomechanics in glaucoma patients аnd to demonstrate the necessity for further studies in the field to overcome the current limitations of the literature.
Аddress for correspondation:
Dr. I. Getova
Medical University – Varna
76, „Tsar Osvoboditel”, Str.
9002, Varna