CENTRAL CORNEAL THICKNESS IN METABOLIC SYNDROME POPULATION, NON-METABOLIC SYNDROME POPULATION, AND DIFFERENT BODY MASS INDEX POPULATION

ROFA HUSNUL KHULUQI (1) , Nina Handayani (2) , Nanda Wahyu Anandita (3)
(1) , Indonesia
(2) , Indonesia
(3) , Indonesia

Abstract

Introduction & Objectives
Central corneal Thickness (CCT) is associated with many factors including systemic disease. This
study aims to evaluate and compare the CCT values in Metabolic Syndrome (MS) population, Non-
Metabolic Syndrome (non-MS) population, and all different Body Mass Index (BMI) population.


Methods
This population-based & community service-based cross sectional study, conducted on September-
November 2019 in 3 rural areas of Malang. Written informed consent was obtained from all subjects.
CCT was measured with ultrasound pachymeter. The diagnosis of MS was based on International
Diabetes Foundation 2006 criteria. Subjects were classified into 2 groups by MS and non-MS, also
stratifed by BMI, gender, and age. Differences in CCT value between groups based on MS & non-
MS, BMI, age, and gender were analyzed.


Results
A total of 890 subjects aged ? 40 years old were included in this study, whereas 400 subjects were
diagnosed as MS (44.9%) and 490 (55.1%) others as non-MS. Mean CCT of MS were significantly
greater than that of non-MS (549.743±43.22 ?m, P<0.05). Mean CCT of obese subjects were
significantly greatest among other BMI groups (549.036±48.31 ?m, P<0.05). Mean CCT in women
were significantly greater than that in men (546.268±39, P<0.05). Mean CCT of subjects aged 40–49
years were significantly greatest among other age groups (551.278±33,33, P<0.05).


Conclusion
MS population had greater CCT value as compare to non-MS population. Obese population had
greatest CCT value than overweight, normal, and underweight population. These findings may have
implications for understanding the relationship between CCT changes and metabolic syndrome, as
well as BMI.

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References

Lanza M, Paolillo E, Carnevale UAG, Lanza A, Irregolare C, Mele L, et al. Central corneal thickness evaluation in healthy eyes with three different optical devices. Contact Lens and Anterior Eye. 2015;38(6):409-13.

González-Rodríguez P, Blázquez-Sánchez V, FernándezCuenc SJCyTplSVyO. Study of central corneal thickness using non- contact techniques: Specular microscopy (Nidek CEM-530), corneal tomography (Pentacam HR), and optical coherence tomography (Cirrus HD-OCT 5000) in healthy adult patients. 2018;16(1).

Krachmer J, Mannis M, Holland E. Cornea Fundamentals, Diagnosis and Management 4th edition. Edinburgh, Mo: Elsevier Mosby; 2017. 4035-4042

Miglior S, Pfeiffer N, Torri V, Zeyen T, Cunha-Vaz J, Adamsons I. Predictive factors for open-angle glaucoma among patients with ocular hypertension in the European Glaucoma Prevention Study. Ophthalmology 2007;114(1):39.

Leske MC, Heijl A, Hyman L, Bengtsson B, Dong L, Yang Z. Predictors of long-term progression in the early manifest glaucoma trial. Ophthalmology 2007;114(11):1965-1972.

Leske MC, Wu SY, Hennis A, Honkanen R, Nemesure B. Risk factors for incident open-angle glaucoma: the Barbados Eye Studies. Ophthalmology 2008;115(1):85-93.

Wangsupadilok B, Horatanaruang O. The Impact of Central Corneal Thickness on Intraocular Pressure Measured by Non-Contact Tonometry. J Med Assoc Thai 2011; 94(5): 574-8.

Pelit A, Yaycioglu RA, Akova YA. Effect of corneal thickness on intraocular pressure measurements with the Pascal dynamic contour, Canon TX-10 non-contact and Goldmann applanation tonometers in healthy subjects. Clin Exp Optom 2009; 92(1): 14-18.

IDF (2006) The IDF consensus worldwide definition of the metabolic syndrome. http://www.idf.org/metabolic_syn drome

Toygar O, Sizmaz S, Pelit A, Toygar B, Kizilo?lu ÖY, Akova Y. Central corneal thickness in type II diabetes mellitus: is it relatedto the severity of diabetic retinopathy?. Turkish journal of medical sciences. 2015;45(3):651-4.

Su DH, Wong TY, Foster PJ, et al. Central corneal thickness and its associations with ocular and systemic factors: the Singapore Malay Eye Study. Am J Ophthalmol. 2009;147:709-16.

Elflein HM, Pfeiffer N, Hoffmann EM, et al. Correlations between central corneal thickness and general anthropometric characteristics and cardiovascular parameters in a large European cohort from the Gutenberg Health Study.Cornea. 2014;33:359-65.

Nishitsuka K, Kawasaki R, Kanno M, et al. Determinants and risk factors for central corneal thickness in Japanese persons: the Funagata Study. Ophthalmic Epidemiol. 2011;18:244-49

Ambachew S, Endalamaw A, Worede A, Tegegne Y, Melku M, Biadgo B. The prevalence of metabolic syndrome in ethiopian population: a systematic review and metaanalysis. Journal of Obesity. 2020 Dec 16;2020.

Haverinen E, Paalanen L, Palmieri L, Padron-Monedero A, Noguer-Zambrano I, Sarmiento Suárez R, Tolonen H. Comparison of metabolic syndrome prevalence using four different definitions–a population- based study in Finland. Archives of Public Health. 2021 Dec;79(1):1-9.

Tabatabaei-Malazy O, Saeedi Moghaddam S, Rezaei N, Sheidaei A, Hajipour MJ, Mahmoudi N, Mahmoudi Z, Dilmaghani-Marand A, Rezaee K, Sabooni M, Razi F. A nationwide study of metabolic syndrome prevalence in Iran; a comparative analysis of six definitions. PloS one. 2021 Mar 3;16(3):e0241926.

Nguyen SN, Le TT, Nga HT, Tho NT. High prevalence of metabolic syndrome among overweight adults in Vietnam based on different criteria: Results from a community-based study. Clinical Epidemiology and Global Health. 2021 Oct 1;12:100852.

de Siqueira Valadares LT, de Souza LS, Salgado Júnior VA, de Freitas Bonomo L, de Macedo LR, Silva M. Prevalence of metabolic syndrome in Brazilian adults in the last 10 years: a systematic review and meta- analysis. BMC Public Health. 2022 Dec;22(1):1-22.

Akta? Z, Oezdek ?E, ASLI DINÇ UM, Akyuerek N, Atalay V, Guez G, Hasanreisoglu B. Alterations in ocular surface and corneal thickness in relation to metabolic control in patients with chronic renal failure. Nephrology. 2007 Aug;12(4):3805.

Keskin N, Canturk S, Aydin S, Saygili H, Ozgün C. An objective method to determine corneal changes during menopause. Clin Exp Obstet Gynecol. 2009 ; 36 (3):176178.

Sahinoglu-Keskek N, Keskek SO, Cevher S, Kirim S, Kayiklik A, Ortoglu G, Saler T. Metabolic syndrome as a risk factor for elevated intraocular pressure. Pakistan Journal of Medical Sciences. 2014 May;30(3):477.

Guha S, Kumar G, Das AK, Ranjan R. IDF21-0467 Study to find correlation and Severity of Diabetic Retinopathy and Central Corneal Thickness Changes. Diabetes Research and Clinical Practice. 2022 Apr 1;186.

Sasalatti N, Kadri R, Hegde S, Kudva AA, Devika P, Shetty A, Shetty P. Central corneal thickness, anterior chamber depth, and axial length in patients with type II diabetes mellitus. Kerala Journal of Ophthalmology. 2021 Sep 1;33(3):269.

Singh M, Anand A, Sinha BP, Prasad N, Mishra S. CHANGES IN CENTRAL CORNEAL THICKNESS IN DIABETES MELLITUS PATIENTS.

Hwang YH, Kim HK, Sohn YH. Central corneal thickness in a Korean population: the Namil Study. Investigative ophthalmology & visual science. 2012 Oct 1;53(11):6851-5.

Inoue K, Kato S, Inoue Y, Amano S, Oshika T. The corneal endothelium and thickness in type II diabetes mellitus. Japanese journal of ophthalmology. 2002 Jan 1;46(1):65-9.

Bikbov MM, Gilmanshin TR, Zainullin RM, Kazakbaeva GM, Zaynetdinov AF, Nuriev IF, Panda-Jonas S, Arslangareeva II, Zinnatullin AA, Yakupova DF, Rakhimova EM. Central corneal thickness and its associations in a Russian population. The Ural eye and Medical Study. Eye. 2022 Mar 28:1-9.

Lee JS, Oum BS, Choi HY, Lee JE, Cho BM. Differences in corneal thickness and corneal endothelium related to duration in diabetes. Eye. 2006 Mar;20(3):315-8.

Dawood YF. Study of corneal endothelial cells in diabetic patients. African Vision and Eye Health. 2022 Jun 9;81(1):5.

Habib R, Javed MM, Ijaz F, Aftab K, Sohail H, Aftab RR. Intra ocular pressure and central corneal thickness in hypertensive and non-hypertensive patients. Pakistan Journal of Physiology. 2020 Mar 31;16(1):3-5.

Habib R, Aftab RR, Sohail H, Javed RM, Chawla S, Kamran R, Ijaz F, Aftab RK. Association of Central Corneal Thickness with Age and Serum Electrolytes in Hypertensive and Non- Hypertensive Patients. Health Sciences. 2020;9(6):85-92.

Wong TT, Wong TY, Foster PJ, Crowston JG, Fong CW, Aung T. The relationship of intraocular pressure with age, systolic blood pressure, and central corneal thickness in an Asian population. Investigative ophthalmology & visual science. 2009 Sep 1;50(9):4097-102. 33. Kayiklik A. Hypertension and cerebrovascular diseases are related to corneal endothelial insufficiency—a retrospective study. Ophthalmology Journal. 2019;4:11-4.

Batawi H, Lollett IV, Maliakal C, Wellik SR, Anderson M, Feuer W, Karp CL, Galor A. A comparative study of central corneal epithelial, stromal and total thickness in males with and without primary open angle glaucoma. Cornea. 2018 Jun;37(6):712.

Elflein HM, Pfeiffer N, Hoffmann EM, Hoehn R, Kottler U, Lorenz K, Zwiener I, Wild PS, Mirshahi Correlations between central corneal thickness and general anthropometric characteristics and cardiovascular parameters in a large European cohort from the Gutenberg Health Study. Cornea. 2014 Apr 1;33(4):359- 65.

Altinok A, Sen E, Yazici A, Aksakal FN, Oncul H, Koklu G. Factors influencing central corneal thickness in a Turkish population. Current Eye Research. 2007 Jan 1;32(5):413-9.

Bu J, Yu J, Wu Y, Cai X, Li K, Tang L, Jiang N, Jeyalatha MV, Zhang M, Sun H, He H. Hyperlipidemia affects tight junctions and pump function in the corneal endothelium. The American Journal of Pathology. 2020 Mar 1;190(3):563-76.

Fortepiani L, Foutch BK, Wilson MR. The effects of sex, oral contraception, and menstrual cycle phase on intraocular pressure, central corneal thickness, and foveal thickness: a descriptive analysis. Vision. 2021 Oct 18;5(4):48.

Brandt JD, Beiser JA, Kass MA, Gordon MO, Group OHTS. Central corneal thickness in the ocular hypertension treatment study (OHTS). Ophthalmology. 2001;108(10):1779-88

Hoffmann EM, Lamparter J, Mirshahi A, Elflein H, Hoehn R, Wolfram C, Lorenz K, Adler M, Wild PS, Schulz A, Mathes B. Distribution of central corneal thickness and its association with ocular parameters in a large central European cohort: the Gutenberg health study. PloS one. 2013 Aug 1;8(8):e66158.

Vijaya L, George R, Arvind H, Ramesh SV, Baskaran M, Raju P, Asokan R, Velumuri L. Central corneal thickness in adult south Indians: The Chennai glaucoma study. Ophthalmology. 2010 Apr 1;117(4):700-4.

Suzuki S, Suzuki Y, Iwase A, Araie M. Corneal thickness in ophthalmologically normal Japanese population. Ophthalmology 2005;112:1327 36.

Xu L, Zhang H, Wang YX, Jonas JB. Central corneal thickness and glaucoma in adult Chinese: the Beijing Eye Study. Journal of glaucoma. 2008 Dec 1;17(8):647-53.

Keskin N, Canturk S, Aydin S, Saygili H, Ozgün C. An objective method to determine corneal changes during menopause. Clin Exp Obstet Gynecol. 2009;36(3):176–178.

Goldich Y, Barkana Y, Pras E, et al. Variations in corneal biomechanical parameters and central corneal thickness during the menstrual cycle. J Cataract Refract Surg. 2011;37(8):1507–1511.

Nangia V, Jonas JB, Sinha A, Matin A, Kulkarni M. Central corneal thickness and its association with ocular and general parameters in Indians: the Central India Eye and Medical Study. Ophthalmology. 2010;117:705–710.

Hassan B, Dildar MT, Hyder F, Rabbani S, Mehboob A, Farooq MA. Correlation of age with central corneal thickness and corneal endthelial cell density in Pakistani population. PAFMJ. 2018 Dec 31;68(6):1720-24.

Hahn S, Azen S, Ying-Lai M, Varma R, Los Angeles Latino Eye Study Group. Central corneal thickness in Latinos. Investigative ophthalmology & visual science. 2003 Apr 1;44(4):1508-12.

Nemesure B, Wu SY, Hennis A, Leske MC, Barbados Eye Study Group. Corneal thickness and intraocular pressure in the Barbados eye studies. Archives of Ophthalmology. 2003 Feb 1;121(2):240-4.

La Rosa FA, Gross RL, Orengo- Nania S. Central corneal thickness of Caucasians and Africa Americans in glaucomatous and nonglaucomatous populations. Archives of ophthalmology. 2001 Jan 1;119(1):23-7.

Mercieca K, Odogu V, Fiebai B, Arowolo O, Chukwuka F. Comparing central corneal thickness in a sub-Saharan cohort to African Americans and Afro-Caribbeans. Cornea. 2007;26(5):557–560

Kamiya K, Shimizu K, Ohmoto F. Effect of aging on corneal biomechanical parameters using the ocular response analyzer. J Refract Surg. 2009;25(10):888–893.

Eysteinsson T, Jonasson F, Sasaki H, et al. Central corneal thickness, radius of the corneal curvature and intraocular pressure in normal subjects using non-contact, techniques: Reykjavik Eye Study. Acta Ophthalmol Scand. 2002;80(1):11–15.

Prasad A, Fry K, Hersh PS. Relationship of age and refraction to central corneal thickness. Cornea. 2011;30(5):553–555.

Faragher RGA, Mulholland B, Sandeman S, et al. Aging and the cornea. Br J Ophthalmol. 1997;81:814–817.

Patel HY, Patel DV, McGhee CN. Identifying relationships between tomography-derived corneal in healthy corneas of young adults. Eye 2009;23(2):270–278.

Aghaian E, Choe JE, Lin S, Stamper RL. Central corneal thickness of Caucasians, Chinese, Hispanics, Filipinos, African Americans, and Japanese in a glaucoma clinic. Ophthalmology. 2004;111(12): 211–2219.

Gunes A, Uzun F, Karaca EE, Kalayc? M. Evaluation of anterior segment parameters in obesity. Korean Journal of Ophthalmology. 2015 Aug 1;29(4):220-5

Authors

ROFA HUSNUL KHULUQI
Nina Handayani
Nanda Wahyu Anandita
KHULUQI, R. H. ., Handayani, N. ., & Anandita, N. W. . (2024). CENTRAL CORNEAL THICKNESS IN METABOLIC SYNDROME POPULATION, NON-METABOLIC SYNDROME POPULATION, AND DIFFERENT BODY MASS INDEX POPULATION. Ophthalmologica Indonesiana, 49(S2). https://doi.org/10.35749/d5c5ng91

Article Details

How to Cite

KHULUQI, R. H. ., Handayani, N. ., & Anandita, N. W. . (2024). CENTRAL CORNEAL THICKNESS IN METABOLIC SYNDROME POPULATION, NON-METABOLIC SYNDROME POPULATION, AND DIFFERENT BODY MASS INDEX POPULATION. Ophthalmologica Indonesiana, 49(S2). https://doi.org/10.35749/d5c5ng91

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