Evidence map›Paper›PMID 40024035›Full record

ArticleJournal of optometry

Longitudinal change in central corneal thickness among primary schoolchildren.

Hassan Hashemi, Mehdi Khabazkhoob, Elham Azizi, Mohammad Hassan Emamian, Akbar Fotouhi

Abstract read
In one paragraph

Article in Journal of optometry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Hassan HashemiNoor Research Center for Ophthalmic Epidemiology, Noor Eye Hospital, Tehran, Iran.
Mehdi KhabazkhoobDepartment of Basic Sciences, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Elham AziziDepartment of Optometry and Vision Science, University of Melbourne, Melbourne, Australia.
Mohammad Hassan EmamianOphthalmic Epidemiology Research Center, Shahroud University of Medical Sciences, Shahroud, Iran. Electronic address: emamian@shmu.ac.ir.
Akbar FotouhiDepartment of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the longitudinal changes in corneal thickness and its contributing factors in primary schoolchildren.

methodsThis study is a part of the Shahroud Schoolchildren Eye Cohort Study, conducted longitudinally in two phases; in 2015 and then in 2018. Participants were tested for uncorrected visual acuity, best-corrected visual acuity, cycloplegic refraction, biometry, and Scheimpflug corneal imaging.

resultsAfter applying the exclusion criteria, 8782 eyes from 4432 participants were analysed. Of these, 2309 (52.1%) were male. Average three-year changes in central corneal thickness (CCT) and corneal apex thickness were -0.58 (95% CI: -0.94 to -0.22) and -0.59 (95% CI: -0.95 to -0.23) microns, respectively. There was an increase of 8.63 (95% CI: 8.1 to 9.17) microns in the superior corneal thickness after three years while the inferior corneal thickness decreased by an average of -5.75 (95% CI: -6.3 to -5.2) microns. The multiple generalized estimating equation (GEE) model showed that the three-year changes in the CCT were lower in rural than in urban students (β = -1.71; p < 0.001). Moreover, the baseline CCT (β = -0.04; p < 0.001), anterior chamber depth (β = -1.6; p = 0.003), and corneal diameter (β = -1.18; p < 0.001) had a significant inverse association while the body mass index (β = 0.12; p = 0.002) and axial length (β = 0.84; p < 0.001) had a significant direct association with the 3-year changes in CCT. After three years, CCT decreased by advancing age in boys, while remaining almost constant in girls.

conclusionThe 3-year change in CCT was clinically negligible and could indicate its stability in schoolchildren. However, CCT thinning was more remarkable in urban students.

Indexed as

CorneaBiometryChildCorneal PachymetryFemaleHumansLongitudinal StudiesMaleRefraction, OcularRural PopulationUrban PopulationVisual AcuityChildrenCohort studyCorneal thicknessOcular biometry

Identifiers

PMID40024035
PMCPMC11919403

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.