Bulbar Conjunctival Thickness in Eyes with Pseudoexfoliation Measured by Anterior Segment OCT

Purpose: Eyes with pseudoexfoliation demonstrate fragile intraocular structures. The current study evaluated conjunctival thickness in pseudoexfoliation eyes as compared to a control group. Methods: In this cross-sectional study, patients with pseudoexfoliation and an age-matched control group und...

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Main Authors: Mahla Shadravan, Shahin Yazdani, Bahareh Kheiri, Farideh Sharifipour, Azadeh Doozandeh, Mohammad Mehdi Hatami, Neda Einollahi
Format: Article
Language:English
Published: Knowledge E 2025-05-01
Series:Journal of Ophthalmic & Vision Research
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Online Access:https://knepublishing.com/index.php/JOVR/article/view/15341
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author Mahla Shadravan
Shahin Yazdani
Bahareh Kheiri
Farideh Sharifipour
Azadeh Doozandeh
Mohammad Mehdi Hatami
Neda Einollahi
author_facet Mahla Shadravan
Shahin Yazdani
Bahareh Kheiri
Farideh Sharifipour
Azadeh Doozandeh
Mohammad Mehdi Hatami
Neda Einollahi
author_sort Mahla Shadravan
collection DOAJ
description Purpose: Eyes with pseudoexfoliation demonstrate fragile intraocular structures. The current study evaluated conjunctival thickness in pseudoexfoliation eyes as compared to a control group. Methods: In this cross-sectional study, patients with pseudoexfoliation and an age-matched control group underwent measurement of bulbar conjunctival thickness in the superior and temporal quadrants, 1, 2, and 3 mm posterior to the limbus using anterior segment OCT. Results: A total of 140 eyes of 140 subjects including 68 eyes of 68 patients with pseudoexfoliation and 72 eyes of 72 control subjects without pseudoexfoliation were studied. Both study groups were divided into two subgroups – those using glaucoma drops versus medication-free eyes. Total conjunctival thickness in pseudoexfoliation eyes was significantly lower than control eyes across all comparisons. Conjunctival thickness in the superior quadrant 1, 2, and 3 mm from the limbus was 177.62 ± 41.30, 235 ± 48.41, and 231.40 ± 49.81 μm, respectively in the pseudoexfoliation group versus 207.49 ± 48.92, 265.67 ± 52.66, and 262.74 ± 59.43 μm in the control group (P <0.001, <0.001, and 0.001, respectively). In the temporal quadrant, conjunctival thickness 1, 2, and 3 mm from the limbus was 193.62 ± 46.97, 198.19 ± 54.67, and 178.59 ± 57.90 μm, respectively in the pseudoexfoliation group versus 213.76 ± 47.06, 224.50 ± 56.24, and 210.26 ± 63.70 μm in the control group (P = 0.012, 0.006, and 0.003, respectively). Conclusion: Conjunctival thickness was significantly less in pseudoexfoliation eyes than an age-matched control group which supports clinical observations of thinner and more fragile conjunctiva in these eyes with implications for glaucoma surgery.
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spelling doaj-art-3e14b5c4e4e141f781a4eeee092a92e22025-08-20T02:30:54ZengKnowledge EJournal of Ophthalmic & Vision Research2008-20102008-322X2025-05-012010.18502/jovr.v20.15341Bulbar Conjunctival Thickness in Eyes with Pseudoexfoliation Measured by Anterior Segment OCTMahla Shadravan0Shahin Yazdani1Bahareh Kheiri2Farideh Sharifipour3Azadeh Doozandeh4Mohammad Mehdi Hatami5Neda Einollahi6Clinical Research Development Unit, Shafa Hospital, Kerman University of Medical Sciences, Kerman, Ocular Tissue Engineering Research Center, Research Institute for Ophthalmology and Vision Science, Shahid Beheshti University of Medical Sciences, Tehran,Ophthalmic Research Center, Research Institute for Ophthalmology and Vision Science, Shahid Beheshti University of Medical Sciences, Tehran,Ophthalmic Research Center, Research Institute for Ophthalmology and Vision Science, Shahid Beheshti University of Medical Sciences, Tehran,Ophthalmic Research Center, Research Institute for Ophthalmology and Vision Science, Shahid Beheshti University of Medical Sciences, Tehran,Ophthalmic Research Center, Research Institute for Ophthalmology and Vision Science, Shahid Beheshti University of Medical Sciences, Tehran,Department of Ophthalmology, Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Purpose: Eyes with pseudoexfoliation demonstrate fragile intraocular structures. The current study evaluated conjunctival thickness in pseudoexfoliation eyes as compared to a control group. Methods: In this cross-sectional study, patients with pseudoexfoliation and an age-matched control group underwent measurement of bulbar conjunctival thickness in the superior and temporal quadrants, 1, 2, and 3 mm posterior to the limbus using anterior segment OCT. Results: A total of 140 eyes of 140 subjects including 68 eyes of 68 patients with pseudoexfoliation and 72 eyes of 72 control subjects without pseudoexfoliation were studied. Both study groups were divided into two subgroups – those using glaucoma drops versus medication-free eyes. Total conjunctival thickness in pseudoexfoliation eyes was significantly lower than control eyes across all comparisons. Conjunctival thickness in the superior quadrant 1, 2, and 3 mm from the limbus was 177.62 ± 41.30, 235 ± 48.41, and 231.40 ± 49.81 μm, respectively in the pseudoexfoliation group versus 207.49 ± 48.92, 265.67 ± 52.66, and 262.74 ± 59.43 μm in the control group (P <0.001, <0.001, and 0.001, respectively). In the temporal quadrant, conjunctival thickness 1, 2, and 3 mm from the limbus was 193.62 ± 46.97, 198.19 ± 54.67, and 178.59 ± 57.90 μm, respectively in the pseudoexfoliation group versus 213.76 ± 47.06, 224.50 ± 56.24, and 210.26 ± 63.70 μm in the control group (P = 0.012, 0.006, and 0.003, respectively). Conclusion: Conjunctival thickness was significantly less in pseudoexfoliation eyes than an age-matched control group which supports clinical observations of thinner and more fragile conjunctiva in these eyes with implications for glaucoma surgery. https://knepublishing.com/index.php/JOVR/article/view/15341Anterior Segment Optical Coherence TomographyConjunctival ThicknessPseudoexfoliation
spellingShingle Mahla Shadravan
Shahin Yazdani
Bahareh Kheiri
Farideh Sharifipour
Azadeh Doozandeh
Mohammad Mehdi Hatami
Neda Einollahi
Bulbar Conjunctival Thickness in Eyes with Pseudoexfoliation Measured by Anterior Segment OCT
Journal of Ophthalmic & Vision Research
Anterior Segment Optical Coherence Tomography
Conjunctival Thickness
Pseudoexfoliation
title Bulbar Conjunctival Thickness in Eyes with Pseudoexfoliation Measured by Anterior Segment OCT
title_full Bulbar Conjunctival Thickness in Eyes with Pseudoexfoliation Measured by Anterior Segment OCT
title_fullStr Bulbar Conjunctival Thickness in Eyes with Pseudoexfoliation Measured by Anterior Segment OCT
title_full_unstemmed Bulbar Conjunctival Thickness in Eyes with Pseudoexfoliation Measured by Anterior Segment OCT
title_short Bulbar Conjunctival Thickness in Eyes with Pseudoexfoliation Measured by Anterior Segment OCT
title_sort bulbar conjunctival thickness in eyes with pseudoexfoliation measured by anterior segment oct
topic Anterior Segment Optical Coherence Tomography
Conjunctival Thickness
Pseudoexfoliation
url https://knepublishing.com/index.php/JOVR/article/view/15341
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