Corneal Biomechanical Properties in Childhood Obesity

Purpose: To investigate corneal biomechanical properties in patients with childhood obesity. Methods: The study included 47 patients with childhood obesity (study group) and 39 healthy patients (control group). Corneal hysteresis, corneal resistance factor, corneal compensated intraocular pressure (IOPcc), and Goldmann-correlated IOP (IOPg) were measured with the Ocular Response Analyzer (Reichert, Ophthalmic Instruments, Buffalo, NY) in each eye. Central corneal thickness (CCT), anterior chamber angle (ACA), anterior chamber volume (ACV), and anterior chamber depth (ACD) measurements were obtained by the Pentacam rotating Scheimpflug camera (Oculus Optikgeräte GmBh, Wetzlar, Germany). Results: The mean corneal hysteresis was 10.56 ± 1.52 mm Hg in the study group and 11.16 ± 1.92 mm Hg in the control group ( P = .022). The mean IOP was 14.9 ± 2.0 mm Hg in the study group and 14.1 ± 1.3 mm Hg in the control group ( P = .003). Corneal hysteresis showed a significant, positive correlation with corneal resistance factor ( P < .001, r = 0.851), IOPg ( P = .044, r = 0.213), CCT ( P < .001, r = 0.477), and IOP ( P = .005, r = 0.295). Corneal hysteresis showed a significant, negative correlation with IOPcc ( P = .001, r = −0.355), ACA ( P = .005, r = −0.294), ACV ( P = .019, r = −0.246), and ACD ( P = .046, r = −0.211). Conclusions: Patients with childhood obesity have lower corneal hysteresis and higher IOPcc measurements when compared with healthy patients. Corneal tissue changes may occur in early life in childhood obesity, which could lead to ocular disease in the future. [ J Pediatr Ophthalmol Strabismus . 2020;57(2):103–107.]