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Corneal Thickness Determination and Correlates in Singaporean Schoolchildren

¹From the Singapore National Eye Center, Singapore; the ²Singapore Eye Research Institute, Singapore; the ³Departments of Community, Occupational and Family Medicine, and ⁴Ophthalmology, National University of Singapore, Singapore; and the ⁵Glaucoma Research Unit, Moorfields Eye Hospital, London, United Kingdom.

PURPOSE. To determine the central cornea thickness (CCT) in Singaporean children and to examine the possible relationship between intraocular pressure (IOP) and other biometric factors and CCT.

METHODS. This was a cross-sectional study. The subjects (N = 652) were obtained from the Singapore Cohort Study of the Risk Factors for Myopia (SCORM). The subjects’ ages ranged from 9 to 11 years. There were 485 Chinese, 92 Malayan, and 75 Asian Indian children. Measurement procedures included air-puff tonometry, noncontact slit lamp optical pachymetry, cycloplegic autorefraction, and autokeratometry.

RESULTS. The mean CCT was 543.6 ± 32.0 µm. Chinese children had thicker corneas than Malayan or Indian children (P = 0.002). The boys had thicker corneas than girls (P = 0.011), but the mean difference was only 6.4 µm. There was high correlation of CCT (r = 0.98) and IOP (r = 0.88) between right and left eyes. IOP was correlated with CCT (r = 0.45, P < 0.001). In a multiple linear regression model, each millimeter of mercury of IOP was associated with a CCT difference of 5.90 µm (95% confidence interval [CI], 4.98–6.82). The radius of corneal curvature correlated with CCT (r = 0.19, P < 0.001). The following parameters were not significantly (P > 0.05) associated with CCT: age, family income, father’s education, axial length, and spherical equivalent.

CONCLUSIONS. The mean CCT in Singaporean children aged 9 to 11 years was 543.6 µm and showed ethnic and gender variation. CCT affected measured IOP and correlated weakly with corneal curvature. Compared with data in adults, a change in CCT was associated with a greater difference in measured IOP.

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