The Impact of Central Corneal Thickness and Corneal Biomechanics on Tonometry

James D Brandt, Cynthia J. Roberts

Research output: Chapter in Book/Report/Conference proceedingChapter

2 Scopus citations


Given our limited understanding of how CCT and corneal material properties affect both tonometry and glaucoma risk, how should the thoughtful clinician incorporate these measures into direct patient care? One practical recommendation is that one can take far better care of patients simply by categorizing corneas as 'thin,' 'average,' or 'thick,' just as it is important to recognize that optic discs come in 'small,' 'medium,' and 'large,' allowing the clinician to interpret disc configurations accordingly. Measuring CCT leads to the discontinuation of therapy in many overtreated ocular hypertensives and escalation of therapy in patients with thin corneas in whom control is clearly inadequate. Ultimately, incorporating the measurement of CCT and corneal material properties (and recognizing the limitations of our present knowledge) into the glaucoma examination will allow the astute clinician to better target and titrate the treatment of glaucoma.

Original languageEnglish (US)
Title of host publicationMedical Diagnosis and Therapy
PublisherElsevier Inc.
Number of pages8
ISBN (Print)9780702055416, 9780702051937
StatePublished - Sep 3 2014

ASJC Scopus subject areas

  • Medicine(all)


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