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Measurement of intraocular pressure (IOP) is fundamental to the management of glaucoma since it remains the only modifiable risk factor. Recent studies, especially on ocular hypertensives (OHT),1-3 have stressed upon the influence of central corneal thickness (CCT) on IOP measurement. It is now quite well recognized that abnormally thick or thin corneas give rise to fallacious IOP measurement. Recent evidence suggests that it is not the central corneal thickness alone, but that other factors of corneal biomechanics also matter in influencing the IOP measurement. This review will look at the importance of central corneal thickness in the management of glaucoma and glaucoma suspects. We will also discuss other corneal factors such as elasticity and corneal hysteresis, and how new technology promises to measure IOP taking these factors into consideration.

Clinical Science Structure Measuring Intraocular Pressure: How Important is the Central Corneal Thickness?