Unfolding the enigma of lamina cribrosa morphometry and its association with glaucoma


  • Ayesha Saba Bahria University Medical and Dental College, Karachi.
  • Ambreen Usmani Usmani Bahria University Medical and Dental College, Karachi.
  • Qamarul Islam PNS Shifa hospital, Karachi.
  • Tahira Assad Karachi Institute of Medical Sciences
Keywords: Lamina cribrosa, Optical coherence tomography, Glaucoma, Lamina cribrosa thickness, Lamina cribrosa depth, Lamina cribrosa morphometry


Primary open angle glaucoma (POAG) is worldwide prevalent ailment, affecting millions, and leading irreversible cause of blindness. The treatment strategies revolve around one modifiable factor, elevated intraocular pressure (IOP), despite POAG presenting with normal IOP. Emphasis is put forth in recent past detecting structural elements of glaucoma; lamina cribrosa (LC) is found to be a promising prospect. Morphological alterations of LC are implicated as early sign before onset of glaucomatous optic neuropathy (GON). In this review, the authors explored scientific works from 1976 till 2018 through Google, Google Scholar, PubMed, HEC Digital Library, Springerlink, and PakMedinet in four months’ time, extracted structural features of LC, its measurable attributes, fresh innovations employed for in-vivo visualization and clinical signs aiding in establishing diagnosis of glaucoma which will assist as a prophylactic measure against GON. No such work has ever been done in South-East Asia including our country. So LC opens a new horizon for research in Pakistan.

doi: https://doi.org/10.12669/pjms.35.6.568

How to cite this:
Saba A, Usmani A, Qamar-Ul-Islam, Assad T. Unfolding the enigma of lamina cribrosa morphometry and its association with glaucoma. Pak J Med Sci. 2019;35(6):1730-1735. doi: https://doi.org/10.12669/pjms.35.6.568

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.