Q&A: What is corneal hysteresis?

Video

Thomas A. Wong, OD, FNAP, and his co-authors Elise Regina, OD, and Kelly Armstrong, OD, discuss corneal hysteresis: part one.

Ahead of his technology article in the July 2022 issue of Optometry Times®, Thomas A. Wong, OD, FNAP, associate clinical professor of SUNY Optometry, and his co-authors Elise Regina, OD, and Kelly Armstrong, OD, both members of the SUNY Optometry class of 2022, discuss corneal hysteresis.

This transcript has been lightly edited for clarity:

What is corneal hysteresis?

Elise Regina, OD:

So corneal hysteresis is measuring the visco elasticity of the corneal tissue. Why we're talking about the cornea with glaucoma, so we can't directly measure anything in the back of the eye near the optic nerve, which is what we're concerned about with glaucoma. But there is a lot of hypothesis around the corneal tissue biomechanics being related to the lamina cribrosa, as well as the peripapillary sclera.

Related: Corneal hysteresis and biomechanics growing in diagnostic importance

So, if someone has a low corneal hysteresis, they may be a little more, there might be a higher chance that they're lamina cribrosa can't withstand high IOP fluctuations, or anything like that, so there might be a higher risk of optic nerve damage in people with lower corneal hysteresis and there might be a higher risk of glaucoma progression in people that are already diagnosed.

Newsletter

Want more insights like this? Subscribe to Optometry Times and get clinical pearls and practice tips delivered straight to your inbox.

Recent Videos
Dana Shannon, OD, FAAO, detailed a lecture she gave at the NOA Midwestern Symposium earlier this month.
CRU 2025 provided the latest insights regarding glaucoma, dry eye disease, retina, myopia, neurotrophic keratitis, and keratoconus.
Melissa Barnett, OD, FAAO, FSLS, FBCLA, gave 2 presentations alongside other ODs and MDs at CRU 2025.
Melissa Tawa, OD, FAAO, provides insights to take glaucoma management from reactive to proactive in presentations given at CRU 2025 in Napa, California.
Jennifer Li, MD, details a talk she gave alongside Melissa Barnett, OD, FAAO, FSLS, FBCLA, at CRU 2025 in Napa, California.
Deb Ristvedt, DO, details a handful of presentations on glaucoma she gave during CRU 2025 in Napa, California.
Melissa Barnett, OD, FAAO, FSLS, FBCLA, discusses keratoconus management, diagnosis, and other key insights at CRU 2025.
Cecelia Koetting, OD, FAAO, DipABO, details a talk she gave among optometrists and ophthalmologists at CRU 2025.
Ali Tafreshi sits down with Optometry Times to discuss Topcon's "Healthcare from the Eye" initiative.
Nora Lee Cothran, OD, FAAO, details a real-world study that found IOP-lowering benefits when switching patients with glaucoma to latanoprostene bunod treatment.
© 2025 MJH Life Sciences

All rights reserved.