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Effect of trabeculectomy and Ahmed glaucoma valve implantation surgery on corneal biomechanical changes. Int Ophthalmol 2020; 40:1941-1947. [PMID: 32300919 DOI: 10.1007/s10792-020-01367-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2020] [Accepted: 04/03/2020] [Indexed: 10/24/2022]
Abstract
PURPOSE To evaluate alterations in corneal biomechanical properties before and 6 months after conventional trabeculectomy (TRAB) and Ahmed glaucoma valve (AGV) implantation. METHODS Thirty-nine eyes of 39 patients were evaluated retrospectively. Complete ophthalmological examinations including evaluation of corneal biomechanical properties using the Ocular Response Analyzer were performed before and after 6 months postoperatively. A mean of four measurements for corneal hysteresis (CH), corneal resistance factor (CRF), Goldmann correlated intraocular pressure (IOPg), and corneal compensated intraocular pressure (IOPcc) was recorded. The participants had undergone trabeculectomy or shunt surgery as the first surgical procedure for glaucoma treatment of uncontrolled IOP with maximum antiglaucoma eyedrops. RESULTS There were 20 eyes of 20 patients in trabeculectomy group and 19 eyes of 19 patients in AGV implantation group. There was no significant difference between two groups in terms of sex, age, eye laterality, lens status, antiglaucoma drug usage, preoperatively measured Mean Deviation of Humphrey Visual Field Analyzer, CH, CRF, IOPcc, and IOPg (p > 0.05). CH and CRF increased significantly after shunt surgery (p < 0.001). CH increased in trabeculectomy group postoperatively (p < 0.001); however, CRF showed a small amount of decrease, but this reduction was not statistically significant (p > 0.05). CH and CRF showed higher increase after AGV surgery than trabeculectomy surgery (p < 0.05). There was no significant correlation between IOP changes and CH-CRF changes in both TRAB and AGV groups (p > 0.05). CONCLUSION According to our results, surgical technique differences may have an impact on postoperative corneal biomechanical outcomes. AGV surgery offers better corneal biomechanical results than standard trabeculectomy in 6-month follow-up.
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Bao F, Huang W, Zhu R, Lu N, Wang Y, Li H, Wu S, Lin H, Wang J, Zheng X, Huang J, Li Y, Wang Q, Elsheikh A. Effectiveness of the Goldmann Applanation Tonometer, the Dynamic Contour Tonometer, the Ocular Response Analyzer and the Corvis ST in Measuring Intraocular Pressure following FS-LASIK. Curr Eye Res 2019; 45:144-152. [PMID: 31869261 DOI: 10.1080/02713683.2019.1660794] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Purpose: To test the performance of the four tonometers in providing IOP measurements that were free of the effects of corneal biomechanics changes caused by refractive surgery.Methods: Four tonometers were employed to provide IOP measurements for 65 participants who accepted Femtosecond laser-assisted LASIK (FS-LASIK). The measurements included GAT-IOP by the Goldmann Applanation Tonometer, DCT-IOP by the Dynamic Contour Tonometer, Goldmann-correlated IOP (ORA-IOPg) and corneal-compensated IOP (ORA-IOPcc) by the Ocular Response Analyzer, and uncorrected IOP (CVS-IOP) and biomechanically corrected IOP (CVS-bIOP) by the Corvis ST. Statistical analyses were performed to assess the association of the differences in IOP caused by FS-LASIK with central corneal thickness (CCT), mean corneal curvature (Km), age, refractive error correction (REC), optical zone diameter (OZD), ablation zone diameter (AZD), residual stromal bed thickness (RSB) and RSB ratio (RSB/CCT). Multiple linear regression models were constructed to explore factors influencing IOP changes.Results: All four tonometers exhibited significant differences between IOP measurements taken pre and post-surgery except for CVS-bIOP in the low to moderate myopia group (t = 1.602, p = .12). CVS-bIOP, followed by DCT-IOP, provided the best agreement between pre and post-FS-LASIK measurements with the lowest differences in IOP and the narrowest limits of agreement. The pre-post IOP differences were also significantly associated with the reduction in CCT in only GAT-IOP, ORA-IOPg, and CVS-IOP. CVS-bIOP and ORA-IOPcc were the only measurements that were not correlated with CCT, Km or age both before and after FS-LASIK.Conclusions: The biomechanically corrected bIOP from the Corvis ST provided post-FS-LASIK measurements that were in closest agreement with those obtained before surgery. In comparison, GAT-IOP, ORA-IOPg, ORA-IOPcc, and CVS-IOP appeared to be more influenced by the changes in corneal biomechanics caused by FS-LASIK.
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Affiliation(s)
- Fangjun Bao
- Eye Hospital, WenZhou Medical University, Wenzhou, China.,The Institution of Ocular Biomechanics, Wenzhou Medical University, Wenzhou, China
| | - Wei Huang
- Eye Hospital, WenZhou Medical University, Wenzhou, China
| | - Rong Zhu
- Eye Hospital, WenZhou Medical University, Wenzhou, China
| | - Nanji Lu
- Eye Hospital, WenZhou Medical University, Wenzhou, China
| | - Yuan Wang
- Eye Hospital, WenZhou Medical University, Wenzhou, China
| | - Hechen Li
- Eye Hospital, WenZhou Medical University, Wenzhou, China
| | - Songan Wu
- Eye Hospital, WenZhou Medical University, Wenzhou, China
| | - Huini Lin
- Eye Hospital, WenZhou Medical University, Wenzhou, China
| | - Junjie Wang
- Eye Hospital, WenZhou Medical University, Wenzhou, China.,The Institution of Ocular Biomechanics, Wenzhou Medical University, Wenzhou, China
| | - Xiaobo Zheng
- Eye Hospital, WenZhou Medical University, Wenzhou, China.,The Institution of Ocular Biomechanics, Wenzhou Medical University, Wenzhou, China
| | - JinHai Huang
- Eye Hospital, WenZhou Medical University, Wenzhou, China
| | - Yiyu Li
- Eye Hospital, WenZhou Medical University, Wenzhou, China
| | - Qinmei Wang
- Eye Hospital, WenZhou Medical University, Wenzhou, China.,The Institution of Ocular Biomechanics, Wenzhou Medical University, Wenzhou, China
| | - Ahmed Elsheikh
- School of Engineering, University of Liverpool, Liverpool, UK.,National Institute for Health Research (NIHR) Biomedical Research Centre for Ophthalmology, Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, UK.,School of Biological Science and Biomedical Engineering, Beihang University, Beijing, China
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Pagoulatos DD, Kapsala ZG, Makri OE, Georgalas IG, Georgakopoulos CD. Comparison of intraocular pressure using Goldmann applanation tonometry versus non-contact tonometry in eyes with high-viscosity silicone oil. Eur J Ophthalmol 2019; 30:494-499. [PMID: 30832494 DOI: 10.1177/1120672119833556] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND To compare intraocular pressure (IOP) measurements using Goldmann applanation tonometer (GAT) and air tonometer (non-contact tonometry [NT]) in vitrectomized eyes with high-viscosity silicone oil tamponade, as well as in normal eyes. PATIENTS AND METHODS In this prospective comparative study, 32 eyes with silicone oil tamponade of high viscosity (5700 CS) and 32 normal fellow eyes were included. IOP was measured by GAT and air tonometer 30 ± 12 days after vitrectomy, while measurements of central corneal thickness (CCT) were also obtained. RESULTS In eyes with silicone oil, IOP was 20.09 ± 4.91 mmHg and 16.75 ± 3.86 mmHg using contact tonometer and air tonometer, respectively (p < 0.0001). In normal eyes, IOP was 16.41 ± 2.15 mmHg and 16.31 ± 2.49 mmHg using the same tonometry techniques and this difference was not statistically significant (p = 0.598). In addition, no significant correlation was detected between IOP measurements using both techniques and age, gender, CCT, and type of lens. CONCLUSIONS It seems that GAT overestimates IOP in eyes with high-viscosity silicone oil compared with NT, while both IOP measurement techniques in normal eyes provide similar values. Further assessment of available IOP measurement methods could possibly establish the most accurate technique for IOP estimation in vitrectomized eyes with silicone oil tamponade.
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Affiliation(s)
| | - Zoi G Kapsala
- Department of Ophthalmology, School of Medicine, University of Crete, Heraklion, Greece
| | - Olga E Makri
- Department of Ophthalmology, School of Medicine, University of Patras, Rio, Greece
| | - Ilias G Georgalas
- 1st Ophthalmology Department, National and Kapodistrian University of Athens, Athens, Greece
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Gobeka H, Barut Selver Ö, Palamar Onay M, Eğrilmez S, Yağcı A. Corneal Biomechanical Properties of Keratoconic Eyes Following Penetrating Keratoplasty. Turk J Ophthalmol 2018; 48:171-177. [PMID: 30202612 PMCID: PMC6126104 DOI: 10.4274/tjo.79664] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2017] [Accepted: 01/03/2018] [Indexed: 12/01/2022] Open
Abstract
Objectives To investigate the corneal biomechanical properties of keratoconic eyes following penetrating keratoplasty (PKP). Materials and Methods Thirty-five patients (70 eyes) were enrolled to this prospective study. Operated and contralateral keratoconic eyes were defined as Group 1 and 2, respectively. All patients underwent ophthalmological examination and measurements of corneal biomechanical properties by Ocular Response Analyzer (ORA), intraocular pressure (IOP) by Goldmann applanation tonometry, and central corneal thickness (CCT) by Pentacam. Shapiro-Wilk W test was performed to test normality of the data. The statistical significance was evaluated with the paired t-test and Wilcoxon signed ranks test. Pearson correlation and Spearman rho tests were used for correlation analysis. Results The average age and male/female ratio were 31.34±11.65 (15-60) years and 21/14, respectively. The mean values of the data obtained from Group 1 and 2 respectively were: corneal hysteresis (CH): 9.35±1.66, 8.18±1.84 mmHg (p=0.013), corneal resistance factor (CRF): 9.48±1.96, 7.14±2.05 mmHg (p<0.001), IOPcc: 16.90±4.32, 14.26±3.69 mmHg (p=0.004), IOPg: 15.45±4.61, 10.91±3.97 mmHg (p<0.001), IOPapl: 14.26±3.11, 13.09±2.54 mmHg (p=0.046), and central corneal thickness (CCT): 545.64±60.82, 442.60±68.14 μM (p<0.001). The positive correlation between CH and CRF was moderate (r=0.444) in Group 1 and strong (r=0.770) in Group 2. There was a moderate negative correlation between CH and IOPcc in both groups (r=-0.426, r=-0.423), but CH was not correlated with IOPg or IOPapl in either group. There were weak to strong positive correlations between CRF and all IOP values in both groups. There was no correlation between CRF and CCT in Group 1 (r=0.075) and a very weak correlation in Group 2 (r=0.237). Only IOPcc and IOPg were strongly correlated in both groups. Conclusion Better understanding of corneal biomechanical properties is essential for elucidating the pathophysiology and diagnosis of several corneal pathologies such as keratoconus. The biomechanical properties of keratoconic eyes seem to be closer to normal values after PKP.
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Affiliation(s)
- Hamidu Gobeka
- Ege University Faculty of Medicine, Department of Ophthalmology, İzmir, Turkey
| | - Özlem Barut Selver
- Ege University Faculty of Medicine, Department of Ophthalmology, İzmir, Turkey
| | - Melis Palamar Onay
- Ege University Faculty of Medicine, Department of Ophthalmology, İzmir, Turkey
| | - Sait Eğrilmez
- Ege University Faculty of Medicine, Department of Ophthalmology, İzmir, Turkey
| | - Ayşe Yağcı
- Ege University Faculty of Medicine, Department of Ophthalmology, İzmir, Turkey
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Lanza M, Rinaldi M, Carnevale UAG, di Staso S, Sconocchia MB, Costagliola C. Analysis of differences in intraocular pressure evaluation performed with contact and non-contact devices. BMC Ophthalmol 2018; 18:233. [PMID: 30176825 PMCID: PMC6122572 DOI: 10.1186/s12886-018-0900-5] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2018] [Accepted: 08/24/2018] [Indexed: 11/10/2022] Open
Abstract
Background To evaluate differences of intraocular pressure (IOP) measurements performed with Goldmann applanation tonometer (GAT), dynamic contour tonometer (DCT), rebound tonometry (RT), Ocular Response Analyzer (ORA) and Corvis ST (CST) in eyes screened for refractive surgery. Methods One eye, only the right one, of 146 patients was included in this study. Each participant was submitted to a corneal analysis with Scheimpflug camera and IOP evaluation with GAT, DCT, RT, ORA and CST. Differences in IOP values obtained thanks to each instruments were compared and then correlations between these discrepancies and morphological features such as mean keratometry (MK) and central corneal thickness (CCT) provided by Pentacam were studied. Software used to run statistical evaluations was SPSS, version 18.0. Results Study participants had a mean age of 33.1 ± 9.2 years old. IOP values observed in this study were 15.97 ± 2.47 mmHg (GAT), 17.55 ± 2.42 mmHg (DCT), 17.49 ± 2.08 mmHg (RT), 18.51 ± 2.59 mmHg (ORA) and 18.33 ± 2.31 mmHg (CST). The mean CCT was 560.23 ± 31.00 μm, and the mean MK was 43.33 ± 1.35 D. GAT provided significant lower values in comparison to all other devices. DCT and RT gave significantly lower intermediate IOP values than those measured with ORA and CST. All the IOP measures and the differences between devices were significantly correlated with CCT. Conclusions According to our data, although our findings should be confirmed in further studies, GAT tonometer cannot be used interchangeably with DCT, RT, ORA and CST.
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Affiliation(s)
- Michele Lanza
- Multidisciplinary Department of Medical, Surgical and Dental Sciences, Università della Campania, Luigi Vanvitelli, Via de Crecchio 16, 80100, Naples, Italy.
| | - Michele Rinaldi
- Multidisciplinary Department of Medical, Surgical and Dental Sciences, Università della Campania, Luigi Vanvitelli, Via de Crecchio 16, 80100, Naples, Italy
| | - Ugo Antonello Gironi Carnevale
- Multidisciplinary Department of Medical, Surgical and Dental Sciences, Università della Campania, Luigi Vanvitelli, Via de Crecchio 16, 80100, Naples, Italy
| | - Silvio di Staso
- Ophthalmology Unit, Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - Mario Bifani Sconocchia
- Multidisciplinary Department of Medical, Surgical and Dental Sciences, Università della Campania, Luigi Vanvitelli, Via de Crecchio 16, 80100, Naples, Italy
| | - Ciro Costagliola
- Department of Medicine and Healthy Sciences, Università del Molise, Campobasso, Italy
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Corneal hysteresis in post-radial keratotomy primary open-angle glaucoma. Graefes Arch Clin Exp Ophthalmol 2018; 256:1971-1976. [DOI: 10.1007/s00417-018-4073-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2018] [Revised: 06/24/2018] [Accepted: 07/16/2018] [Indexed: 11/27/2022] Open
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Lee SY, Bae HW, Kwon HJ, Seong GJ, Kim CY. Utility of Goldmann applanation tonometry for monitoring intraocular pressure in glaucoma patients with a history of laser refractive surgery. PLoS One 2018; 13:e0192344. [PMID: 29401477 PMCID: PMC5798809 DOI: 10.1371/journal.pone.0192344] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2017] [Accepted: 01/21/2018] [Indexed: 11/18/2022] Open
Abstract
The utility of Goldmann applanation tonometry (GAT) for monitoring intraocular pressure (IOP) in open-angle glaucoma (OAG) patients with a history of laser refractive surgery was investigated by comparing IOP fluctuations measured using GAT and dynamic contour tonometry (DCT) on the same day. In this retrospective study, patients were divided into one of two subgroups according to IOP fluctuation values using GAT: 43 eyes in the low IOP fluctuation group (LIFG [GAT fluctuation ≤1.7 mmHg]); and 55 eyes in the high IOP fluctuation group (HIFG [GAT fluctuation >1.7 mmHg]). IOP fluctuation was defined as the standard deviation of all IOP values during follow-up. IOP parameters using GAT were compared with those of DCT. Correlation analyses were performed among IOP parameters, and between IOP fluctuation and associated factors including central corneal thickness, corneal curvature, and axial length. All IOP parameters demonstrated significantly high values in the HIFG compared with those in the LIFG. Mean and peak IOP using DCT were significantly higher than those using GAT in both groups. However, there were no significant differences in IOP fluctuation and reduction using both tonometry methods in the HIFG (p = 0.946 and p = 0.986, respectively). Bland-Altman analysis revealed similar fluctuations using GAT and DCT. In multivariate analyses, there was a significant correlation between fluctuations using GAT and DCT in the HIFG (p = 0.043). These results suggest that IOP monitoring using GAT is a reliable method of monitoring IOP change in glaucoma patients with a history of laser refractive surgery, especially those exhibiting high IOP fluctuation. Nevertheless, several factors, including central corneal thickness, corneal curvature, and axial length, should be considered when using GAT for IOP monitoring.
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Affiliation(s)
- Sang Yeop Lee
- Department of Ophthalmology, Severance Hospital, Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea
| | - Hyoung Won Bae
- Department of Ophthalmology, Severance Hospital, Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea
| | - Hee Jung Kwon
- Department of Ophthalmology, CHA Bundang Medical Center, CHA University, Seongnam, Republic of Korea
| | - Gong Je Seong
- Department of Ophthalmology, Severance Hospital, Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea
| | - Chan Yun Kim
- Department of Ophthalmology, Severance Hospital, Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea
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Can Corneal Biomechanical Properties Explain Difference in Tonometric Measurement in Normal Eyes? Optom Vis Sci 2018; 95:120-128. [DOI: 10.1097/opx.0000000000001175] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Evaluation of Corneal Deformation Parameters Provided by the Corvis ST Tonometer After Trabeculectomy. J Glaucoma 2017; 26:166-172. [PMID: 27875486 DOI: 10.1097/ijg.0000000000000590] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
PURPOSE The aims of this study were to evaluate how the corneal deformation parameters provided by the Corvis ST tonometer (CST) were influenced by pressure-lowering ocular surgery, and to determine the correlations of intraocular pressure (IOP) and axial length (AL) with CST corneal deformation parameters. METHODS This prospective 1-month study enrolled 22 subjects (22 eyes) who underwent trabeculectomy combined with mitomycin C. The corneal deformation parameters were measured using the CST. IOP was measured before and after surgery by a Goldmann applanation tonometer and the CST. The central corneal thickness and AL were also recorded. The correlations of the corneal deformation parameters with central corneal thickness, AL, and IOP changes were determined by linear regression analysis. RESULTS IOP decreased significantly after surgery. AL was significantly shorter at 1 week after surgery. There were significant changes in the CST parameters time 1, velocity 1, velocity 2, peak distance highest concavity, and deformation amplitude highest concavity at 1 week and 1 month after surgery and in time highest concavity at 1 week after surgery. The change in time 1 was significantly correlated with preoperative IOP and the IOP reductions, and was positively correlated with the decrease in AL at 1 week. The increase in velocity 1 was negatively correlated with preoperative IOP, and IOP reductions. The change in time highest concavity was negatively correlated with IOP before surgery and the decrease in IOP at 1 week. CONCLUSION CST is a good choice for measuring IOP, especially when aiming for normalization of IOP after glaucoma surgery.
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Fuest M, Mamas N, Walter P, Mazinani BE, Roessler G, Plange N. Goldmann Applanation Tonometry versus Dynamic Contour Tonometry after Vitrectomy with Silicone Oil Endotamponade. Curr Eye Res 2017; 42:1007-1012. [PMID: 28121186 DOI: 10.1080/02713683.2016.1264608] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
PURPOSE To evaluate the agreement of intraocular pressure (IOP) measurements using dynamic contour tonometry (DCT) and Goldmann applanation tonometry (GAT) in eyes after vitrectomy with silicone oil endotamponade and controls. METHODS In this prospective comparative study, IOP was measured with GAT and DCT in 30 eyes with oil endotamponade 1-3 days after vitrectomy and 40 untreated controls. In addition, ocular pulse amplitude (OPA), corneal pachymetry (CCT), and axial length (AL) were measured. RESULTS GAT values in the oil group were significantly higher compared to control eyes (mean GAT oil 13.6 ± 5.1 mmHg; mean GAT control 10.8 ± 2.1 mmHg; p = 0.003). There was no significant difference in DCT measurements (mean DCT oil 12.0 ± 4.1 mmHg; mean DCT control 11.9 ± 2.9 mmHg; p = 0.9). This led to a significant difference of GAT-DCT between the oil and control group (mean difference of GAT-DCT oil 1.6 ± 4.7 mmHg; mean difference of GAT-DCT control -1.1 ± 2.6 mmHg; p = 0.004). The difference between GAT and DCT was negatively correlated with the mean IOP measured by both methods (r = -0.36, p = 0.02) and positively correlated with CCT only in the control group (r = 0.36, p = 0.02), as well as to AL only in the oil group (r = 0.46, p = 0.01). The OPA did not differ significantly between groups. CONCLUSION GAT and DCT showed a good agreement in control eyes. The difference of GAT and DCT is significantly changed in eyes after vitrectomy with silicone oil endotamponade. Our findings suggest that GAT overestimates IOP in this situation.
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Affiliation(s)
- Matthias Fuest
- a Department of Ophthalmology , RWTH Aachen University , Aachen , Germany
| | - Nikolaos Mamas
- b 1st Department of Ophthalmology , University of Athens , Athens , Greece
| | - Peter Walter
- a Department of Ophthalmology , RWTH Aachen University , Aachen , Germany
| | - Babac E Mazinani
- a Department of Ophthalmology , RWTH Aachen University , Aachen , Germany
| | - Gemot Roessler
- a Department of Ophthalmology , RWTH Aachen University , Aachen , Germany
| | - Niklas Plange
- a Department of Ophthalmology , RWTH Aachen University , Aachen , Germany
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Colás-Tomás T, Prieto-Del Cura M, Villafruela-Güemes I, Clariana-Martín A, Valdivia-Pérez A. [Comparison of dynamic contour tonometry, Goldmann and pneumotonometer in ocular hypertension patients and their relationship to pachymetry and ocular pulse amplitude]. ARCHIVOS DE LA SOCIEDAD ESPANOLA DE OFTALMOLOGIA 2012; 87:401-6. [PMID: 23121701 DOI: 10.1016/j.oftal.2012.05.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/22/2011] [Revised: 03/20/2012] [Accepted: 05/23/2012] [Indexed: 11/27/2022]
Abstract
PURPOSE To determine the relationship between dynamic contour tonometry (DCT), Goldmann applanation tonometry (GAT) and pneumotonometry (PNT) in ocular hypertension patients (OHT) and their relationship to central corneal thickness (CCT) and ocular pulse amplitude (OPA). METHODS Sixty patients (101 eyes) with intraocular pressure (IOP) ≥21 mmHg using GAT and normal appearing optic nerve heads and normal visual fields were included. The following tests were performed simultaneously during a single visit: IOP using DCT, GAT and PNT, OPA using DCT and CCT using ultrasound pachymetry. We studied the difference IOP between these 3 tonometers using Wilcoxon non-parametric test and the effect of CCT on IOP and OPA, as well as the relationship between OPA and IOP using Spearman correlation coefficient. RESULTS The median PNT IOP was 24 mmHg (Inter-quartile range [IQR]: 22-26), median GAT IOP was 22 mmHg (IQR: 22-24), and median DCT IOP was 28.2 mmHg (IQR: 24.1-30.7). PNT and DCT had higher IOP values than GAT (median 2 mmHg and 6.2 mmHg, respectively). Mean CCT was 594.5 μm (SD 30.0). GAT IOP and DCT IOP showed an increase with increased corneal thickness (r:0.209; P=.036 and r:0.195; P=.051, respectively). PNT IOP did not change with CCT (r:0.15; P=.12). The median OPA was 4.8 mmHg (IQR: 3.6-6.1), and significantly increased with GAT IOP (r:0,38; P<.001) and with CCT (r:0.287; P=.004). This association was unclear with IOP PNT and IOP DCT (r:0.067; P=.50 and r:0,17, P=.08, respectively). CONCLUSIONS DCT and PNT IOP values were higher than GAT IOP measurements in ocular hypertension patients. GAT IOP showed a significant increase with increased corneal thickness. Increased OPA seems to correlate with increased CCT and IOP, particularly if GAT is used.
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Affiliation(s)
- T Colás-Tomás
- Servicio de Oftalmología, Hospital del Tajo, Aranjuez, Madrid, España.
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Ogbuehi KC, Mucke S, Osuagwu UL. Influence of central corneal thickness on measured intraocular pressure differentials: Nidek RKT-7700, Topcon CT-80 NCTs and Goldmann Tonometer. Ophthalmic Physiol Opt 2012; 32:547-55. [PMID: 23009324 DOI: 10.1111/j.1475-1313.2012.00945.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2012] [Accepted: 08/31/2012] [Indexed: 11/26/2022]
Abstract
PURPOSE We sought to compare the intraocular pressure (IOP) measured by RKT-7700 and CT-80 noncontact tonometers (NCTs) with that measured by Goldmann applanation tonometry (GAT). We also examined the influence of central corneal thickness (CCT) on the agreement between both NCTs and GAT in a sub-population of healthy, young normals. METHODS Triplicate IOP and CCT measurements were obtained twice from one randomized eye of 49 subjects (28 males and 21 females) aged 22.2 ± 1.3 (mean ± S.D.) years. Goldmann tonometry was performed subsequent to assessment with the RKT-7700 and CT-80, to negate the 'ocular massage effect', followed by ultrasound pachymetry. The results from each method were compared and assessed for repeatability and between-observer reproducibility. Analysis was performed to determine the correlation between the differences in IOP measurements and corneal thicknesses. RESULTS The mean differences (±S.D.) in sessions 1 and 2 respectively between RKT-7700 and GAT (2.6 ± 2.0 and 2.7 ± 1.4 mmHg), between CT-80 and GAT (2.8 ± 2.0 and 3.2 ± 1.3 mmHg) were statistically significant (p < 0.0001). The repeatability coefficients in sessions 1 and 2 respectively were; ±1.2 and ±1.0 mmHg (GAT), ±1.3 and ±1.6 mmHg (CT-80), ±2.3 and ±1.7 mmHg (RKT-7700) and inter-observer reproducibility was; ±1.9 (RKT-7700), ±2.3 (GAT) and ±2.6 mmHg (CT-80). Between the corneal thickness and the differences in GAT-measured and NCT-measured IOPs, there was a significant negative correlation and a trend for a larger difference in thicker corneas. CONCLUSION Neither the RKT-7700 nor the CT-80 can be used interchangeably with the Goldmann tonometer, although all three tonometers give repeatable measurements of IOP, in this sub-population. IOP differences between GAT and the NCTs significantly correlated with CCT, with the possibility of even greater differences in thicker corneas.
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Affiliation(s)
- Kelechi C Ogbuehi
- Corneal Research Chair, Department of Optometry and Vision Sciences, King Saud University, Riyadh, Saudi Arabia
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