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Wang JC, Du FF, Meng SS, Wei YS, Guo XT. Changes to intraocular pressure and its correlation with corneal diameter in infants aged from 0 to 36 months. Front Pediatr 2022; 10:954337. [PMID: 36299698 PMCID: PMC9589223 DOI: 10.3389/fped.2022.954337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/27/2022] [Accepted: 09/16/2022] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE This study examines the distribution and development of intraocular pressure (IOP) in infants aged from 0 to 36 months and analyzes its correlation with corneal diameter. METHODS The study used a retrospective case analysis methodology. Healthy infants treated in the ophthalmology department of Hebei Children's Hospital from December 2012 to December 2020 were included in the study. Among these infants, 385 had their IOP measured, and 432 had their corneal diameters measured. Furthermore, information such as birth history, growth and development, IOP, and corneal diameter were collected. Their IOPs were measured with an iCare portable rebound tonometer when the child was awake and calm, and the corneal diameter was measured with a Castroviejo caliper under chloral hydrate sedation. The infants were divided into five groups according to age, and SPSS statistical software was used to analyze, compare, and correlate IOP and corneal diameter variations. RESULTS The mean IOP values of 0-1 month, 1-6 months, 6-12 months, 12-24 months and 24-36 months groups were 7.42 ± 1.92, 9.10 ± 2.85, 12.00 ± 3.15, 13.72 ± 3.09, and 15.14 ± 2.67 mmHg, respectively. The differences in IOP of the 0-1 month old infants and the 1-6 months old infants with the other three groups were statistically significant; the difference in IOP between the 6-12 months group and the 24-36 months group was statistically significant. In the studied groups, the horizontal corneal diameters were 9.78 ± 0.14, 10.50 ± 0.29, 10.86 ± 0.23, 11.38 ± 0.07, and 11.72 ± 0.04 mm, respectively, and the vertical diameters of the cornea were 9.28 ± 0.26, 10.07 ± 0.18, 10.28 ± 0.14, 10.56 ± 0.24, and 10.85 ± 0.03 mm, respectively. The differences in the vertical and horizontal diameters of the cornea among the groups were statistically significant. CONCLUSION Infants' IOP and corneal diameter positively correlate with age, and they peak in the first 12 months.
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Affiliation(s)
- Jian-Cang Wang
- Department of Ophthalmology, Hebei Children's Hospital, Hebei Medical University, Shijiazhuang, China
| | - Fei-Fan Du
- Department of Ophthalmology, Hebei Children's Hospital, Hebei Medical University, Shijiazhuang, China
| | - Shuo-Shuo Meng
- Department of Ophthalmology, Hebei Children's Hospital, Hebei Medical University, Shijiazhuang, China
| | - Yun-Shuo Wei
- Department of Ophthalmology, Hebei Children's Hospital, Hebei Medical University, Shijiazhuang, China
| | - Xi-Ting Guo
- Department of Ophthalmology, Hebei Children's Hospital, Hebei Medical University, Shijiazhuang, China
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Velis G, Kavitha S, Zebardast N, Sengupta S, Venkatesh R. Comparison of the corrected intraocular pressure by tonopachy with that of Goldmann applanation tonometry in normal and glaucomatous patients. Indian J Ophthalmol 2020; 68:620-626. [PMID: 32174582 PMCID: PMC7210839 DOI: 10.4103/ijo.ijo_570_19] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Purpose: To compare corrected intraocular pressure (IOP) by tonopachy with that of Goldmann applanation tonometry (GAT) in normal and glaucomatous patients. Methods: In this cross-sectional study, IOP and central corneal thickness (CCT) were measured in 426 eyes (213 normal eyes and 213 glaucomatous eyes) of 426 patients by tonopachy followed by GAT and ultrasound pachymetry. IOP was corrected for CCT by in-built formula in tonopachy and Ehlers correction factor for Goldmann tonometer. Limits of agreements were assessed using Bland–Altman plots. Intraclass correlation coefficient was calculated to estimate the absolute agreement between single and average measurements of IOP and CCT of tonopachy with that of Goldmann tonometer and ultrasound pachymetry respectively. Results: Mean corrected IOP measured with tonopachy and GAT in glaucomatous eyes was 17.63 ± 5.04 mmHg and 19.42 ± 5.83 mmHg, and in controls it was 13.4 ± 2.5 mmHg and 16.2 ± 3.1 mmHg, respectively. Limits of agreement ranged from –4.63 to +9.25 mmHg for total population (mean = 2.31), ˗6.01 to +9.59 mmHg (mean = 1.79) for glaucoma group and ˗2.99 to +8.65 mmHg (mean = 2.83) for controls. Intraclass correlation coefficient for IOP measurement between tonopachy and Goldmann tonometer was 0.84 for total population, 0.85 for glaucoma group, and 0.63 for controls, respectively. Conclusion: Corrected IOP obtained by tonopachy showed moderate agreement with GAT and it is more in glaucoma patients than controls. Thus, tonopachy can be used as a screening tool, but cannot replace GAT.
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Affiliation(s)
- Girish Velis
- Department of Glaucoma, Aravind Eye Hospital, Pondicherry, India
| | | | - Nazlee Zebardast
- Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA, USA
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Effect of Near Work on Intraocular Pressure in Emmetropes. J Ophthalmol 2020; 2020:1352434. [PMID: 32082620 PMCID: PMC7007961 DOI: 10.1155/2020/1352434] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2019] [Revised: 12/16/2019] [Accepted: 01/11/2020] [Indexed: 11/06/2022] Open
Abstract
Objective To determine whether accommodation induced by reading alters intraocular pressure (IOP) in healthy, young, emmetropic adults and to document the duration and magnitude of this effect. Design Cross-sectional study. Participants. Fifteen healthy, emmetropic young adults. Methods Subjects performed 20 minutes of near work (reading at 33 cm) followed by 20 minutes of far work (reading at 520 cm) while IOP was measured using an iCare tonometer at baseline and every 5 minutes thereafter. Statistical analysis was performed using repeated measures ANOVA. Main Outcome Measures. Intraocular pressure. Results IOP decreased significantly compared to baseline IOP after 10 minutes of near work (average change of −1.60 ± 2.2 (SD) mm Hg, p < 0.05). IOP remained lower than baseline IOP throughout all subsequent near and far work. The difference in IOP at the end of experimentation compared to baseline IOP was −1.87 ± 1.81 mm Hg (p < 0.05). IOP remained lower than baseline IOP throughout all subsequent near and far work. The difference in IOP at the end of experimentation compared to baseline IOP was −1.87 ± 1.81 mm Hg ( Conclusions Near work decreases IOP in healthy emmetropes, and this effect is sustained for at least 20 minutes after discontinuing prolonged near work. Providers may need to consider this effect when measuring IOP in clinical practice.
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Lee SH, Moon JI, Jung YH. Comparison of Intraocular Pressures Measured by the Corvis ST and Other Tonometers in Normal Eyes. JOURNAL OF THE KOREAN OPHTHALMOLOGICAL SOCIETY 2019. [DOI: 10.3341/jkos.2019.60.12.1250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Seung-hoon Lee
- Department of Ophthalmology, College of Medicine, The Catholic University, Seoul, Korea
| | - Jung-il Moon
- Department of Ophthalmology, College of Medicine, The Catholic University, Seoul, Korea
| | - Youn Hea Jung
- Department of Ophthalmology, College of Medicine, The Catholic University, Seoul, Korea
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Kim JW, Jung JW. Clinical Evaluation of a Rebound Tonometer in Patients Who Underwent Penetrating Keratoplasty. JOURNAL OF THE KOREAN OPHTHALMOLOGICAL SOCIETY 2018. [DOI: 10.3341/jkos.2018.59.12.1122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Jong Woo Kim
- Department of Ophthalmology, Inha University School of Medicine, Incheon, Korea
| | - Ji Won Jung
- Department of Ophthalmology, Inha University School of Medicine, Incheon, Korea
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Pahlitzsch M, Brünner J, Gonnermann J, Maier AKB, Torun N, Bertelmann E, Klamann MK. Comparison of ICare and IOPen vs Goldmann applanation tonometry according to international standards 8612 in glaucoma patients. Int J Ophthalmol 2016; 9:1624-1628. [PMID: 27990366 DOI: 10.18240/ijo.2016.11.14] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2015] [Accepted: 05/16/2016] [Indexed: 11/23/2022] Open
Abstract
AIM To compare IOPen and ICare rebound tonometry to Goldmann applanation tonometry (GAT) according to International Standards Organization (ISO) 8612 criteria. METHODS Totally 191 eyes (n=107 individuals) were included. Criteria of ISO 8612 were fulfilled: 3 clusters of IOP, measured by GAT, were formed. The GAT results were given as mean±standard deviation. RESULTS GAT (19.7±0.5 mm Hg) showed a significant correlation to ICare (19.8±0.5 mm Hg) (r=0.547, P<0.001) and IOPen (19.5±0.5 mm Hg) (r=0.526, P<0.001). According to ISO 8612 criteria in all 3 IOP groups the number of outliers (of the 95% limits of agreement) exceeded 5% for ICare and IOPen vs GAT: No.1 (n=68) 29.4% and 22.1%, No.2 (n=62) 35.5% and 37.1%, No.3 (n=61) 26.2% and 42.6%, respectively. CONCLUSION The strict requirements of the ISO 8612 are not fulfilled in a glaucoma collective by ICare and IOPen at present. As long as the Goldmann tonometry is applicable it should be used first of all for reproducible IOP readings. ICare and IOPen tonometry should be considered as an alternative tool, if application of Goldmann tonometry is not possible.
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Affiliation(s)
- Milena Pahlitzsch
- Glaucoma and Retinal Degeneration Research Group, UCL, Institute of Ophthalmology, Bath Street, London, EC1V 9EL, United Kingdom
| | - Jeanette Brünner
- Department of Ophthalmology, Campus Virchow Clinic, Charite University Medicine, Augustenburger Platz 1, Berlin13353, Germany
| | - Johannes Gonnermann
- Department of Ophthalmology, Campus Virchow Clinic, Charite University Medicine, Augustenburger Platz 1, Berlin13353, Germany
| | - Anna-Karina B Maier
- Department of Ophthalmology, Campus Virchow Clinic, Charite University Medicine, Augustenburger Platz 1, Berlin13353, Germany
| | - Necip Torun
- Department of Ophthalmology, Campus Virchow Clinic, Charite University Medicine, Augustenburger Platz 1, Berlin13353, Germany
| | - Eckart Bertelmann
- Department of Ophthalmology, Campus Virchow Clinic, Charite University Medicine, Augustenburger Platz 1, Berlin13353, Germany
| | - Matthias Kj Klamann
- Department of Ophthalmology, Campus Virchow Clinic, Charite University Medicine, Augustenburger Platz 1, Berlin13353, Germany
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Gillan WD. Intra-ocular pressure measurements using the Ocular Response Analyser and ICare tonometer: A comparison. AFRICAN VISION AND EYE HEALTH 2015. [DOI: 10.4102/aveh.v74i1.29] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
The accurate measurement of intra-ocular pressure (IOP) is an important procedure in the detection and treatment of glaucoma. The Ocular Response Analyser (ORA) and the ICare rebound tonometer are two recent additions to the instruments available to eye care practitioners for the measurement of IOP. The present study investigated whether the ORA and the ICare tonometer can be used interchangeably. Twenty-eight subjects had three measures of IOP taken using the two instruments. The ORA provides two different measures of IOP – Goldmann and cornea compensated IOP – whilst the ICare tonometer provides IOP only. The results of this study suggest that only the ORA Goldmann and ICare IOP measures are comparable. In general, it is advisable not to use the ORA and ICare tonometers interchangeably.
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Park HW, Kim HY. Comparison of Rebound Tonometry and Goldmann Applanation Tonometry in Restrictive Thyroid Eye Disease. JOURNAL OF THE KOREAN OPHTHALMOLOGICAL SOCIETY 2015. [DOI: 10.3341/jkos.2015.56.12.1826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Hye Won Park
- The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea
- Department of Ophthalmology, National Health Insurance Service Ilsan Hospital, Goyang, Korea
| | - Hye Young Kim
- Department of Ophthalmology, National Health Insurance Service Ilsan Hospital, Goyang, Korea
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Lee KS, Kim SK, Kim EK, Kim TI. Comparison of Intraocular Pressure Measured by Non-Contact Tonometer, Rebound Tonometer, Tono-Pen, and Goldmann Applanation Tonometer. JOURNAL OF THE KOREAN OPHTHALMOLOGICAL SOCIETY 2014. [DOI: 10.3341/jkos.2014.55.1.47] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Kyung Sik Lee
- Department of Ophthalmology, Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea
| | - Se Kyung Kim
- Department of Ophthalmology, Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea
| | - Eung Kweon Kim
- Department of Ophthalmology, Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea
| | - Tae Im Kim
- Department of Ophthalmology, Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea
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Klamann MKJ, Maier AKB, Gonnermann J, Torun N, Ruokonen PC. [Influence of corneal thickness on intraocular pressure measurements following Descemet's stripping automated endothelial keratoplasty (DSAEK)]. Ophthalmologe 2013; 109:1093-7. [PMID: 22752628 DOI: 10.1007/s00347-012-2623-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
BACKGROUND The aim of this study was to evaluate the effect of increased corneal thickness after Descemet's stripping automated endothelial keratoplasty (DSAEK) on intraocular pressure (IOP) measured by four different techniques. METHODS In this study 30 eyes from 30 patients with successful DSAEK treatment (group 1) and 30 eyes of 30 healthy subjects (group 2) were enrolled. The IOP was measured with iCare, IOPen, Goldmann applanation tonometry (GAT) and dynamic contour tonometry (DCT) techniques. Central corneal thickness (CCT) was measured by ultrasonic pachymetry. These data were used for statistical analysis. RESULTS The mean IOP measured by GAT, DCT, iCare and IOPen was 13.2, 16.1, 12.5 and 14.2 mmHg in group 1 and 13.4, 14.4, 14.4 and 13.3 mmHg in group 2, respectively. Correlations between IOP and CCT were not statistically significant in either group. CONCLUSION The results of IOP measurements by the iCare, IOPen, GAT and DCT techniques seem to be unrelated to artificially thickened corneas after DSAEK. In spite of partially good correlation between the four techniques a direct exchange of the devices is not recommended on account of the wide dispersion of values.
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Affiliation(s)
- M K J Klamann
- Department of Ophthalmology, University Medicine Charité Berlin, Augustenburger Platz 1, 13353, Berlin, Deutschland.
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Farrahi F, Sharifipour F, Malekahmadi M, Cheraghian B. Comparison of IOPen rebound tonometer with Goldmann applanation tonometer at different IOP levels. Int J Ophthalmol 2013; 6:637-40. [PMID: 24195039 DOI: 10.3980/j.issn.2222-3959.2013.05.15] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2013] [Accepted: 07/29/2013] [Indexed: 11/02/2022] Open
Abstract
AIM To compare the accuracy of IOPen rebound tonometer with Goldmann applanation tonometer (GAT) in individuals with low, normal and high intraocular pressure (IOP) and to evaluate the effect of central corneal thickness (CCT) on IOP measurements. METHODS This cross-sectional study consisted of 159 participants. IOP of one eye of each subject was measured consecutively with IOPen and GAT. Then CCT was measured using an ultrasonic pachymeter. Based on GAT IOP readings, participants were divided into low, normal and high IOP groups. Correlation between tonometers and CCT was calculated by spearman's correlation coefficient. Agreement between tonometers was evaluated using Bland-Altman method. RESULTS Non-significant underestimation of IOP by IOPen was observed in low IOP group (Mean difference: 0.20mmHg; P=0.454) and also in normal IOP group (Mean difference: 0.56mmHg; P=0.065). However, IOPen significantly overestimated IOP in high IOP group (Mean difference: 1.06mmHg; P=0.038). The 95% limits of agreement (LoA) width between IOPen and GAT IOPs were 7.84, 8.57 and 14.27mmHg in low, normal and high IOP groups, respectively. Low IOP group had thinner corneas compared to high IOP group (P=0.034). IOP measurements taken by IOPen were not influenced by CCT (P=0.099) while poor correlation between CCT and GAT was found (R=0.17, P=0.032). Using receiver operating characteristic (ROC) curve, cutoff value of 18.75mmHg was determined for IOPen with sensitivity of 98.1 and specificity of 97.2%. CONCLUSION Accuracy of IOPen is comparable to GAT in patients with low or normal IOP but IOPen overestimates IOP at high IOP levels. CCT does not affect IOP readings with IOPen.
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Affiliation(s)
- Fereydoun Farrahi
- Department of Ophthalmology, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
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Does rebound tonometry probe misalignment modify intraocular pressure measurements in human eyes? J Ophthalmol 2013; 2013:791084. [PMID: 24073330 PMCID: PMC3773447 DOI: 10.1155/2013/791084] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2013] [Accepted: 08/01/2013] [Indexed: 11/17/2022] Open
Abstract
Purpose. To examine the influence of positional misalignments on intraocular pressure (IOP) measurement with a rebound tonometer. Methods. Using the iCare rebound tonometer, IOP readings were taken from the right eye of 36 healthy subjects at the central corneal apex (CC) and compared to IOP measures using the Goldmann applanation tonometer (GAT). Using a bespoke rig, iCare IOP readings were also taken 2 mm laterally from CC, both nasally and temporally, along with angular deviations of 5 and 10 degrees, both nasally and temporally to the visual axis. Results. Mean IOP ± SD, as measured by GAT, was 14.7 ± 2.5 mmHg versus iCare tonometer readings of 17.4 ± 3.6 mmHg at CC, representing an iCare IOP overestimation of 2.7 ± 2.8 mmHg (P < 0.001), which increased at higher average IOPs. IOP at CC using the iCare tonometer was not significantly different to values at lateral displacements. IOP was marginally underestimated with angular deviation of the probe but only reaching significance at 10 degrees nasally. Conclusions. As shown previously, the iCare tonometer overestimates IOP compared to GAT. However, IOP measurement in normal, healthy subjects using the iCare rebound tonometer appears insensitive to misalignments. An IOP underestimation of <1 mmHg with the probe deviated 10 degrees nasally reached statistical but not clinical significance levels.
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Dahlmann-Noor AH, Puertas R, Tabasa-Lim S, El-Karmouty A, Kadhim M, Wride NK, Lewis A, Grosvenor D, Rai P, Papadopoulos M, Brookes J, Bunce C, Khaw PT. Comparison of handheld rebound tonometry with Goldmann applanation tonometry in children with glaucoma: a cohort study. BMJ Open 2013; 3:bmjopen-2012-001788. [PMID: 23550090 PMCID: PMC3641509 DOI: 10.1136/bmjopen-2012-001788] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
OBJECTIVE To test agreement of two methods to measure intraocular pressure (IOP): rebound tonometry (RBT) and gold standard Goldmann applanation tonometry (GAT) in children with glaucoma. DESIGN Observational prospective cohort study. SETTING Tertiary paediatric glaucoma clinic at a single centre. PARTICIPANTS 102 individuals attending a paediatric glaucoma clinic, mean (SD) age 11.85 (3.17), of whom 53 were male. PRIMARY AND SECONDARY OUTCOME MEASURES Intraocular pressure, central corneal thickness, child preference for measurement method. RESULTS Limits of agreement for intraobserver and interobserver were, respectively, (-2.71, 2.98) mm Hg and (-5.75, 5.97) mm Hg. RBT frequently gave higher readings than GAT and the magnitude of disagreement depend on the level of IOP being assessed. Differences of 10 mm Hg were not uncommon. RBT was the preferred method for 70% of children. CONCLUSIONS There is poor agreement between RBT and GAT in children with glaucoma. RBT frequently and significantly overestimates IOP. However, 'normal' RBT readings are likely to be accurate and may spare children an examination under anaesthesia (EUA). High RBT readings should prompt the practitioner to use another standard method of IOP measurement if possible, or consider the RBT measurement in the context of clinical findings before referring the child to a specialist clinic or considering EUA.
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Affiliation(s)
- Annegret Hella Dahlmann-Noor
- Department of Paediatric Ophthalmology, NIHR Biomedical Research Centre at Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, UK
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Lee K, Lee JY, Moon JI, Park MH. Comparison of Icare Rebound Tonometer with Goldmann Applanation Tonometry. JOURNAL OF THE KOREAN OPHTHALMOLOGICAL SOCIETY 2013. [DOI: 10.3341/jkos.2013.54.2.296] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Kook Lee
- Department of Ophthalmology and Visual Science, Yeouido St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea
| | - Ji Young Lee
- Department of Ophthalmology and Visual Science, Yeouido St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea
| | - Jung Il Moon
- Department of Ophthalmology and Visual Science, Yeouido St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea
| | - Myoung Hee Park
- Department of Ophthalmology and Visual Science, Yeouido St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea
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Dusek WA, Pierscionek BK, McClelland JF. Age variations in intraocular pressure in a cohort of healthy Austrian school children. Eye (Lond) 2012; 26:841-5. [PMID: 22441024 DOI: 10.1038/eye.2012.54] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
PURPOSE Limited data exist detailing the normal range of intraocular pressure (IOP) for healthy school age children. This study aims to describe the mean and normal range of IOP measurements that may be expected using the Icare rebound tonometer and to examine associations between visual function measures and IOP. METHODS Six measurements of IOP from each eye were obtained from 211 normal children aged 6-15 years (79 females and 132 males) using the Icare tonometer. Other measures of visual function obtained included: visual acuity, non-cycloplegic retinoscopy, amplitude of accommodation, accommodative facility, and accommodative response. RESULTS Statistical analysis (Mann-Whitney U test) demonstrated that the male subjects were more likely to have higher IOP measurements than the female subjects (mean IOP males 15.02 mm Hg (SD 2.19), mean IOP females 14.44 (SD 2.01) P=0.041). Analysis (Spearman's rho) showed a statistically significant association between age and IOP (right eye) in males (P<0.001) but no association for females (P=0.459). Using Spearman's rank analysis, statistically significant associations were found between IOP and amplitude of accommodation in males, for the whole data set (P=0.09) and for data up to age 11 (P<0.001). For females no statistically significant association was found for the whole data set (P=0.253) or for data up to age 11 (P=0.08). IOP was not significantly associated with visual acuity, refractive error, accommodative facility, or accommodative response. CONCLUSION This study provides useful normative IOP data using the Icare tonometer for a European cohort of school age children.
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Affiliation(s)
- W A Dusek
- Vision Science Research Group, School of Biomedical Sciences, University of Ulster, County Londonderry, UK
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Lee J, Seong M, Kang M, Cho H, Lee Y. Comparison of Rebound Tonometer, Non-Contact Tonometer, Goldmann Applanation Tonometer and the Relationship to Central Corneal Thickness. JOURNAL OF THE KOREAN OPHTHALMOLOGICAL SOCIETY 2012. [DOI: 10.3341/jkos.2012.53.7.988] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Juhyang Lee
- Department of Ophthalmology, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea
| | - Mincheol Seong
- Department of Ophthalmology, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea
| | - Minho Kang
- Department of Ophthalmology, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea
| | - Heeyoon Cho
- Department of Ophthalmology, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea
| | - Yoonjung Lee
- Department of Ophthalmology, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea
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Abstract
PURPOSE This study aimed to compare central corneal thickness (CCT) measurement by Tonopachy to that by Pentacam and ultrasound pachymetry, and intraocular pressure (IOP) measurement to that by Goldmann applanation tonometry (GAT). The reproducibility of CCT and IOP measurements by Tonopachy was also evaluated. METHODS In 104 eyes of 104 patients, CCT was measured by Tonopachy, Pentacam, and ultrasound pachymetry, and IOP was measured by Tonopachy and GAT. Each CCT and IOP measurement was compared using Pearson correlation, repeated measures analysis of variance, and Bland-Altman plots. In 30 subjects, CCT and IOP measurements by Tonopachy were repeated to evaluate intrasession and intraobserver variability. RESULTS Both CCT and IOP measurements were highly correlated among all instruments used in this study. CCT measurements by three pachymeters were statistically different (p<0.0001). CCT measured by ultrasound pachymetry was lowest (541.7 ± 30.6 μm) whereas those by Tonopachy and Pentacam showed no difference (557.3 ± 34.3 and 558.0 ± 33.7 μm, respectively). Tonopachy overestimated CCT by 13.9 μm when compared with ultrasound pachymetry. There was a statistically significant difference between IOP measurements by two tonometers (p<0.0001); IOP measurement was higher by Tonopachy than by GAT (13.9 ± 4.2 and 12.5 ± 3.2 mm Hg, respectively). Tonopachy overestimated IOP measurements by 1.2 mm Hg compared with GAT. Intersession agreements for IOP and CCT measurements by Tonopachy were excellent (intraclass correlation, 0.902 and 0.962, respectively) with 95% limits of agreement ranging from -1.4 to 2.2 mm Hg and from -12.9 to 12.1 μm, respectively. CONCLUSIONS Although CCT and IOP measurements obtained by Tonopachy were reproducible and showed close agreement with ultrasound pachymetry and Pentacam, and GAT, careful attention should be paid when comparing Tonopachy CCT measurement to ultrasound pachymetry or its IOP measurement to GAT as the values may not be interchangeable. Tonopachy is a reliable instrument for evaluating CCT and IOP.
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Vincent SJ, Vincent RA, Shields D, Lee GA. Comparison of intraocular pressure measurement between rebound, non-contact and Goldmann applanation tonometry in treated glaucoma patients. Clin Exp Ophthalmol 2011; 40:e163-70. [PMID: 21883774 DOI: 10.1111/j.1442-9071.2011.02670.x] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND To compare the intraocular pressure readings obtained with the iCare rebound tonometer and the 7CR non-contact tonometer with those measured by Goldmann applanation tonometry in treated glaucoma patients. DESIGN A prospective, cross-sectional study was conducted in a private tertiary glaucoma clinic. PARTICIPANTS OR SAMPLES One hundred nine (54 males : 55 females) patients including only eyes under medical treatment for glaucoma. METHODS Measurement by Goldmann applanation tonometry, iCare rebound tonometry and 7CR non-contact tonometry. MAIN OUTCOME MEASURES Intraocular pressure. RESULTS There were strong correlations between the intraocular pressure measurements obtained with Goldmann and both the rebound and non-contact tonometers (Spearman r-values ≥ 0.79, P < 0.001). However, there were small, statistically significant differences between the average readings for each tonometer. For the rebound tonometer, the mean intraocular pressure was slightly higher compared with the Goldmann applanation tonometer in the right eyes (P = 0.02), and similar in the left eyes (P = 0.93); however, these differences did not reach statistical significance. The Goldmann correlated measurements from the non-contact tonometer were lower than the average Goldmann reading for both right (P < 0.001) and left (P > 0.01) eyes. The corneal compensated measurements from the non-contact tonometer were significantly higher compared with the other tonometers (P ≤ 0.001). CONCLUSIONS The iCare rebound tonometer and the 7CR non-contact tonometer measure intraocular pressure in fundamentally different ways to the Goldmann applanation tonometer. The resulting intraocular pressure values vary between the instruments and will need to be considered when comparing clinical versus home acquired measurements.
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Affiliation(s)
- Stephen J Vincent
- School of Optometry, Queensland University of Technology, Brisbane, Queensland, Australia
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Ruiz-Alcocer J, Madrid-Costa D, Pérez-Vives C, García-Lázaro S, Jorge J. Rebound tonometry for the measurement of intraocular pressure and its relation with gender and refractive errors in Mozambique. THERAPY 2011; 8:555-561. [DOI: 10.2217/thy.11.51] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/03/2024]
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Zeri F, Calcatelli P, Donini B, Lupelli L, Zarrilli L, Swann PG. The effect of hydrogel and silicone hydrogel contact lenses on the measurement of intraocular pressure with rebound tonometry. Cont Lens Anterior Eye 2011; 34:260-5. [PMID: 21636312 DOI: 10.1016/j.clae.2011.04.005] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2011] [Revised: 04/15/2011] [Accepted: 04/28/2011] [Indexed: 10/18/2022]
Abstract
PURPOSE To assess the accuracy of intraocular pressure (IOP) measurements using rebound tonometry over disposable hydrogel (etafilcon A) and silicone hydrogel (senofilcon A) contact lenses (CLs) of different powers. METHODS The experimental group comprised 36 subjects (19 male, 17 female). IOP measurements were undertaken on the subject's right eyes in random order using a rebound tonometer (ICare). The CLs had powers of +2.00D, -2.00D and -6.00D. Six measurements were taken over each contact lens and also before and after the CLs had been worn. RESULTS A good correlation was found between IOP measurements with and without CLs (all r≥0.80; p<0.05). Bland Altman plots did not show any significant trend in the difference in IOP readings with and without CLs as a function of IOP value. A two-way ANOVA revealed a significant effect of material and power (p<0.01) but no interaction. All the comparisons between the measurements without CLs and with hydrogel CLs were significant (p<0.01). The comparisons with silicone hydrogel CLs were not significant. CONCLUSIONS Rebound tonometry can be reliably performed over silicone hydrogel CLs. With hydrogel CLs, the measurements were lower than those without CLs. However, despite the fact that these differences were statistically significant, their clinical significance was minimal.
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Affiliation(s)
- Fabrizio Zeri
- Degree Course in Optics and Optometry, Faculty of Mathematics, Physics and Natural Sciences, Roma TRE University, Via Galvani, 6 00153 Rome, Italy.
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Jorge J, Fernandes P, Queirós A, Ribeiro P, Ferreira A, Gonzalez-Meijome JM. Clinical evaluation of the IOPen® in a glaucomatous population. Ophthalmic Physiol Opt 2011; 30:860-4. [PMID: 21205273 DOI: 10.1111/j.1475-1313.2010.00783.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
The aim of this study was to evaluate the level of agreement of measurements of intraocular pressure (IOP) taken by a rebound tonometer (IOPen®), in comparison to a reference Goldmann applanation tonometer (GAT) in a glaucomatous population. Both eyes from 60 patients were assessed with the two tonometers, the induction tonometry was performed first by an experienced optometrist, and the GAT by an ophthalmologist. In this study, statistically significant differences were found when comparing the IOPen® tonometer with the GAT tonometer (p < 0.001), mean differences were -4.81 ± 4.31 and -4.76 ± 5.76 mmHg (mean ± S.D.) for the right eye and left eye respectively These values represent an underestimation in the present population by the IOPen® when compared with the GAT. Frequency distribution of differences demonstrated that in more than 71.6% of the measurements the IOP readings differed by more than 3 mmHg between the two tonometers. These results suggest that IOPen® should be used with great caution in the determination of IOP.
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Affiliation(s)
- J Jorge
- Center of Physics, School of Science, University of Minho, Campus de Gualtar, Braga, Portugal.
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