alexa Comparison of intraocular tonometry using three different non-invasive tonometers in children.


Optometry: Open Access

Author(s): Lasseck J, Jehle T, Feltgen N, Lagrze WA, Lasseck J, Jehle T, Feltgen N, Lagrze WA

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Abstract BACKGROUND: In childhood glaucoma, the correct determination of intraocular pressure (IOP) is crucial in clinical decision-making. We therefore investigated how intraocular tonometry readings correlate with readings from commonly used tonometers. METHODS: IOP was measured unilaterally in 20 children suffering from congenital (n = 7) or secondary glaucoma (n = 13), 10 minutes after the induction of general anaesthesia. The children were aged from 1 month to 17 years (mean age 4.3 years, median age 1.3 years). Non-invasive applanation (Tono-Pen XL, Perkins tonometer) and indentation tonometry (Schiötz tonometer) were performed in random order prior to intraocular tonometry with a 26-gauge needle connected to a pressure sensor. Linear regression analysis and the coefficients of variance (CV) were used to compare the data obtained from the various tonometers. RESULTS: Compared with intraocular pressure, the CV was 10\% for the Tono-Pen XL, 17\% for the Schiötz, and 19\% for the Perkins tonometer. The coefficient of determination (r(2)) was 0.74 for Tono-Pen XL, 0.60 for Schiötz and 0.78 for Perkins tonometry. The IOP values obtained with the Tono-Pen XL scattered homogeneously around the intraocular IOP, while the Perkins and Schiötz tonometers underestimated intraocular measured IOP. CONCLUSION: Of the three tonometers evaluated in this series of paediatric glaucoma patients, the Tono-Pen XL most closely reflected true IOP. This article was published in Graefes Arch Clin Exp Ophthalmol and referenced in Optometry: Open Access

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