• Title/Summary/Keyword: rebound tonometer

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Clinical Evaluation of a Rebound Tonometer in Patients Who Underwent Penetrating Keratoplasty (전층각막이식을 시행한 안에서 리바운드 안압계의 임상적 유용성)

  • Kim, Jong Woo;Jung, Ji Won
    • Journal of The Korean Ophthalmological Society
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    • v.59 no.12
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    • pp.1122-1128
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    • 2018
  • Purpose: To compare the measurements of the rebound tonometer (RT), Goldmann applanation tonometer (GAT) and noncontact tonometer (NCT) in patients who underwent penetrating keratoplasty (PKP), and to evaluate the reproducibility of the RT measurements. Methods: This study included 19 PKP eyes and 28 normal eyes. We compared the intraocular pressure (IOP) measurements of the GAT and NCT with the RT in both groups using Spearman's correlation analysis and the Wilcoxon signed-rank test. The IOP, as measured with an RT in each group, was assessed with respect to reproducibility using the intraclass correlation coefficient (ICC). Results: In normal eyes, there was no significant difference in the measurements obtained with the RT, GAT, and NCT (p > 0.050). In the patient group, the RT measurements were not significantly different from those of the GAT (p = 0.872), but they were significantly lower than those obtained with the NCT (p = 0.011). However, the RT measurements showed a relatively high correlation with those of the GAT and NCT (r = 0.770 and 0.879, respectively). The ICC of the RT was 0.986 for the PKP eye group and 0.961 for the normal eye group, both of which were highly reproducible. Conclusions: In PKP eyes, the measurements obtained with the RT showed a relatively high correlation with those of the GAT and NCT, and the repeatability of the RT measurements was high and similar to those for normal eyes. The RT can therefore be considered a useful method for measuring the IOP in PKP eyes.

Comparison of Intraocular Pressure Values of Normotensive and Glaucomatous Rats Using Two Types of Tonometers (두 종류의 안압계로 측정한 정상안압과 녹내장 쥐의 안압 값 비교)

  • Choy, Yoon-Jung;Choi, Jee-Hyun
    • The Korean Journal of Vision Science
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    • v.20 no.4
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    • pp.589-596
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    • 2018
  • Purpose : We compared intraocular pressure (IOP) values measured by two types of tonometers in condition of normotensive and glaucomatous rat model. We tried to determine which of tonometer can more easily and accurately measure the IOP of animal model. Methods : Glaucomatous eyes were induced by intracameral injections of hyaluronic acid in right eyes of six-week-old male Spargue-Dawley (SD) rats. Normotensive contralateral eyes were left eyes of the SD rats. IOP was measured using a rebound tonometer (Tonolab) and a immersive tonometer ($Tonopen^{(R)}$ XL) about 3:00 pm. Results : The mean IOP values of normotensive control eyes were $10.80{\pm}1.03mmHg$ by Tonopen, and $15.10{\pm}0.73mmHg$ by Tonolab. They were statistically insignificant (p = .1). The mean IOP values of glaucomatous experimental eyes were $30.20{\pm}2.67mmHg$ by Tonopen, and $37.90{\pm}2.73mmHg$ by Tonolab. They were statistically insignificant (p = .95). High IOP values of glaucomatous eyes by two types of tonometers had strong positive correlation each other (r = .904, p < .01). Conclusion : This is the first study to compare IOP values using two types of tonometers between normotensive and glaucomatous model made by intracameral injection of hyaluronic acid. Tonopen should be used carefully when the IOP is within normal range, and both Tonopen and Tonolab can be used reliably when the IOP is high.