Comparision of Intraocular Pressure Measurements with Huvitz Non Contact Tonometer and Goldmann Applanation Tonometry
International Journal of Medical Science |
© 2015 by SSRG - IJMS Journal |
Volume 2 Issue 10 |
Year of Publication : 2015 |
Authors : Dr.P.Srihari Siddhartha, Dr. A. Tarakeswara Rao and Dr. Mohammed Azhar Chisti |
How to Cite?
Dr.P.Srihari Siddhartha, Dr. A. Tarakeswara Rao and Dr. Mohammed Azhar Chisti, "Comparision of Intraocular Pressure Measurements with Huvitz Non Contact Tonometer and Goldmann Applanation Tonometry," SSRG International Journal of Medical Science, vol. 2, no. 10, pp. 16-19, 2015. Crossref, https://doi.org/10.14445/23939117/IJMS-V2I10P104
Abstract:
PURPOSE :To study the reliability of non-contact tonometer and Goldman applanation tonometer at various levels of intraocular pressure. MATERIALS AND METHODS : It is a cross sectional hospital based study, conducted at Govt Regional Eye Hospital between Feb 2015 to Aug 2015 .A total 100 patients enrolled in this study Total number of males 41 and total number of females 59 included in this study shown in figure 1. Age distribution of the patients shown in figure 2. IOP was measured by NCT and GAT after explaining the procedure. The data was analyzed using SPSS software. RESULTS :The mean age of subjects was 39.9 (mean) years and the range was 21 - 70 years. The mean IOP, as taken by NCT, was 15.05mmHg ±4.08 and the range was 10- 39 mmHg. The mean IOP measurement by GAT was 14.33mmHg ±3.69 with a range of 10 - 32mmHg. The difference between the mean of the NCT and GAT reading was not found to be statistically significant (p=0.067).Pearson's correlation coefficient was determined between the two tonometers and was found to have a positive correlation of .945(p=0.0001).Bland and altman analysis show fair agreement show fair agreement between the two instruments at lower IOP range but poorer agreement at high IOP ranges. CONCLUSION :As NCT is simpler, faster, portable can be used as screening tool for community practices but not reliable in the subjects with higher IOP range.
Keywords:
Applanation tonometry, NCT, IOP, Glaucoma, Fluorescein.
References:
[1] M.A. Kass,D.K. Heuer,E.J. Higginbotham The Ocular Hypertension Treatment Study: a randomized trial determines that topical ocular hypotensive medication delays or prevents the onset of primary open angle glaucoma Arch Ophthalmol, 120 (2002), pp. 701-713 Medline
[2] C. Kniestedt,O. Punjabi,S. Lin,R.L. Stamper Tonometry through ages Surv Ophthalmol, 53 (2008), pp. 568-591 Article | Medline
[3] H. Goldmann,T. Schmidt Über Applanations tonometrie Ophthalmologica, 134 (1957), pp. 221-242 Medline
[4] M.J. Moseley,N.M. Evans,A.R. Fielder Comparison of a new non-contact tonometer with Goldmann applanation Eye (Lond), 3 (1989), pp. 332-337
[5] J.T. Holladay,M.E. Allison,T.C. Prager Goldmann applanation tonometry in patients with regular corneal astigmatism Am J Ophthalmol, 96 (1983), pp. 90-93 Medline
[6] J.H. Fisher,P.G. Watson,G. Spaeth A new handheld air impulse tonometer Eye, 2 (1988), pp. 238-242 Medline
[7 ] P.L. Atkinson,P.K. Wishart,J.N. James Deterioration in the accuracy of the pulsair non-contact tonometer with use: need for regular calibration Eye, 6 (1992), pp. 530-534 Medline
[8] S.A. Vernon Non-contact tonometry in the post-operative eye Br J Ophthalmol, 73 (1989), pp. 247-249 Medline
[9] D.D. Gaton,M. Ehrenberg,M. Lusky Effect of repeated applanation tonometry on the accuracy of intraocular pressure measurements Curr Eye Res, 35 (2010), pp. 475-479 Medline
[10] R.A. Moses The Goldmann applanation tonometer Am J Ophthalmol, 46 (1958), pp. 865-869 Medline
[11] R.A. Moses Fluorescein in applanation tonometry Am J Ophthalmol, 49 (1960), pp. 1149-1155 Medline
[12] P.R. Lichter Controlling risks of the possible transmission of human immunodeficiency virus. Notice of American Academy of Ophthalmology Clinical Alert 2/4 Ophthalmology, 96 (1989), pp. 1 Medline
[13] Recommendations for preventing possible transmission of human Tlymphotropic virus type III/lymphadenopathy-associated virus from tears MMWR Morb Mortal Wkly Rep, 34 (1985), pp. 533-534 Medline
[14] M.A. Motolko,F. Feldman,M. Hyde,D. Hudy Sources of variability in the results of applanation tonometry Can J Ophthalmol, 17 (1982), pp. 93-95 Medline
[15] T. Schmidt Practice of applanation tonometry to the slit lamp Ophthalmologica, 165 (1972), pp. 271-276 Medline
[16] J. Jorge,R. Ramoa-Marques,A. Lourenço IOP variations in the sitting and supine positions J Glaucoma, 19 (2010), pp. 609- 612 Medline
[17] K. Evans,P.K. Wishart Intraocular pressure measurement in children using the Keeler Pulsair tonometer Ophthalmic Physiol Opt, 12 (1992), pp. 287-290 Medline
[18] M.G. Santos,S. Makk,A. Berghold,M. Eckhard,A. Haas Intraocular pressure difference in Goldmann applanation tonometry versus Perkins hand-held applanation tonometry in overweight patients Ophthalmology, 105 (1998), pp. 2260-2263 Article | Medline
[19] K.C. Oguchi,T.M. Almubrad Accuracy and reliability of the Keeler Pulsair Easyeye non-contact tonometer Optom Vis Sci, 85 (2008), pp. 61-66 Medline
[20] O.E. Babalola,A.V. Kehinde,A.C. Iloegbunam,T. Akinbinu,C. Moghalu,I. Onuoha A comparison of the Goldmann applanation and non-contact tonometers and the effect of central corneal thickness in indigenous African eyes Ophthalmic Physiol Opt, 29 (2009), pp. 182-188 Medline
[21] A.A. Yücel,J. Stürmer,B. Gloor Comparison of tonometry with the air puff non-contact tonometer Pulsair and the Goldmann applanation tonometer Klin Monatsbl Augenheilkd, 197 (1990), pp. 329-334 Medline
[22] M.J. Moseley,N.M. Evans,A.R. Fielder Comparison of a new non-contact tonometer with Goldmann applanation Eye (Lond), 3 (1989), pp. 332-337
[23] M.A. Motolko,F. Feldman,M. Hyde,D. Hudy Sources of variability in the results of applanation tonometry Can J Ophthalmol, 17 (1982), pp. 93-95 Medline
[24] P.J. Foster,D.C. Broadway,D.F. Garway-Heath Intraocular pressure and corneal biomechanics in an adult British population: the EPICNorfolk eye study Invest Ophthalmol Vis Sci, 17 (2011), pp. 8179-8185
[25] R. Chakraborty,S.A. Read,M.J. Collins Diurnal variations in axial length, choroidal thickness, intraocular pressure, and ocular biometrics Invest Ophthalmol Vis Sci, 11 (2011), pp. 5121-5129