Estudio comparativo entre el neumotonómetro de no contacto Canon TX-10 y el tonómetro de Goldmann

  1. H Sánchez-Tocino
  2. R Bringas-Calvo
  3. D Iglesias-Cortiñas
Revista:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Ano de publicación: 2005

Volume: 80

Número: 11

Páxinas: 643-649

Tipo: Artigo

DOI: 10.4321/S0365-66912005001100005 DIALNET GOOGLE SCHOLAR lock_openAcceso aberto editor

Outras publicacións en: Archivos de la Sociedad Española de Oftalmologia

Resumo

Purpose: To study and contrast the measurement of intraocular pressure (IOP) with an air non-contact tonometer (Canon TX-10) with that obtained with the Goldmann tonometer. Methods: Intraocular pressure was measured in 649 subjects with both the pneumotonometer and the Goldmann tonometer. Statistically significant differences between the results obtained by both tonometers and the influence of variables including age, corneal thickness, and corneal curvature were studied. Results: The mean age of the study population was 48.5 years, standard deviation (SD) 7.6 years, with a range of 22-68 years. The mean IOP was 15.4, SD 2.7 mm Hg, (range 8-25) with the Goldmann tonometer and 15.6, SD 2.9 mm Hg (range 8-29) with the pneumotonometer. There was a statistically significant difference between the measurements using the air pneumotonometer and the Goldmann tonometer (p<0.001). The mean of the differences between both tonometers was 0.24, SD 2 mm Hg. Seventy-five percent of measurements were in the range of ±1, 85% in ±2, and 95% in the Bland and Altman’s interval of 4.42, -3.94. These differences were more significant for higher values of IOP, in thicker corneas and in corneas with greater curvature. A correlation between IOP and age was not found (p=0.247). Conclusions: The pneumotonometer is a useful and reliable instrument for measuring the IOP providing there is additional checking in cases with borderline values of IOP, or excessive corneal thickness and/or curvature.

Referencias bibliográficas

  • Kass, MA, Heuer, DK, Higginbotham, EJ, Johnson, CA, Keltner, JL, Miller, JP. (2002). 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. 701-713
  • (1998). The effectiveness of intraocular pressure reduction in the treatment of normal-tension glaucoma. Am J Ophthalmol. 126. 498-505
  • Leske, MC, Heijl, A, Hussein, M, Bengtsson, B, Hyman, L, Komaroff, E. (2003). Factors for glaucoma progression and the effect of treatment: the early manifest glaucoma trial. Arch Ophthalmol. 121. 48-56
  • Cho, P, Lui, T. (1997). Comparison of the performance of Nidek NT-2000 non-contact tonometer with the Keeler Pulsair 2000 and the Goldmann applanation tonometer. Optom Vis Sci. 74. 51-58
  • Shields, MB. (1998). Textbook of Glaucoma: IV. Williams and Wilkins. Baltimore Maryland.
  • Recep, OF, Hasiripi, H, Cagil, N, Sarikatipoglu, H. (2001). Relation between corneal thickness and intraocular pressure measurement by noncontact and applanation tonometry. J Cataract Refract Surg. 27. 1787-1791
  • Shields, MB. (1980). The non-contact tonometer: Its value and limitations. Surv Ophthalmol. 24. 211-219
  • Bland, JM, Altman, DG. (1986). Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1. 307-310
  • Van de Velde, T, Zeyen, T. (1995). Realibility of the Nidek NT-1000 non contact tonometer. Bull Soc Belge Ophtalmol. 255. 19-22
  • Lam, AK, Chan, R, Lam, CH. (2004). The validity of a new noncontact tonometer and its comparison with the Goldmann Tonometer. Optom Vis Sci. 81. 601-605
  • Christoffersen, T, Fors, T, Ringberg, U, Holtedahl, K. (1993). Tonometry in the general practice setting (I): Tono-Pen compared to Goldmann applanation tonometry. Acta Ophthalmol (Copenh). 71. 103-108
  • Sullivan-Mee, M, Pham, F. (2004). Correspondence of Tono-Pen intraocular pressure measurement performed at the central cornea and mid-peripheral cornea. Optometry. 75. 26-32
  • Doughty, MJ, Zaman, ML. (2000). Human corneal thickness and its impact on intraocular pressure measures: a review and meta-analysis approach. Surv Ophthalmol. 44. 367-408
  • Duch, S, Serra, A, Castanera, J, Abos, R, Quintana, M. (2001). Tonometry after laser in situ keratomileusis treatment. J Glaucoma. 10. 261-265
  • Fong, DS, Eipstein, DL, Allingham, RR. (1990). Glaucoma and myopia: are they related?. Int Ophthalmol Clin. 30. 215-218
  • Wong, TY, Klein, BE, Klein, R, Knudtson, M, Lee, KE. (2003). Refractive errors, intraocular pressure, and glaucoma in a white population. Ophthalmology. 110. 211-217
  • Nomura, H, Ando, F, Niino, N, Shimokata, H, Miyake, Y. (2004). The relationship between intraocular pressure and refractive error adjusting for age and central corneal thickness. Ophthalmic Physiol Opt. 24. 41-45
  • Moses, RA. (1961). Repeated applanation tonometry. Ophthalmologica. 142. 663-668