A Comparative Analysis of Goldmann Tonometry Correction.

Abstract:

PURPOSE:The measurement of intraocular pressure (IOP) by Goldmann applanation tonometry (GAT) is based on assumptions about corneal parameters. To correct for variations in corneal curvature and thickness, a number of equations have been proposed. This study evaluates the in vivo accuracy of these equations from individuals with primary open-angle glaucoma and compared them with measurements taken using the Pascal dynamic contour tonometer (DCT), which makes no assumptions about the corneal geometry or biomechanics. PARTICIPANTS AND METHODS:The study included 108 participants with primary open-angle glaucoma (47 male and 61 female) with an age range of 39 to 81 years. Participants were recruited from the Glaucoma Clinic at Wroclaw Medical University. A full ophthalmologic examination was conducted on all participants. Participants were divided into 3 groups depending on IOP as measured by GAT. Six formulae were applied and the results were compared with measurements taken with DCT. MAIN OUTCOME MEASURES:To determine as to which formula provides the closest value to IOP measured with DCT. RESULTS:For IOP values ≤29 mm Hg, 2 of the formulae showed the smallest and comparable mean differences and SDs between corrected IOP values obtained with GAT and those measured with DCT. For IOP≥30 mm Hg, the formula derived from the model of corneal applanation that takes into account corneal buckling showed the closest agreement with measurements taken using DCT. CONCLUSIONS:Correction formulae provide widely varying results and their appropriateness can depend on the IOP values.

journal_name

J Glaucoma

journal_title

Journal of glaucoma

authors

Asejczyk-Widlicka M,Srodka W,Pierscionek BK

doi

10.1097/IJG.0000000000000588

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

233-240

issue

3

eissn

1057-0829

issn

1536-481X

journal_volume

26

pub_type

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