Abstract:
PURPOSE:To assess the influence of recipient corneal pathology on the performance of the Pascal dynamic contour tonometer (PDCT) (Swiss Microtechnology AG) by comparing it to Goldmann applanation tonometry (GAT) in post-penetrating keratoplasty (PKP) eyes. METHODS:Intraocular pressure (IOP) was measured in 40 post-PKP eyes of 40 patients using PDCT and GAT. The study patients were divided into two groups. Group A included patients who had undergone PKP for ectatic corneal disorders (keratoconus, n=20) and group B included patients who had undergone PKP for other non-ectatic corneal disorders (Fuchs, post-corneal ulcer, post-chemical burn,post-trauma, n=20). Keratometric measurements were obtained in all eyes using Orbscan II (Bausch &Lomb) and central corneal thickness (CCT) was measured using Corneo-Gaze Plus (Sonogaze). RESULTS:In group B, a correlation between PDCT and GAT IOP measurements was observed. In group A, GAT IOP measurements were significantly lower than PDCT measurements (3.7 +/- 1.8 mmHg,p<0.001). Additionally, CCT affected GAT IOP measurements much more than PDCT measurements,while corneal curvature did not significantly affect IOP measurements of any instrument in either group. CONCLUSIONS:In post-PKP eyes, PDCT appears to be less influenced than GAT by CCT and pre-existing recipient corneal pathology. Therefore, PDCT may be better suited for monitoring IOP in post-PKP eyes.
journal_name
Eur J Ophthalmoljournal_title
European journal of ophthalmologyauthors
Papastergiou GI,Kozobolis V,Siganos DSdoi
10.1177/112067211002000104subject
Has Abstractpub_date
2010-01-01 00:00:00pages
29-34issue
1eissn
1120-6721issn
1724-6016pii
85C2097C-6C7C-4022-8201-1D196B466355journal_volume
20pub_type
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