Abstract:
:The determination of average net pulsatile ocular blood flow form measurements of the intraocular pressure (IOP) pulse is based upon 1) an accurate measurement of IOP and its time variation; 2) a knowledge of the relation between the volume of the living eye and its IOP; 3) a physical model for the flow of blood through the eye: and 4) a concept of steady venous outflow from the eye. Each of these premises needs to be examined. The present analysis assesses the validity of the pneumatic tonometer for measuring the pressure in a flowing column of gas that is directed toward a thin membrane that is in contact with the surface of the cornea. The pressure of this stream of gas exerts a force against the cornea that depresses the corneal surface against the opposing force of the IOP. The balance of these forces and the resultant effect on the tonometer pressure sensor is described by the theories of elasticity, thermodynamics and fluid mechanics. In this treatment, differential equations are solved for the elastic deflections of the cornea subject to the opposing intraocular and tonometer pressures. This permits the pressure in the chamber of the pneumatic tonometer to be related through first principles to the IOP. The response of the tonometer pressure sensor to a range of IOPs (5-60 mmHg) is obtained, as well as the dynamical response of the tonometer to IOP oscillations. The conclusion is that the pneumatic tonometer provides a high fidelity, noninvasive measure of the IOP and its time variation.(ABSTRACT TRUNCATED AT 250 WORDS)
journal_name
Surv Ophthalmoljournal_title
Survey of ophthalmologyauthors
Silver DM,Farrell RAdoi
10.1016/0039-6257(94)90049-3subject
Has Abstractpub_date
1994-05-01 00:00:00pages
S72-80eissn
0039-6257issn
1879-3304pii
0039-6257(94)90049-3journal_volume
38 Supplpub_type
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journal_title:Survey of ophthalmology
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journal_title:Survey of ophthalmology
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journal_title:Survey of ophthalmology
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journal_title:Survey of ophthalmology
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更新日期:1989-07-01 00:00:00
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journal_title:Survey of ophthalmology
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