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PURPOSE: To compare dynamic contour tonometry as a new method for intraocular pressure measurement with Goldmann applanation tonometry. DESIGN: Clinical observational study. METHODS: The study included 176 eyes of 126 subjects (39 eyes with open-angle glaucoma, 137 normal eyes) and consisted of 528 dynamic contour measurements and 352 Goldmann tonometry measurements. Corneal pachymetry measurements were additionally performed. RESULTS: Mean dynamic contour tonometric measurements (18.71 ± 5.90 mmHg) were significantly (P < .001) higher than mean applanation tonometric values (16.98 ± 5.86 mmHg), correlating significantly with each other (r2 = .905, P < .001). The slope of the regression line was 0.95. Correlation with central corneal thickness was significant for applanation tonometry (P = .036), while dynamic contour tonometry was statistically independent of corneal thickness (P = .32). CONCLUSIONS: For measurement of intraocular pressure, dynamic contour tonometry may offer a new technology, which, compared with applanation tonometry, may show a lower dependence on central corneal thickness.
Dr. B.A. Kamppeter, Department of Ophthalmology, Faculty for Clinical Medicine Mannheim, Ruprecht-Karls-University, Heidelberg, Germany
6.1 Intraocular pressure measurement; factors affecting IOP (Part of: 6 Clinical examination methods)