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Abstract #13041 Published in IGR 7-3
Clinical comparison of contour and applanation tonometry and their relationship to pachymetry
Kniestedt C; Lin S; Choe J; Bostrom A; Nee M; Stamper RLArchives of Ophthalmology 2005; 123: 1532-1537
OBJECTIVES: To compare intraocular pressure readings of recently introduced dynamic contour tonometry (DCT) with pneumatonometry (PTG) and Goldmann applanation tonometry (GAT) and to correlate central corneal thickness (CCT) with these readings. DESIGN: Prospective, cross-sectional observation and instrument validation study. We included 258 independent eyes with normal anterior segment examinations results, irrespective of glaucoma diagnosis or glaucoma suspect. After pachymetry, DCT, PTG, and GAT were performed in a randomized order. Intraocular pressures as measured by DCT, PTG, and GAT were compared with each other and with CCT. RESULTS: Eyes with thinner CCTs tended to yield lower intraocular pressure measurements by GAT. A significant correlation (Pearson product moment correlation, P < .001) between CCT and GAT was found with a regression of 0.25 mmHg per 10 μm (R2 = 0.060). Variation of CCT had no significant effect on intraocular pressure measurements by PTG (P = .10; R2 = 0.01) and DCT (P = .80; R2 < 0.01). A piecewise regression model showed that GAT readings are not linearly correlated with CCT. Comparison of the slopes below and above 535 μm showed the highest significance (P < .001). CONCLUSIONS: Goldmann applanation tonometry readings are potentially influenced by CCT, whereas PTG and DCT seem to be less dependent on CCT. Correlation between CCT and GAT is not linear. A simple correction formula suggesting a linear relationship might not be correct.
Dr. C.L. Kniestedt, Department of Ophthalmology, University of California-San Francisco, USA. research@kniestedt.ch
Classification:
6.1 Intraocular pressure measurement; factors affecting IOP (Part of: 6 Clinical examination methods)