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Abstract #15251 Published in IGR 8-4
Corneal hysteresis and intraocular pressure measurement in children using the reichert ocular response analyzer
Kirwan C; O'Keefe M; Lanigan BAmerican Journal of Ophthalmology 2006; 142: 990-992
PURPOSE: To examine corneal hysteresis in children with normal eyes and congenital glaucoma and assess intraocular pressure (IOP) measurement with the Reichert Ocular Response Analyzer (RORA). DESIGN: Observational, cross-sectional study. METHODS: setting: Clinical practice. PATIENTS: Corneal hysteresis and intraocular pressure (Goldmann correlated [IOPg] and corneal compensated [IOPcc]) were recorded with RORA. IOP was also measured by Goldmann applanation tonometry. RESULTS: Mean corneal hysteresis of 12.5 mmHg was recorded in 91 normal eyes of 42 children. It was markedly lower (mean 6.3 mmHg) in 11 eyes of eight children with congenital glaucoma. No correlation was found between age and corneal hysteresis (r = -0.08). IOPg did not differ significantly from Goldmann applanation tonometry (P = .27). IOPcc was statistically significantly greater than IOPg (P = .014). RORA measurement was not possible in the presence of nystagmus but was possible with applanation tonometry. Cooperation with IOP measurement was much higher with RORA (89.8%) compared with applanation tonometry (78.7%). CONCLUSIONS: Corneal hysteresis in children is similar to that reported in adults. No correlation was found with age. In the presence of nystagmus, IOP measurement was possible with Goldmann applanation tonometry but not RORA. Cooperation with IOP measurement was better with RORA than with Goldmann applanation tonometry.
Dr. C. Kirwan, Childrens University Hospital, Dublin, Ireland
Classification:
9.1.1 Congenital glaucoma, Buphthalmos (Part of: 9 Clinical forms of glaucomas > 9.1 Developmental glaucomas)
6.1 Intraocular pressure measurement; factors affecting IOP (Part of: 6 Clinical examination methods)
2.2 Cornea (Part of: 2 Anatomical structures in glaucoma)
