Variability of dynamic contour tonometer measurements and its relation to ocular biometric factors
PDF
Cite
Share
Request
Original Article
P: 425-429
November 2009

Variability of dynamic contour tonometer measurements and its relation to ocular biometric factors

Turk J Ophthalmol 2009;39(6):425-429
1.
2.
3.
No information available.
No information available
Received Date: 11.06.2009
Accepted Date: 03.09.2009
PDF
Cite
Share
Request

ABSTRACT

Purpose:

To investigate the intraobserver variability of dynamic contour tonometer (DCT) measurements and to evaluate the correlation between the readings and ocular biometric factors.

Methods:

Consecutive 3 measurements of DCT were performed to 78 healthy male subjects. Central corneal thickness (CCT), axial length (AL) and anterior chamber depth (ACD) values were measured for evaluation of possible correlations.

Results:

A total of 155 eyes of 78 cases with a mean age of 20,8 ± 1,6 (20-27) years were included into the study. Mean CCT was 549,7 ± 36,1 μm, mean AL was 23,7 ± 0,8 mm and mean ACD was 3,6 ± 0,3 mm. Intraobserver correlation coefficients (%95 confidence interval) were 0,70 (0,63–0,76) for intraocular pressure (IOP) and 0,78 (0,72–0,83) for ocular pulse amplitude (OPA). Mild to moderate positive correlation was detected between the IOP and CCT (r:0,34 p

Conclusion:

The agreement of the intraobserver variability of IOP and OPA measurements by DCT were found high. DCT readings were affected by CCT.

Keywords:
Dynamic contour tonometer, intraobserver variability, ocular biometric factors, ocular pulse amplitude

References

1
Bhan A, Browning AC, Shah S, Hamilton R, Dave D, Dua HS, Effect of corneal thickness on intraocular pressure measurements with the pneumotonometer, Goldmann applanation tonometer and Tono-Pen. Invest Ophthalmol Vis Sci 2002,43-1389
2
Tonnu PA, Ho T, Newson T, El Sheikh A, Sharma K, White E et al, The influence of central corneal thickness and age on intraocular pressure measured by pneumotonometry, non-contact tonometry, the Tono-Pen XL, and Goldmann applanation tonometry. Br J Ophthalmol 2005,89-851
3
Tonnu PA, Ho T, Sharma K, White E, Bunce C, Garway-Heath D, Acomparison of four methods of tonometry: method agreement and Interobserver variability. Br J Ophthalmol 2005,89-847
4
Gordon MO, Beiser JA, Brandt JD, Heuer DK, Higginbotham EJ, Johnson CA et al, The Ocular Hypertension Treatment Study: baseline factors that predict the onset of primary open-angle glaucoma. Arch Ophthalmol 2002,120-714
5
Heijl A, Leske MC, Bengtsson B, Hyman L, Bengtsson B, Hussein M, Early Manifest Glaucoma Trial Group. Reduction of intraocular pressure and glaucoma progression: results from the Early Manifest Glaucoma Trial. Arch Ophthalmol 2002,120-1268
6
Boehm AG, Weber A, Pillunat LE, Koch R, Spoerl E, Dynamic contour tonometry in comparison to intracameral IOP measurements. Invest Ophthalmol Vis Sci 2008,49-2472
7
Erdurmus M, Totan Y, Hepsen IF, Yagci R, Comparison of dynamic contour tonometry and noncontact tonometry in ocular hypertension and glaucoma. Eye. 2009,23-663
8
Goldmann H, Factors influencing intraocular pressure. Bibl Ophthalmol 1970,81-97
9
Yagci R, Eksioglu U, Midillioglu I, Yalvac I, Altiparmak E, Duman S, Central corneal thickness in primary open angle glaucoma, pseudoexfoliative glaucoma, ocular hypertension, and normal population. Eur J Ophthalmol 2005,15-324
10
Koçak N, Günenç Ü, Goldmann Aplanasyon Tonometresinde hata kaynaklari. Turkiye Klinikleri J Ophthalmol 1999,8-70
11
Doganay S, Er H, Cumhurcu T, Keskin U, Keratokonuslu olgularda santral kornea kalinliginin g&oumlz i&ccedili basinci &oumll&ccedil&uumlm&uumlne etkisi. T&uumlrkiye Klinikleri J Ophthalmol 2002,11-207
12
Siganos DS, Papastergiou GI, Moedas C, Assessment of the Pascal dynamic contour tonometer in monitoring intraocular pressure in unoperated eyes and eyes after LASIK. J Cataract Refract Surg 2004,30-746
13
Kniestedt C, Nee M, Stamper RL, Dynamic contour tonometry: A comparative study on human cadaver eyes. Arch Ophthalmol 2004,122-1287
14
Kaufmann C, Bachmann LM, Thiel MA, Comparison of dynamic contour tonometry with Goldman applanation tonometry. Invest Ophthalmol Vis Sci 2004,45-3118
15
Ku JY, Danesh-Meyer HV, Craig JP, et al, Comparison of intraocular pressure measured by Pascal dynamic contour tonometry and Goldmann applanation tonometry. Eye 2006,20-191
16
Martinez-de-la-Casa JM, Garcia-Feijoo J, Vico E, et al, Effect of corneal thickness on dynamic contour, rebound, and Goldmann tonometry. Ophthalmology 2006,113-2156
17
ztürk F, Küsbeci T, Yavas G, Ermis SS, Kaplan Ü, INAN ÜÜ, Pascal Dinamik Kontur Tonometre ile &Oumll&ccedil&uumllen G&oumlz I&ccedili Basin&ccedil Degerlerinin Goldmann Applanasyon Tonometresi,Non Kontakt Tonometre Ve Tonopen Ile Karsilastirilmasi Ve Santral Kornea Kalinliginin Etkisi. Glokom-Katarakt 2006,1-171
18
Eser E, Baser EF, Seymenoglu G, Pascal Dinamik Kontur tonometre, Goldmann Aplanasyon Tonometresi, Tonopen ve Nonkontakt Tonometre ile G&oumlz I&ccedili Basinci &Oumll&ccedil&uumlmlerine Korneal, Refraktif ve Biyometrik Parametrelerin Etkisi. Glokom-Katarakt 2008,3-230
19
Hoffmann EM, Grus FH, Pfeiffer N, Intraocular pressure and ocular pulse amplitude using dynamic contour tonometry and contact lens tonometry. BMC Ophthalmol 2004,4
20
Kamppeter BA, Jonas JB, Dynamic contour tonometry for intraocular pressure measurement. Am J Ophthalmol 2005,140-318
21
Whitacre MM, Stein R, Sources of error with use of Goldmann-type tonometers. Surv Ophthalmol 1993,38-1
22
Medeiros FA, Weinreb RN, Evaluation of the influence of corneal biomechanical properties on intraocular pressure measurements using the ocular response analyzer. J Glaucoma 2006,15-364
23
Singh RP, Goldberg I, Graham SL, Sharma A, Mohsin M, Central corneal thickness, tonometry, and ocular dimensions in glaucoma and ocular hypertension. J Glaucoma 2001,10-206
24
Li Q, Li M, Fan Z, Wang N, The influence of central corneal thickness and corneal curvature and axial length on the measurement of intraocular pressure. Yan Ke Xue Bao. 2002,18-176
25
Langham ME, To’Mey KF, Aclinical procedure for the measurements of the ocular pulse-pressure relationship and ophthalmic arterial pressure. Exp Eye Res. 1978,27-17
26
Silver DM, Farrell RA, Validity of pulsatile ocular blood flow measurements. Surv Ophthalmol. 1994,38-72
27
zçetin H, Baykara M, Atasoy A, Kaya DT, Aslanci ME, Günerigök MS, Ok&uumller Nabiz Amplit&uumld&uuml&rsquon&uumln Degerlendirilmesinde Dinamik Kontur Tonometre&rsquonin &Oumlnemi. Glokom-Katarakt 2008,3-153
28
Erdurmus M, Karadag R, Keskin UC, Uzun F, Hepsen IF, Dinamik Kontur Tonometri ile Ok&uumller Puls Amplit&uumld &Oumll&ccedil&uumlm&uuml ve Bu &Oumll&ccedil&uumlme Santral Kornea Kalinligi, Aksiyel Uzunluk ve &Oumln Kamara Derinliginin Etkisi. TOG 2007,37-414
29
Ocakoglu , Uçar D, Pascal Dinamik Kont&uumlr Tonometresi Kullanarak Glokomlu ve Ok&uumller Hipertansif Hastalarda Ok&uumller Nabiz Genligi &Oumll&ccedil&uumlmleri. TOG 38: 198&ndash 2008
30
Kaufmann C, Bachmann LM, Robert YC, Thiel MA, Ocular pulse amplitude in healthy subjects as measured by dynamic contour tonometry. Arch Ophthalmol. 2006,124-1104
31
James CB, Trew DR, Clark K, Smith SE, Factors influencing the ocular pulse-axial length. Graefes Arch Clin Exp Ophthalmol. 1991,229-341
32
McBrien NA, Gentle A, Role of the sclera in the development and pathological complications of myopia. Prog Retin Eye Res. 2003,22-307