scholarly journals Comparison of Icare Rebound Tonometer and Perkins Applanation Tonometer in Community Eye Screening


2019 ◽  
Vol 2019 ◽  
pp. 1-7
Author(s):  
Mahmoud Rateb ◽  
Mahmoud Abdel-Radi ◽  
Zeiad Eldaly ◽  
Mohamed Nagy Elmohamady ◽  
Asaad Noor El Din

Purpose. To evaluate the different IOP readings by Goldmann applanation tonometer (GAT), ICare rebound tonometer, and Tono-Pen in keratoconus patients after MyoRing implantation. To assess the influence of central corneal thickness (CCT) and thinnest corneal location (TCL) on IOP measurements by different tonometers. Setting. Prospective observational study was conducted in two private centers in Egypt from February 2015 to November 2016. Methods. Seventeen eyes of 10 patients suffering from keratoconus and who underwent MyoRing implantation were recruited. All subjects underwent GAT, ICare, and Tono-Pen IOP measurements in random order. Central corneal thickness and thinnest corneal location were assessed by Pentacam. Difference in mean in IOP readings was assessed by T-test. Correlation between each pair of devices was evaluated by Pearson correlation coefficient. The Bland–Altman analysis was used to assess intertonometer agreement. Results. Seventeen eyes (10 patients) were evaluated. The mean IOP reading was 13.9 ± 3.68, 12.41 ± 2.87, and 14.29 ± 1.31 mmHg in GAT, ICare, and Tono-Pen group, respectively. There was a significant difference between IOP readings by GAT/ICare and Tono-Pen/ICare (p value: 0.032 and 0.002, respectively) with no significant difference between GAT/Tono-Pen (p value: 0.554). Mean difference in IOP measurements between GAT/ICare was 1.49 ± 2.61 mmHg, Tono-Pen/ICare was 1.89 ± 2.15 mmHg, and GAT/Tono-Pen was −0.39 ± 2.59 mmHg. There was no significant correlation between the difference in IOP readings among any pair of devices and CCC or TCL. The Bland–Altman analysis showed a reasonable agreement between any pair of tonometers.



2008 ◽  
Vol 246 (6) ◽  
pp. 875-879 ◽  
Author(s):  
S. Munkwitz ◽  
A. Elkarmouty ◽  
E. M. Hoffmann ◽  
N. Pfeiffer ◽  
H. Thieme


Diagnosis ◽  
2015 ◽  
Vol 2 (4) ◽  
pp. 227-234 ◽  
Author(s):  
Yifan Li ◽  
Christopher R. Carpenter ◽  
Kathryn Nicholson ◽  
William Ken Milne

AbstractVision health is recognized as a critical unmet need in North America. The ocular morbidity associated with glaucoma results from increased intraocular pressure (IOP) and early detection is crucial for the management of glaucoma. Our objective was to find a diagnostically accurate screening tool for intraocular hypertension that can be used in rural communities. We sought to validate the diagnostic accuracy of the iCare rebound tonometer against the gold standard Perkins applanation tonometer (PAT) in measuring IOP.Patients from two rural communities in Ontario, Canada visiting their optometrists for routine appointments had their IOP measured by a non-contact tonometer (NCT), an iCare rebound tonometer, and a Perkins applanation tonometer (PAT). Values of sensitivity, specificity, and likelihood ratios for a positive and negative result were calculated for the iCare and the NCT.Complete data was collected from 209 patients. Overall, the iCare tonometer had high levels of validity, as compared to the gold standard PAT. The iCare tonometer displayed excellent sensitivity of 98.3% (90–99%, 95% CI) and excellent negative likelihood ratio of 0.024 (0.0088–0.066, 95% CI) which is useful for ruling out intraocular hypertension.The iCare tonometer is a reasonably valid tool for detecting elevated IOP. Its ease of use, simplicity, and accessibility makes it a good screening tool to improve eye health in rural areas.



2021 ◽  
Vol 80 (1) ◽  
Author(s):  
Timothy G. Chikasirimobi ◽  
Mercy Ndinyo ◽  
Maxine N. Ondieki ◽  
Isaac Miti ◽  
Ndidi J. Ejiochi-Iyoke ◽  
...  




2017 ◽  
Vol 13 (5) ◽  
pp. 1912-1916 ◽  
Author(s):  
Feng Gao ◽  
Xu Liu ◽  
Qing Zhao ◽  
Yingzhe Pan


2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Halil Huseyin Cagatay ◽  
Metin Ekinci ◽  
Zeliha Yazar ◽  
Gokcen Gokce ◽  
Erdinc Ceylan

Purpose.To compare intraocular pressure (IOP) measurements with the Goldmann applanation tonometer (GAT) and the ICare rebound tonometer (RBT) in high myopic eyes.Patients and Methods. This randomized prospective study included 40 eyes of 40 patients with high myopia. All patients’ central corneal thickness (CCT), anterior chamber depth (ACD), axial length (AXL), keratometry, and refractive measurements were recorded and followed by IOP measurement with RBT and GAT.Results. The average CCT, AXL, and ACD were determined to be514.65±32 μm,27.65±2.22 mm, and3.25±0.51 mm, respectively. MeanKwas43.27±1.4 D and mean spherical equivalent was-11.31±4.30 D. The mean IOP values obtained by RBT and GAT were17.18±3.72 mmHg and16.48±3.19 mmHg, respectively. The deviations of RBT readings from corrected GAT values were highly correlated with CCT values (r=0.588,P=0.0001). The mean corrected GAT reading was17.49±3.01 mmHg. Linear regression analysis showed that a CCT change of 10 μm resulted in an RBT reading deviation of 0.57 mmHg. The Bland-Altman scatter-plot and McNemar test showed a clinically good level of agreement between the two tonometers.Conclusion. This study found a good agreement level between the two tonometers in high myopic patients and that RBT measurements are influenced by CCT variations.





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