scholarly journals Accuracy of Schiotz Tonometry in Measuring the Intraocular Pressure After Corneal Refractive Surgery

2008 ◽  
Vol 1 (2) ◽  
pp. 59-64 ◽  
Author(s):  
Nicola Rosa ◽  
Michele Lanza ◽  
Gilda Cennamo ◽  
Luigi Capasso ◽  
Gennarfrancesco Iaccarino ◽  
...  

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Hui Zhang ◽  
Zhengtao Sun ◽  
Lin Li ◽  
Ran Sun ◽  
Haixia Zhang

Abstract Background Accurate measurement of intraocular pressure (IOP) after corneal refractive surgery is of great significance to clinic, and comparisons among various IOP measuring instruments are not rare, but there is a lack of unified analysis. Although Goldmann Applanation Tonometer (GAT) is currently the internationally recognized gold standard for IOP measurement, its results are severely affected by central corneal thickness (CCT). Ocular Response Analyzer (ORA) takes certain biomechanical properties of cornea into account and is supposed to be less dependent of CCT. In this study, we conducted the meta-analysis to systematically assess the differences and similarities of IOP values measured by ORA and GAT in patients after corneal refractive surgery from the perspective of evidence-based medicine. Methods The authors searched electronic databases (MEDLINE, EMBASE, Web of science, Cochrane library and Chinese electronic databases of CNKI and Wanfang) from Jan. 2005 to Jan. 2019, studies describing IOP comparisons measured by GAT and ORA after corneal refractive surgery were included. Quality assessment, subgroup analysis, meta-regression analysis and publication bias analysis were applied in succession. Results Among the 273 literatures initially retrieved, 8 literatures (13 groups of data) with a total of 724 eyes were included in the meta-analysis, and all of which were English literatures. In the pooled analysis, the weighted mean difference (WMD) between IOPcc and IOPGAT was 2.67 mmHg (95% CI: 2.20~3.14 mmHg, p < 0.0001), the WMD between IOPg and IOPGAT was − 0.27 mmHg (95% CI: − 0.70~0.16 mmHg, p = 0.2174). In the subgroup analysis of postoperative IOPcc and IOPGAT, the heterogeneity among the data on surgical procedure was zero, while the heterogeneity of other subgroups was still more than 50%. The comparison of the mean difference of pre- and post-operative IOP (∆IOP) was: mean-∆IOPg > mean-∆IOPGAT > mean-∆IOPcc. Conclusions IOPcc, which is less dependent on CCT, may be more close to the true IOP after corneal refractive surgery compared with IOPg and IOPGAT, and the recovery of IOPcc after corneal surface refractive surgery may be more stable than that after lamellar refractive surgery.



2013 ◽  
Vol 54 (1) ◽  
pp. 26 ◽  
Author(s):  
Lian Hua Hong ◽  
Min Kyu Lee ◽  
Chang Won Park ◽  
Dong Jin Chang ◽  
Ying Jun Li ◽  
...  




2018 ◽  
Vol 72 (3) ◽  
pp. 341
Author(s):  
Valbon Ajazaj ◽  
Gazmend Kacaniku ◽  
Minir Asani ◽  
Afrim Shabani ◽  
Ermal Dida


2001 ◽  
Vol 123 (5) ◽  
pp. 440-445 ◽  
Author(s):  
Gagik P. Djotyan ◽  
Ron M. Kurtz ◽  
Delia Cabrera Ferna´ndez ◽  
Tibor Juhasz

An analytically solvable model that considers the elasticity of the cornea is developed for use in the current and novel corneal refractive surgery procedures. The model assumes that the cornea is a thin spheroid shell with an elastic response to intraocular pressure. The value of the Young’s modulus of the post-operative cornea and its dependence on the geometric parameters of the ablation zone are estimated employing “best-fit” approach to nomograms currently used in corneal refractive surgery. These elasticity parameters are applied for quantitative modeling of different types of refractive surgery for myopia.



2010 ◽  
Vol 138 (5-6) ◽  
pp. 279-286 ◽  
Author(s):  
Ivan Marjanovic ◽  
Djordje Kontic ◽  
Paraskeva Hentova-Sencanic ◽  
Vujica Markovic ◽  
Marija Bozic

Introduction The Pascal Dynamic Contour Tonometer (DCT) is an ophthalmic investigational device which directly calculates the dynamic pulsatile fluctuations in intraocular pressure (IOP) using a piezoelectric pressure sensor embedded in the devices tip. Objective The aim of this study was to compare IOP results obtained with Goldmann applanation tonometer (GAT), and their correlation with central corneal thickness (CCT) in patients of various age groups. Methods We studied 37 patients (17 male and 20 female), divided into three age groups: younger than 40 years; 40-60 years old, and older than 60 years. In the first and second group there were patients rarely and in the third mostly diagnosed and medicamentously compensated glaucoma. In topical anesthesia, first we measured CCT, with ultrasound pachimeter, then IOP with DCT and GAT. Results Statistically significant difference between measurements of IOP with the DCT and GAT appeared in all groups: I mean diff. -1.71?}1.27 mm; p<0.0001; II mean diff. -1.19?}1.06 mm; p<0.0001; III mean diff. -1.69?}1.67 mm; p<0.0001. CCT was in indirect correlation with the values of IOP measured both with the DCT and GAT in the first and third, while it was in the direct correlation with these values in the second group. Conclusion CCT had no influence on IOP measurements both with the DCT and GAT in none of the groups. The DCT cannot replace GAT, but it is a reliable device for the measurement of IOP particularly in corneal deformations (keratoconus, after corneal refractive surgery, corneal scars, etc.). .



2019 ◽  
Author(s):  
Hui Zhang ◽  
Zhengtao Sun ◽  
Lin Li ◽  
Ran Sun ◽  
Haixia Zhang

Abstract Background: Accurate measurement of intraocular pressure (IOP) after corneal refractive surgery is of great significance to clinic, and comparisons among various IOP measuring instruments are not rare, but there is a lack of unified analysis. GAT is currently the internationally recognized gold standard for IOP measurement, while ORA is said to take into account the biomechanical properties of cornea. In this study, we conducted this meta-analysis to systematically assess the differences and similarities of IOP values measured by ORA and GAT in patients after corneal refractive surgery from the perspective of evidence-based medicine. Methods: The authors searched electronic databases (MEDLINE, EMBASE, Web of science, Cochrane library and Chinese electronic databases of CNKI and Wanfang) from Jan 2005 to Jan 2019, studies describing IOP comparisons measured by GAT and ORA after corneal refractive surgery were included. Quality assessment, subgroup analysis, meta-regression analysis and publication bias analysis were applied in succession. Results: Among the 273 literatures initially retrieved, 8 literatures (13 groups of data) with a total of 724 eyes were included in the meta-analysis, and all of which were English literatures. In the pooled analysis, the weighted mean difference (WMD) between IOPcc and IOPGAT was 2.67 mmHg (95% CI: 2.20~3.14 mmHg, p < 0.0001), the WMD between IOPg and IOPGAT was -0.27 mmHg (95% CI: -0.70~0.16 mmHg, p = 0.2174). In the subgroup analysis of postoperative IOPcc and IOPGAT, the heterogeneity among the data on surgical procedure was zero, while the heterogeneity of other subgroups was still more than 50%. The comparison of mean-∆IOP is: mean-∆IOPg > mean-∆IOPGAT > mean-∆IOPcc. Conclusions: IOPcc may be more close to the true IOP after corneal refractive surgery compared with IOPg and IOPGAT, and the recovery of IOPcc after corneal surface refractive surgery may be more stable than that after lamellar refractive surgery. Keywords: corneal refractive surgery; intraocular pressure; ocular response analyzer; Goldmann applanation tonometer; meta-analysis;





2019 ◽  
Author(s):  
Hui Zhang ◽  
Zhengtao Sun ◽  
Lin Li ◽  
Ran Sun ◽  
Haixia Zhang

Abstract Background: Accurate measurement of intraocular pressure (IOP) after corneal refractive surgery is of great significance to clinic, and comparisons among various IOP measuring instruments are not rare, but there is a lack of unified analysis. Although Goldmann Applanation Tonometer (GAT) is currently the internationally recognized gold standard for IOP measurement, its results are severely affected by central corneal thickness (CCT). Ocular Response Analyzer (ORA) takes certain biomechanical properties of cornea into account and is supposed to be less dependent of CCT. In this study, we conducted the meta-analysis to systematically assess the differences and similarities of IOP values measured by ORA and GAT in patients after corneal refractive surgery from the perspective of evidence-based medicine. Methods: The authors searched electronic databases (MEDLINE, EMBASE, Web of science, Cochrane library and Chinese electronic databases of CNKI and Wanfang) from Jan. 2005 to Jan. 2019, studies describing IOP comparisons measured by GAT and ORA after corneal refractive surgery were included. Quality assessment, subgroup analysis, meta-regression analysis and publication bias analysis were applied in succession. Results: Among the 273 literatures initially retrieved, 8 literatures (13 groups of data) with a total of 724 eyes were included in the meta-analysis, and all of which were English literatures. In the pooled analysis, the weighted mean difference (WMD) between IOPcc and IOPGAT was 2.67 mmHg (95% CI: 2.20~3.14 mmHg, p < 0.0001), the WMD between IOPg and IOPGAT was -0.27 mmHg (95% CI: -0.70~0.16 mmHg, p = 0.2174). In the subgroup analysis of postoperative IOPcc and IOPGAT, the heterogeneity among the data on surgical procedure was zero, while the heterogeneity of other subgroups was still more than 50%. The comparison of the mean difference of pre- and post-operative IOP (∆IOP) was: mean-∆IOPg > mean-∆IOPGAT > mean-∆IOPcc. Conclusions: IOPcc, which is less dependent on CCT, may be more close to the true IOP after corneal refractive surgery compared with IOPg and IOPGAT, and the recovery of IOPcc after corneal surface refractive surgery may be more stable than that after lamellar refractive surgery.





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