Comparison of Diaton transpalpebral tonometer with applanation tonometry in keratoconus  

作　　者：Robert PL Wisse Natalie Peeters Saskia M Imhof Allegonda van der Lelij 

机构地区：[1]Utrecht Corneal Research Group Department of Ophthalmology, University Medical Center Utrecht, Utrecht 3508 GA, The Netherlands

出　　处：《International Journal of Ophthalmology(English edition)》2016年第3期395-398,共4页国际眼科杂志（英文版）

摘　　要：AIM： To Investigate the added value of using a Diaton transpalpebral tonometer （DT） to measure lOP in keretoconus. Most type of tonometers use corneal applanation or biomechanical resistance to measure intraocular pressure （lOP）; however, these factors can be altered by keratoconus. Specifically, we examined whether DT can detect false-negative low Goldmann applanation tonometry （AT） measurements. METHODS： Patients with keratoconus were recruited from our tertiary academic treatment center. Measurements included AT and DT （in random order） and Scheimpflug imaging. An age- and gender-matched group of control subjects with no history of corneal disease or glaucoma was also recruited. RESULTS： In total, 130 eyes from 66 participants were assessed. In the keratoconus group, mean AT was 11.0± 2.6, mean DT 11±5.5 （P =0.729）and the two measures were correlated significantly（P=0.006, R=0.323）. However, a Bland-Altman plot revealed a wide distribution and poor agreement between both measurements. Previous corneal crosslinking, corneal pachymetry, and Krumeich classification had no effect on measured IOP. CONCLUSION： Measurements obtained using a Diaton tonometer are not affected by corneal biomechanics; however, its poor agreement with Goldmann AT values calls into question the added value of using a Diaton tonometer to measure lOP in keratoconus.AIM： To Investigate the added value of using a Diaton transpalpebral tonometer （DT） to measure lOP in keretoconus. Most type of tonometers use corneal applanation or biomechanical resistance to measure intraocular pressure （lOP）; however, these factors can be altered by keratoconus. Specifically, we examined whether DT can detect false-negative low Goldmann applanation tonometry （AT） measurements. METHODS： Patients with keratoconus were recruited from our tertiary academic treatment center. Measurements included AT and DT （in random order） and Scheimpflug imaging. An age- and gender-matched group of control subjects with no history of corneal disease or glaucoma was also recruited. RESULTS： In total, 130 eyes from 66 participants were assessed. In the keratoconus group, mean AT was 11.0± 2.6, mean DT 11±5.5 （P =0.729）and the two measures were correlated significantly（P=0.006, R=0.323）. However, a Bland-Altman plot revealed a wide distribution and poor agreement between both measurements. Previous corneal crosslinking, corneal pachymetry, and Krumeich classification had no effect on measured IOP. CONCLUSION： Measurements obtained using a Diaton tonometer are not affected by corneal biomechanics; however, its poor agreement with Goldmann AT values calls into question the added value of using a Diaton tonometer to measure lOP in keratoconus.

关 键 词：Diaton Goldmann applanation tonometry transpalpebral tonometry KERATOCONUS Bland-Altman plot 

分 类 号：R770.426.2[医药卫生—眼科]