Abstract
To compare intraocular pressure (IOP) measurements obtained with Goldmann applanation (GAT) and dynamic contour tonometry (DCT) in a Mexican population. 40 glaucoma patients were included in this cross-sectional observational cohort study. IOP measurements were performed in the following order: DCT, ultrasonic pachymetry and GAT, with a 5-minute difference between each measurement, between 8 am and 2 pm. Only DCT measurements of good quality (Q ≤ 3) were accepted. GAT measurements were made three times with the same Goldmann tonometer, previously checked for calibration errors, and the mean was used for statistical purposes. The IOP (mean [standard deviation], 95 % confidence interval [CI]) measured with the Goldmann tonometer (13.2 [2.4], 12.4–14.0 mmHg) was significantly lower than that obtained with the DCT (18.4 [3.3], 17.0–19.2 mmHg), p < 0.0001. Pearson’s correlation coefficients between CCT and IOP measured with GAT and DCT were (r = 0.24, 95 % CI = 0.07–0.52, p = 0.133) and (r = 0.13, 95 % CI = –0.19 to 0.43, p = 0.412), respectively. The concordance correlation coefficient between GAT and DCT was r c = 0.3, 95 % CI = 0.17–0.41). DCT seems to overestimate the IOP as compared to GAT. Additionally, although there was a good correlation between the IOP measurements assessed with either GAT or DCT, the agreement was poor.
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References
Herndon LW (2006) Measuring IOP: adjustments for corneal thickness and new technologies. Curr Opin Ophthalmol V17(2):115–119
ElMallah MK, Asrani SG (2008) New ways to measure intraocular pressure. Curr Opin Ophthalmol 19:122–126
Chihara E (2008) Major review: assessment of true intraocular pressure: the gap between theory and practical data. Surv Ophthalmol 53:203–218
Goldmann H, Schmidt T (1957) Uber applanationstonometrie. Ophthalmologica 134:221–242
Kniestedt C, Lin S, Choe J, Bostrom A, Nee M, Stamper RL (2005) Clinical comparison of contour and applanation tonometry and their relationship to pachymetry. Arch Ophthalmol 123:1532–1537
Copt RP, Thomas R, Mermoud A (1999) Corneal thickness in ocular hypertension, primary open-angle glaucoma, and normal tension glaucoma. Arch Ophthalmol 117:14–16
Boehm AG, Weber A, Pillunat LE, Koch R, Spoerl E (2008) Dynamic contour tonometry in comparison to intracameral IOP measurements. Invest Ophthalmol Vis Sci 49:2472–2477
Kanngiesser HE, Kniestedt C, Robert YCA (2005) Dynamic contour tonometry: presentation of a new tonometer. J Glaucoma 14:344–350
Hodapp E, Parrish R, Anderson D (1993) Clinical Decisions in Glaucoma. Mosby-Year Book, St Louis
Lin LI (1989) A concordance correlation coefficient to evaluate reproducibility. Biometrics 45:255–268
Lin LI (2000) A note on the concordance correlation coefficient. Biometrics 56:324–325
Bland JM, Altman DG (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1:307–310
Barleon L, Hoffman EM, Berres M, Pfeiffer N, Grus FH (2006) Comparison of dynamic contour tonometry and Goldmann applanation tonometry in glaucoma patients and healthy subjects. Am J Ophthalmol 142:583–590
Pache M, Wilmsmeyer S, Lautebach S, Funk J (2005) Dynamic contour tonometry versus Goldman applanation tonometry: a comparative study. Graefes Arch Clin Exp Ophthalmol 243:763–767
Herdener S, Pache M, Lautebach S, Funk J (2007) Dynamic contour tonometry (DCT) versus Goldman applanation tonometry (GAT) – a comparison of agreement and reproducibility. Graefes Arch Clin Exp Ophthalmol 245:1027–1030
Salvetat ML, Zeppieri M, Tosoni C, Brusini P (2007) Comparisons between Pascal dynamic contour tonometry, the TonoPen, and Goldman applanation tonometry in patients with glaucoma. Acta Ophthalmol Scand 85:272–279
Francis B, Hsieh A, Lai MY, Chopra V, Pena F, Azen S, Varma R, Los Angeles Latino Eye Study Group (2007) Effects of corneal thickness, corneal curvature, and intraocular pressure level on Goldmann applanation tonometry and dynamic contour tonometry. Ophthalmology 114:20–26
Halkiadakis I, Patsea E, Chatzimichali K, Skouriotis S, Chalkidou S, Amariotakis G et al (2009) Comparison of dynamic contour tonometry with Goldmann applanation tonometry in glaucoma practice. Acta Ophthalmol 87(3):323–328
Martinez-de-la-Casa JM, Garcia-Feijoo J, Vico E, Fernandez-Vidal A, Benitez del Castillo JM, Wasfi M et al (2006) Effect of corneal thickness on dynamic contour, rebound, and goldmann tonometry. Ophthalmology 113(12):2156–2162
Kniestedt C, Nee M, Stamper RL (2004) Dynamic contour tonometry: a comparative study on human cadaver eyes. Arch Ophthalmol 122(9):1287–1293
Kaufmann C, Bachmann LM, Thiel MA (2003) Intraocular pressure measurements using dynamic contour tonometry after laser in situ keratomileusis. Invest Ophthalmol Vis Sci 44:3790–3794
Siganos DS, Papastergiou GI, Moedas C (2004) Assessment of the Pascal dynamic contour tonometer in monitoring intraocular pressure in unoperated eyes and eyes after LASIK. J Cataract Refract Surg 30:746–751
Ku JY, Danesh-Meyer HV, Craig JP et al (2006) Comparison of intraocular pressure measured by Pascal dynamic contour tonometry and Goldmann applanation tonometry. Eye (Lond) 20:191–198
Doyle A, Lachkar Y (2005) Comparison of dynamic contour tonometry with Goldman applanation tonometry over a wide range of central corneal thickness. J Glaucoma 14:288–292
Kamppeter BA, Jonas JB (2005) Dynamic contour tonometry for intraocular pressure measurement. Am J Ophthalmol 140:318–320
Kotecha A, White ET, Shewry JM et al (2005) The relative effects of corneal thickness and age on Goldmann applanation tonometry and dynamic contour tonometry. Br J Ophthalmol 89:1572–1575
Hager A, Loge K, Schroeder B, Füllhas MO, Wiegand W (2008) Effect of central corneal thickness and corneal hysteresis on tonometry as measured by dynamic contour tonometry, ocular response analyzer, and Goldmann tonometry in glaucomatous eyes. J Glaucoma 17:361–365
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Jimenez-Roman, J., Gil-Carrasco, F., Martinez, A. et al. Comparison of Goldmann applanation and dynamic contour tonometry in a population of Mexican open-angle glaucoma patients. Int Ophthalmol 33, 221–225 (2013). https://doi.org/10.1007/s10792-012-9674-6
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DOI: https://doi.org/10.1007/s10792-012-9674-6