Possibilities of using transpalpebral tonometry for screening control of intraocular pressure in young children

Purpose of the work was to study the possibility of using transpalpebral tonometry (TPT) using the Tonotest device in younger children (up to and including 5 years old) for screening control of intraocular pressure (IOP). Material and methods. As part of the screening examination, IOP was determined...

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Main Authors: E. N. Iomdina, N. Yu. Kushnarevich, T. Yu. Larina, A. Yu. Panova
Format: Article
Language:Russian
Published: Real Time Ltd 2025-06-01
Series:Российский офтальмологический журнал
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Online Access:https://roj.igb.ru/jour/article/view/1786
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author E. N. Iomdina
N. Yu. Kushnarevich
T. Yu. Larina
A. Yu. Panova
author_facet E. N. Iomdina
N. Yu. Kushnarevich
T. Yu. Larina
A. Yu. Panova
author_sort E. N. Iomdina
collection DOAJ
description Purpose of the work was to study the possibility of using transpalpebral tonometry (TPT) using the Tonotest device in younger children (up to and including 5 years old) for screening control of intraocular pressure (IOP). Material and methods. As part of the screening examination, IOP was determined in 46 children (92 eyes) aged 5 months to 5 years, divided into 2 groups. In the 1st group — 21 children (42 eyes) aged 5 months to 3 years (average 1.5 ± 1.0 years) — only Tonotest was used for tonometry, and in the 2nd group — 25 children (50 eyes) aged 3.5 to 5 years (average 4.5 ± 0.6 years) — IOP measurement was performed sequentially (in random order) by two methods — using Tonotest and a pneumotonometer (Reichert 7 AutoTonometer, USA). Results. In most cases, the children tolerated the TPT procedure well and did not complain of discomfort, pain, or any other unpleasant sensations. However, in 7 children (33 %) of the 1st group and in 5 children (20 %) of the 2nd group, behavioral characteristics did not allow measuring IOP. The IOP level according to TPT in the 1st group was 16.4 ± 2.9 mm Hg. In the 2nd group, the IOP value according to Tonotest was 15.1 ± 2.0 mm Hg, according to the pneumotonometer — 16.0 ± 2.1 mm Hg (p = 0.09). Conclusion. The possibility of using TPT for screening control of IOP in younger children (0–5 years old) is shown. Comparison of the results of IOP determination in the group of children aged 3.5–5.0 years using Tonotest and pneumotonometer showed no statistically significant differences between them. TPT using Tonotest allows to expand the possibilities of IOP monitoring in pediatric practice.
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spelling doaj-art-ace3b048464f4c55b25cc5f5f086ef492025-08-20T02:54:11ZrusReal Time LtdРоссийский офтальмологический журнал2072-00762587-57602025-06-01182434910.21516/2072-0076-2025-18-2-43-49786Possibilities of using transpalpebral tonometry for screening control of intraocular pressure in young childrenE. N. Iomdina0N. Yu. Kushnarevich1T. Yu. Larina2A. Yu. Panova3Helmholtz National Medical Research Center of Eye DiseasesHelmholtz National Medical Research Center of Eye DiseasesHelmholtz National Medical Research Center of Eye DiseasesHelmholtz National Medical Research Center of Eye DiseasesPurpose of the work was to study the possibility of using transpalpebral tonometry (TPT) using the Tonotest device in younger children (up to and including 5 years old) for screening control of intraocular pressure (IOP). Material and methods. As part of the screening examination, IOP was determined in 46 children (92 eyes) aged 5 months to 5 years, divided into 2 groups. In the 1st group — 21 children (42 eyes) aged 5 months to 3 years (average 1.5 ± 1.0 years) — only Tonotest was used for tonometry, and in the 2nd group — 25 children (50 eyes) aged 3.5 to 5 years (average 4.5 ± 0.6 years) — IOP measurement was performed sequentially (in random order) by two methods — using Tonotest and a pneumotonometer (Reichert 7 AutoTonometer, USA). Results. In most cases, the children tolerated the TPT procedure well and did not complain of discomfort, pain, or any other unpleasant sensations. However, in 7 children (33 %) of the 1st group and in 5 children (20 %) of the 2nd group, behavioral characteristics did not allow measuring IOP. The IOP level according to TPT in the 1st group was 16.4 ± 2.9 mm Hg. In the 2nd group, the IOP value according to Tonotest was 15.1 ± 2.0 mm Hg, according to the pneumotonometer — 16.0 ± 2.1 mm Hg (p = 0.09). Conclusion. The possibility of using TPT for screening control of IOP in younger children (0–5 years old) is shown. Comparison of the results of IOP determination in the group of children aged 3.5–5.0 years using Tonotest and pneumotonometer showed no statistically significant differences between them. TPT using Tonotest allows to expand the possibilities of IOP monitoring in pediatric practice.https://roj.igb.ru/jour/article/view/1786intraocular pressuretranspalpebral tonometrypneumotonometryyoung children
spellingShingle E. N. Iomdina
N. Yu. Kushnarevich
T. Yu. Larina
A. Yu. Panova
Possibilities of using transpalpebral tonometry for screening control of intraocular pressure in young children
Российский офтальмологический журнал
intraocular pressure
transpalpebral tonometry
pneumotonometry
young children
title Possibilities of using transpalpebral tonometry for screening control of intraocular pressure in young children
title_full Possibilities of using transpalpebral tonometry for screening control of intraocular pressure in young children
title_fullStr Possibilities of using transpalpebral tonometry for screening control of intraocular pressure in young children
title_full_unstemmed Possibilities of using transpalpebral tonometry for screening control of intraocular pressure in young children
title_short Possibilities of using transpalpebral tonometry for screening control of intraocular pressure in young children
title_sort possibilities of using transpalpebral tonometry for screening control of intraocular pressure in young children
topic intraocular pressure
transpalpebral tonometry
pneumotonometry
young children
url https://roj.igb.ru/jour/article/view/1786
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