Intraocular Pressure Measurement Using Ocular Response Analyzer, Dynamic Contour Tonometer, and Scheimpflug Analyzer Corvis ST

Purpose. To compare intraocular pressure (IOP) measurements with Goldmann applanation tonometry (GAT), ocular response analyzer (ORA), dynamic contour tonometer (DCT), and Corvis ST (CST) in healthy subjects. Methods. In a prospective, observational study, IOP measurements with GAT (GAT-IOPc), ORA (...

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Main Authors: Lisa Ramm, Robert Herber, Eberhard Spoerl, Frederik Raiskup, Lutz E. Pillunat, Naim Terai
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2019/3879651
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author Lisa Ramm
Robert Herber
Eberhard Spoerl
Frederik Raiskup
Lutz E. Pillunat
Naim Terai
author_facet Lisa Ramm
Robert Herber
Eberhard Spoerl
Frederik Raiskup
Lutz E. Pillunat
Naim Terai
author_sort Lisa Ramm
collection DOAJ
description Purpose. To compare intraocular pressure (IOP) measurements with Goldmann applanation tonometry (GAT), ocular response analyzer (ORA), dynamic contour tonometer (DCT), and Corvis ST (CST) in healthy subjects. Methods. In a prospective, observational study, IOP measurements with GAT (GAT-IOPc), ORA (IOPcc), DCT (DCT-IOP), and CST (bIOP) were performed and analyzed in 94 healthy subjects. Results. Mean age of the participants was 45.6 ± 17.2 years (range 18 to 81 years). Mean GAT-IOPc was 12.9 ± 2.4 mmHg, mean DCT-IOP was 16.1 ± 2.6 mmHg, and mean IOPcc was 15.6 ± 3.3 mmHg. DCT-IOP and IOPcc were significantly higher than GAT-IOPc (P<0.001). Mean bIOP was 13.5 ± 2.4 mmHg that was slightly higher but not significantly different from GAT-IOPc (P=0.146). Correlation analysis of IOP values and central corneal thickness (CCT) revealed a negative correlation between GAT-IOPc and CCT (r = −0.347; P=0.001). However, IOPcc, DCT-IOP, and bIOP showed no significant correlation to CCT. Only bIOP revealed a weak but significant age dependency (r = 0.321, P=0.002). Conclusion. All tonometry devices showed a good agreement of biomechanical corrected IOP values with GAT-IOPc. As no influence of CCT on IOPcc, DCT-IOP, and bIOP was detectable, the used correction algorithms appear to be appropriate in these tonometers in the clinical setting. The highest agreement was found between GAT-IOPc and bIOP. However, bIOP weakly correlated with participants’ age. Further studies are needed to elucidate the role of bIOP for IOP measurement.
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spelling doaj-art-af3eae1258294e91aa09f912138a87142025-02-03T01:25:51ZengWileyJournal of Ophthalmology2090-004X2090-00582019-01-01201910.1155/2019/38796513879651Intraocular Pressure Measurement Using Ocular Response Analyzer, Dynamic Contour Tonometer, and Scheimpflug Analyzer Corvis STLisa Ramm0Robert Herber1Eberhard Spoerl2Frederik Raiskup3Lutz E. Pillunat4Naim Terai5Department of Ophthalmology, University Hospital Carl Gustav Carus, TU Dresden Fetscherstraße 74, 01307 Dresden, GermanyDepartment of Ophthalmology, University Hospital Carl Gustav Carus, TU Dresden Fetscherstraße 74, 01307 Dresden, GermanyDepartment of Ophthalmology, University Hospital Carl Gustav Carus, TU Dresden Fetscherstraße 74, 01307 Dresden, GermanyDepartment of Ophthalmology, University Hospital Carl Gustav Carus, TU Dresden Fetscherstraße 74, 01307 Dresden, GermanyDepartment of Ophthalmology, University Hospital Carl Gustav Carus, TU Dresden Fetscherstraße 74, 01307 Dresden, GermanyDepartment of Ophthalmology, University Hospital Carl Gustav Carus, TU Dresden Fetscherstraße 74, 01307 Dresden, GermanyPurpose. To compare intraocular pressure (IOP) measurements with Goldmann applanation tonometry (GAT), ocular response analyzer (ORA), dynamic contour tonometer (DCT), and Corvis ST (CST) in healthy subjects. Methods. In a prospective, observational study, IOP measurements with GAT (GAT-IOPc), ORA (IOPcc), DCT (DCT-IOP), and CST (bIOP) were performed and analyzed in 94 healthy subjects. Results. Mean age of the participants was 45.6 ± 17.2 years (range 18 to 81 years). Mean GAT-IOPc was 12.9 ± 2.4 mmHg, mean DCT-IOP was 16.1 ± 2.6 mmHg, and mean IOPcc was 15.6 ± 3.3 mmHg. DCT-IOP and IOPcc were significantly higher than GAT-IOPc (P<0.001). Mean bIOP was 13.5 ± 2.4 mmHg that was slightly higher but not significantly different from GAT-IOPc (P=0.146). Correlation analysis of IOP values and central corneal thickness (CCT) revealed a negative correlation between GAT-IOPc and CCT (r = −0.347; P=0.001). However, IOPcc, DCT-IOP, and bIOP showed no significant correlation to CCT. Only bIOP revealed a weak but significant age dependency (r = 0.321, P=0.002). Conclusion. All tonometry devices showed a good agreement of biomechanical corrected IOP values with GAT-IOPc. As no influence of CCT on IOPcc, DCT-IOP, and bIOP was detectable, the used correction algorithms appear to be appropriate in these tonometers in the clinical setting. The highest agreement was found between GAT-IOPc and bIOP. However, bIOP weakly correlated with participants’ age. Further studies are needed to elucidate the role of bIOP for IOP measurement.http://dx.doi.org/10.1155/2019/3879651
spellingShingle Lisa Ramm
Robert Herber
Eberhard Spoerl
Frederik Raiskup
Lutz E. Pillunat
Naim Terai
Intraocular Pressure Measurement Using Ocular Response Analyzer, Dynamic Contour Tonometer, and Scheimpflug Analyzer Corvis ST
Journal of Ophthalmology
title Intraocular Pressure Measurement Using Ocular Response Analyzer, Dynamic Contour Tonometer, and Scheimpflug Analyzer Corvis ST
title_full Intraocular Pressure Measurement Using Ocular Response Analyzer, Dynamic Contour Tonometer, and Scheimpflug Analyzer Corvis ST
title_fullStr Intraocular Pressure Measurement Using Ocular Response Analyzer, Dynamic Contour Tonometer, and Scheimpflug Analyzer Corvis ST
title_full_unstemmed Intraocular Pressure Measurement Using Ocular Response Analyzer, Dynamic Contour Tonometer, and Scheimpflug Analyzer Corvis ST
title_short Intraocular Pressure Measurement Using Ocular Response Analyzer, Dynamic Contour Tonometer, and Scheimpflug Analyzer Corvis ST
title_sort intraocular pressure measurement using ocular response analyzer dynamic contour tonometer and scheimpflug analyzer corvis st
url http://dx.doi.org/10.1155/2019/3879651
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AT eberhardspoerl intraocularpressuremeasurementusingocularresponseanalyzerdynamiccontourtonometerandscheimpfluganalyzercorvisst
AT frederikraiskup intraocularpressuremeasurementusingocularresponseanalyzerdynamiccontourtonometerandscheimpfluganalyzercorvisst
AT lutzepillunat intraocularpressuremeasurementusingocularresponseanalyzerdynamiccontourtonometerandscheimpfluganalyzercorvisst
AT naimterai intraocularpressuremeasurementusingocularresponseanalyzerdynamiccontourtonometerandscheimpfluganalyzercorvisst