Measuring Intraocular Pressure After Intrastromal Corneal Ring Segment Implantation With Rebound Tonometry and Goldmann Applanation Tonometry

التفاصيل البيبلوغرافية
العنوان: Measuring Intraocular Pressure After Intrastromal Corneal Ring Segment Implantation With Rebound Tonometry and Goldmann Applanation Tonometry
المؤلفون: Carmen Mendez-Hernandez, David Díaz-Valle, Julian Garcia-Feijoo, Cristina Fernández-Pérez, Paula Arribas-Pardo, Ricardo Cuiña-Sardiña
المصدر: Cornea. 34:516-520
بيانات النشر: Ovid Technologies (Wolters Kluwer Health), 2015.
سنة النشر: 2015
مصطلحات موضوعية: Adult, Male, Intraocular pressure, medicine.medical_specialty, genetic structures, Corneal Stroma, medicine.medical_treatment, Ophthalmologic Surgical Procedures, Keratoconus, Goldmann applanation tonometry, Prosthesis Implantation, Tonometry, Ocular, Ectasia, Ophthalmology, Humans, Medicine, Prospective Studies, Intraocular Pressure, medicine.diagnostic_test, Intrastromal corneal ring segment, business.industry, Corneal Topography, Prostheses and Implants, REBOUND TONOMETRY, Middle Aged, Corneal topography, eye diseases, Confidence interval, Cross-Sectional Studies, Female, sense organs, business, Corneal astigmatism
الوصف: Purpose: The aim of this study was to compare intraocular pressure (IOP) measurements in patients with ectatic corneas after intrastromal corneal ring segment (ICRS) implantation using the Rebound tonometers (RBTs) Icare and Icare Pro, compared with Goldmann applanation tonometry (GAT) and to assess the influence of central corneal thickness (CCT), corneal curvature (CC), and corneal astigmatism (CA) on IOP. Methods: This prospective cross-sectional study consecutively included 60 eyes of 60 patients with corneal ectasia having ICRS for at least 6 months from January 2011 to December 2013. All subjects underwent GAT, Icare, and Icare Pro IOP measurements in a random order, and CCT, CC, and CA evaluation using a Pentacam. The Bland–Altman method and multivariate regression analysis logistic method were used to assess intertonometer agreement and the influence of corneal variables on IOP measurements. Results: Icare significantly underestimated IOP compared with GAT [GAT - Icare 1.2 ± 3.0 mm Hg, P = 0.002 (95% confidence interval, 0.5–2.0)], whereas Icare Pro showed no statistical differences compared with GAT [GAT - Icare Pro 0.1 ± 3.1 mm Hg, P = 0.853 (95% confidence interval, -0.7 to 0.9)]. Both RBTs presented good concordance with GAT (intraclass coefficient correlation > 0.6). All tonometer measurements were influenced by CCT values and age (P < 0.05); the number of ICRS implanted did not influenced IOP measurement with any of the 3 tonometers. Conclusions: Both RBTs could be an alternative to GAT in patients with corneal ectasia and ICRS; however, Icare Pro shows greater accuracy.
تدمد: 0277-3740
DOI: 10.1097/ico.0000000000000374
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::79ce687de4b00c3bd1083416510fa61d
https://doi.org/10.1097/ico.0000000000000374
رقم الانضمام: edsair.doi.dedup.....79ce687de4b00c3bd1083416510fa61d
قاعدة البيانات: OpenAIRE
الوصف
تدمد:02773740
DOI:10.1097/ico.0000000000000374