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Comparative evaluation of TonoPen AVIA, Goldmann applanation tonometry and non-contact tonometry

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Abstract

To compare the tonometric recordings of the Tono-Pen AVIA (TPA) with intraocular pressure (IOP) recordings made with Goldmann applanation tonometry (GAT) and non-contact tonometry (NCT). This prospective, observational, comparative case series consisted of 180 eyes of 180 subjects (50 patients with glaucoma and 130 healthy controls). NCT was performed first, followed by GAT and TPA measurement after a 5-min break. The mean age of the patients enrolled in the study was 43.99 ± 16.67 years. The limits of agreement (confidence interval 95%) as calculated from the Bland–Altman plots for TPA–GAT and TPA–NCT were +8.7 to −7.7 and +8.6 to −9.6 mmHg in glaucoma patients. In healthy subjects these values were +4.8 to −5.1 and +6.2 to −5.2 mmHg, respectively. TPA tends to overestimate IOP compared to GAT at central corneal thickness (CCT) greater than 520 μm and underestimate IOP at CCT less than 510 μm. TPA overestimates IOP in comparison to NCT in subjects with CCT greater than 456 μm. Due to wide limits of agreement, TPA cannot be used interchangeably with GAT and NCT in the serial monitoring of glaucoma patients. Central corneal thickness has a significant influence on the IOP readings measured by Tono-Pen AVIA.

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References

  1. Mok KH, Wong CS, Lee VW (1999) Tono-Pen tonometer and corneal thickness. Eye (Lond) 13:35–37

    Article  Google Scholar 

  2. Hessemer V, Rossler R, Jacobi KW (1989) Tono-Pen: a new tonometer. Int Ophthalmol Clin 13:51–56

    CAS  Google Scholar 

  3. Moses RA, Liu CH (1968) Repeated applanation tonometry. Am J Ophthalmol 66:89–91

    PubMed  CAS  Google Scholar 

  4. Hodapp E, Parrish RK, Anderson DR (1993). Clinical decisions in glaucoma, Mosby, St Louis, p 52

  5. Singh K, Spaeth G, Zimmerman T et al (2000) Target IOP: Glaucoma’s Holy Grail. Ophthalmol 107:629–630

    Article  CAS  Google Scholar 

  6. Goldmann H, Schmidt T (1957) Über Applanationstonometrie. Ophthalmologica 134:221–242

    Article  PubMed  CAS  Google Scholar 

  7. Goldmann H, Schmidt T (1961) Weiterer Beitrag zur Applanations tonometrie. Ophthalmologica 141:441–456

    Article  PubMed  CAS  Google Scholar 

  8. Hager A, Wiegand W (2008) Methods of measuring intraocular pressure independently of central corneal thickness. Ophthalmologe 105:840–844

    Article  PubMed  CAS  Google Scholar 

  9. Sudesh S, Moseley MJ, Thompson JR (1993) Accuracy of Goldmann tonometry in clinical practice. Acta Ophthalmol (Copen) 71:185–188

    Article  CAS  Google Scholar 

  10. Recep OF, Hasiripi H, Vayisoglu E, Kalayci D, Sarikatipoglu H (1998) Accurate time interval in repeated tonometry. Acta Ophthalmol Scand 76:603–605

    Article  PubMed  CAS  Google Scholar 

  11. Salvetat ML, Zeppieri M, Tosoni C, Brusini P (2007) Comparisons between Pascal Dynamic contour tonometry, the tonopen and goldmann applanation tonometry in patients with glaucoma. Acta Ophthalmol Scand 85:272–279

    Article  PubMed  Google Scholar 

  12. Kao SF, Lichter PR, Bergstrom TJ et al (1987) Clinical comparison of the Oculab Tono-Pen to the Goldmann applanation tonometer. Ophthalmology 91:1541–1544

    Google Scholar 

  13. Frenkel RP, Hong J, Shin DH (1988) Comparison of the Tono-Pen to the Goldmann applanation tonometer. Arch Ophthalmol 106:750–753

    PubMed  CAS  Google Scholar 

  14. Geyer O, Mayron Y, Loewenstien A, Neudorfer M, Rothkoff L, Lazar M (1992) Tono-Pen tonometry in normal and post keratoplasty eyes. Br J Ophthalmol 76:538–540

    Article  PubMed  CAS  Google Scholar 

  15. Tonnu P, Tonnu A, Ho T, White E, Bunce C, Garway-Heath D (2005) A comparison of four methods of tonometry: method agreement and interobserver variability. Br J Ophthalmol 89:847–850

    Article  PubMed  Google Scholar 

  16. Bafa M, Lambrinakis I, Dayan M, Birch M (2001) Clinical comparison of the measurement of the IOP with the ocular blood flow tonometer, the TonoPen XL and the Goldmann applanation tonometer. Acta Ophthalmol Scand 79:15–18

    Article  PubMed  CAS  Google Scholar 

  17. Iester M, Mermoud A, Achache F, Roy S (2001) New TonoPen XL: comparison with the Goldmann tonometer. Eye 15:52–58

    Article  PubMed  CAS  Google Scholar 

  18. Denis P, Nordmann JP, Bertin V, Gayraud JM, Laroche L, Saraux H (1993) Evaluation of the Tono-Pen 2 and the X-Pert noncontact tonometers in cataract surgery. Ophthalmologica 207:155–161

    Article  PubMed  CAS  Google Scholar 

  19. Eisenberg DL, Sherman BG, McKeown CA, Schuman JS (1998) Tonometry in adults and children. A manometric evaluation of pneumatonometry, applanation, and TonoPen in vitro and in vivo. Ophthalmology 105:1173–1181

    Article  PubMed  CAS  Google Scholar 

  20. Broman AT, Congdon NG, Bandeen-Roche K, Quigley HA (2007) Influence of corneal structure, corneal responsiveness, and other ocular parameters on tonometric measurement of intraocular pressure. J Glaucoma 16:581–588

    Article  PubMed  Google Scholar 

  21. Viestenz A, Lausen B, Jünemann AM, Mardin CY (2002) Comparison of precision of the TonoPenXL with the Goldmann and Draeger applanation tonometer in a sitting and recumbent position of the patients: a clinical study on 251 eyes. Klin Monatsbl Augenheilkd 219:785–790

    Article  PubMed  Google Scholar 

  22. Bandyopadhyay M, Raychaudhuri A, Lahiri SK, Schwartz EC, Myatt M, Johnson GJ (2002) Comparison of Goldmann applanation tonometry with the Tonopen for measuring intraocular pressure in a population-based glaucoma survey in rural West Bengal. Ophthalm Epidemiol 9:215–224

    Article  Google Scholar 

  23. Dohadwala AA, Munger R, Damji K (1998) Positive correlation between TonoPen intraocular pressure and central corneal thickness. Ophthalmology 105:1849–1854

    Article  PubMed  CAS  Google Scholar 

  24. Mok KH, Wong CS, Lee VW (1999) TonoPen tonometer and corneal thickness. Eye 13:35–37

    Article  PubMed  Google Scholar 

  25. Bhan A, Browning AC, Shah S, Hamilton R, Dave D, Dua HS (2002) Effect of corneal thickness measurements on intraocular pressure measurements with the pneumotonometer, Goldmann applanation tonometer and TonoPen. Invest Ophthalmol Vis Sci 43:1389–1392

    PubMed  Google Scholar 

  26. Tonnu PA, Ho T, Newson T, Sharma K, White E, Bunce C, Garway-Heath D (2005) The influence of central corneal thickness and age on intraocular pressure measured by pneumotonometry, non-contact tonometry, the Tono-Pen XL, and Goldmann applanation tonometry. Br J Ophthalmol 89:851–854

    Article  PubMed  Google Scholar 

  27. Li J, Asrani SG, Stinnett S, Allingham R (2004) Clinical comparison of the proview eye pressure monitor with the Goldmann applanation tonometer and the TonoPen. Arch Ophthalmol 122:1117–1121

    Article  PubMed  Google Scholar 

  28. Almubrad TM, Ogbuehi KC (2007) Clinical investigation of the effect of topical anesthesia on intraocular pressure. Clin Ophthalmol 1:305–309

    PubMed  Google Scholar 

  29. Nam SM, Lee HK, Kim EK, Seo KY (2006) Comparison of corneal thickness after the instillation of topical anesthetics: proparacaine versus oxybuprocaine. Cornea S25:51–54

    Article  Google Scholar 

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Authors and Affiliations

  1. Glaucoma Facility, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, 110029, India

    Shibal Bhartiya, Shveta Jindal Bali, Reetika Sharma, Neha Chaturvedi & Tanuj Dada

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  1. Shibal Bhartiya
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  2. Shveta Jindal Bali
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  3. Reetika Sharma
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  4. Neha Chaturvedi
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  5. Tanuj Dada
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Correspondence to Shveta Jindal Bali.

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Bhartiya, S., Bali, S.J., Sharma, R. et al. Comparative evaluation of TonoPen AVIA, Goldmann applanation tonometry and non-contact tonometry. Int Ophthalmol 31, 297–302 (2011). https://doi.org/10.1007/s10792-011-9458-4

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  • DOI: https://doi.org/10.1007/s10792-011-9458-4

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