Applanation tonometry: a comparison of the Perkins handheld and Goldmann slit lamp-mounted methods

R Arora,1 H Bellamy,2 MW Austin21University Hospital of Southampton, Southampton, Hampshire, 2Singleton Hospital, Abertawe Bro Morgannwg University Health Board, Swansea, Wales, UKPurpose: To compare intraocular pressure (IOP) measurements, taken using Perkins applanation tonometry (PAT) and Goldma...

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Autores principales: Arora R, Bellamy H, Austin MW
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Publicado: Dove Medical Press 2014
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spelling oai:doaj.org-article:c3b9c372b13942cf8657502c1b4e5fb82021-12-02T04:58:29ZApplanation tonometry: a comparison of the Perkins handheld and Goldmann slit lamp-mounted methods1177-5483https://doaj.org/article/c3b9c372b13942cf8657502c1b4e5fb82014-03-01T00:00:00Zhttp://www.dovepress.com/applanation-tonometry-a-comparison-of-the-perkins-handheld-and-goldman-a16223https://doaj.org/toc/1177-5483 R Arora,1 H Bellamy,2 MW Austin21University Hospital of Southampton, Southampton, Hampshire, 2Singleton Hospital, Abertawe Bro Morgannwg University Health Board, Swansea, Wales, UKPurpose: To compare intraocular pressure (IOP) measurements, taken using Perkins applanation tonometry (PAT) and Goldmann applanation tonometry (GAT).Methods: 100 eyes of 100 patients underwent Perkins and Goldmann applanation tonometry, with a randomized order of modality, performed by a masked observer. The right eye was measured, for all subjects, and the data used in statistical analysis. The comparability of results given by the two instruments was evaluated using the Bland–Altman method.Results: IOP measurements for 100 eyes were obtained (range: 10–44 mmHg). The mean GAT reading was 21.63 mmHg, with standard deviation (SD) 5.69 mmHg. The mean PAT reading was 21.40 mmHg, with SD 5.67 mmHg. The mean difference between readings from Goldmann versus Perkins tonometry was 0.22 mmHg (SD: 0.44 mmHg). The limits of agreement were calculated to be -0.64–+1.08 mmHg (1.96 SD either side of the bias).Conclusion: The Perkins applanation tonometer yields IOP measurements that are closely comparable with GAT. Therefore, PAT may be used in routine clinical practice, as part of the implementation of national guidelines, or preferred practice patterns, for glaucoma and ocular hypertension.Keywords: glaucoma, intraocular pressure, ocular tonometry, Perkins applanation tonometry, Goldmann applanation tonometryArora RBellamy HAustin MWDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 605-610 (2014)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Arora R
Bellamy H
Austin MW
Applanation tonometry: a comparison of the Perkins handheld and Goldmann slit lamp-mounted methods
description R Arora,1 H Bellamy,2 MW Austin21University Hospital of Southampton, Southampton, Hampshire, 2Singleton Hospital, Abertawe Bro Morgannwg University Health Board, Swansea, Wales, UKPurpose: To compare intraocular pressure (IOP) measurements, taken using Perkins applanation tonometry (PAT) and Goldmann applanation tonometry (GAT).Methods: 100 eyes of 100 patients underwent Perkins and Goldmann applanation tonometry, with a randomized order of modality, performed by a masked observer. The right eye was measured, for all subjects, and the data used in statistical analysis. The comparability of results given by the two instruments was evaluated using the Bland–Altman method.Results: IOP measurements for 100 eyes were obtained (range: 10–44 mmHg). The mean GAT reading was 21.63 mmHg, with standard deviation (SD) 5.69 mmHg. The mean PAT reading was 21.40 mmHg, with SD 5.67 mmHg. The mean difference between readings from Goldmann versus Perkins tonometry was 0.22 mmHg (SD: 0.44 mmHg). The limits of agreement were calculated to be -0.64–+1.08 mmHg (1.96 SD either side of the bias).Conclusion: The Perkins applanation tonometer yields IOP measurements that are closely comparable with GAT. Therefore, PAT may be used in routine clinical practice, as part of the implementation of national guidelines, or preferred practice patterns, for glaucoma and ocular hypertension.Keywords: glaucoma, intraocular pressure, ocular tonometry, Perkins applanation tonometry, Goldmann applanation tonometry
format article
author Arora R
Bellamy H
Austin MW
author_facet Arora R
Bellamy H
Austin MW
author_sort Arora R
title Applanation tonometry: a comparison of the Perkins handheld and Goldmann slit lamp-mounted methods
title_short Applanation tonometry: a comparison of the Perkins handheld and Goldmann slit lamp-mounted methods
title_full Applanation tonometry: a comparison of the Perkins handheld and Goldmann slit lamp-mounted methods
title_fullStr Applanation tonometry: a comparison of the Perkins handheld and Goldmann slit lamp-mounted methods
title_full_unstemmed Applanation tonometry: a comparison of the Perkins handheld and Goldmann slit lamp-mounted methods
title_sort applanation tonometry: a comparison of the perkins handheld and goldmann slit lamp-mounted methods
publisher Dove Medical Press
publishDate 2014
url https://doaj.org/article/c3b9c372b13942cf8657502c1b4e5fb8
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AT bellamyh applanationtonometryacomparisonoftheperkinshandheldandgoldmannslitlampmountedmethods
AT austinmw applanationtonometryacomparisonoftheperkinshandheldandgoldmannslitlampmountedmethods
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