Comparison of Goldmann applanation tonometry and Pascal dynamic contour tonometry in relation to central corneal thickness and corneal curvature

Konstantinos Andreanos, Chryssanthi Koutsandrea, Dimitris Papaconstantinou, Andreas Diagourtas, Andreas Kotoulas, Panagiotis Dimitrakas, Marilita M Moschos First Department of Ophthalmology, University of Athens, “G. Gennimatas” General Hospital of Athens, Athens, Greece Purpos...

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Autores principales: Andreanos K, Koutsandrea C, Papaconstantinou D, Diagourtas A, Kotoulas A, Dimitrakas P, Moschos MM
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Lenguaje:EN
Publicado: Dove Medical Press 2016
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spelling oai:doaj.org-article:c9aa12c1e002429abfe0c4627b9369b72021-12-02T06:29:09ZComparison of Goldmann applanation tonometry and Pascal dynamic contour tonometry in relation to central corneal thickness and corneal curvature1177-5483https://doaj.org/article/c9aa12c1e002429abfe0c4627b9369b72016-12-01T00:00:00Zhttps://www.dovepress.com/comparison-of-goldmann-applanation-tonometry-and-pascal-dynamic-contou-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Konstantinos Andreanos, Chryssanthi Koutsandrea, Dimitris Papaconstantinou, Andreas Diagourtas, Andreas Kotoulas, Panagiotis Dimitrakas, Marilita M Moschos First Department of Ophthalmology, University of Athens, “G. Gennimatas” General Hospital of Athens, Athens, Greece Purpose: The aim of the study was to assess the influence of central corneal thickness (CCT) and corneal curvature in tonometry measurements taken by Goldmann applanation tonometry (GAT) and Pascal dynamic contour tonometry (DCT).Methods: This was a prospective study of 185 eyes from 97 subjects, attending outpatient ophthalmology appointments, who underwent intraocular pressure measurements by GAT and Pascal DCT. CCT and corneal curvature were obtained using ultrasound pachymetry and Orbscan topography, respectively. All measurements were carried out among males and females during the period 2009–2012. Apart from the usual descriptive and exploratory data analysis, one-way analysis of variance and agreement analysis were performed, linear as well as intraclass correlation coefficients were estimated, and multiple scatter and Bland–Altman plots were produced.Results: Mean IOP measurements obtained were 17.21±4.10 mmHg by DCT and 13.23±4.07 mmHg by GAT. Mean difference between the GAT and DCT measurements was 3.88±2.8 mmHg. Mean CCT and corneal curvature were 522.78±52 µm and 43.83±2.9823 D, respectively.Conclusion: Intraocular pressure measured by GAT was consistently lower when compared with DCT, and this difference was greatest with thinner CCT. Flat corneas seem to influence GAT measurements compared to DCT. Keywords: glaucoma, Goldmann, Pascal, tonometryAndreanos KKoutsandrea CPapaconstantinou DDiagourtas AKotoulas ADimitrakas PMoschos MMDove Medical PressarticleGlaucomaGoldmannPascalIntraocular pressureOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 10, Pp 2477-2484 (2016)
institution DOAJ
collection DOAJ
language EN
topic Glaucoma
Goldmann
Pascal
Intraocular pressure
Ophthalmology
RE1-994
spellingShingle Glaucoma
Goldmann
Pascal
Intraocular pressure
Ophthalmology
RE1-994
Andreanos K
Koutsandrea C
Papaconstantinou D
Diagourtas A
Kotoulas A
Dimitrakas P
Moschos MM
Comparison of Goldmann applanation tonometry and Pascal dynamic contour tonometry in relation to central corneal thickness and corneal curvature
description Konstantinos Andreanos, Chryssanthi Koutsandrea, Dimitris Papaconstantinou, Andreas Diagourtas, Andreas Kotoulas, Panagiotis Dimitrakas, Marilita M Moschos First Department of Ophthalmology, University of Athens, “G. Gennimatas” General Hospital of Athens, Athens, Greece Purpose: The aim of the study was to assess the influence of central corneal thickness (CCT) and corneal curvature in tonometry measurements taken by Goldmann applanation tonometry (GAT) and Pascal dynamic contour tonometry (DCT).Methods: This was a prospective study of 185 eyes from 97 subjects, attending outpatient ophthalmology appointments, who underwent intraocular pressure measurements by GAT and Pascal DCT. CCT and corneal curvature were obtained using ultrasound pachymetry and Orbscan topography, respectively. All measurements were carried out among males and females during the period 2009–2012. Apart from the usual descriptive and exploratory data analysis, one-way analysis of variance and agreement analysis were performed, linear as well as intraclass correlation coefficients were estimated, and multiple scatter and Bland–Altman plots were produced.Results: Mean IOP measurements obtained were 17.21±4.10 mmHg by DCT and 13.23±4.07 mmHg by GAT. Mean difference between the GAT and DCT measurements was 3.88±2.8 mmHg. Mean CCT and corneal curvature were 522.78±52 µm and 43.83±2.9823 D, respectively.Conclusion: Intraocular pressure measured by GAT was consistently lower when compared with DCT, and this difference was greatest with thinner CCT. Flat corneas seem to influence GAT measurements compared to DCT. Keywords: glaucoma, Goldmann, Pascal, tonometry
format article
author Andreanos K
Koutsandrea C
Papaconstantinou D
Diagourtas A
Kotoulas A
Dimitrakas P
Moschos MM
author_facet Andreanos K
Koutsandrea C
Papaconstantinou D
Diagourtas A
Kotoulas A
Dimitrakas P
Moschos MM
author_sort Andreanos K
title Comparison of Goldmann applanation tonometry and Pascal dynamic contour tonometry in relation to central corneal thickness and corneal curvature
title_short Comparison of Goldmann applanation tonometry and Pascal dynamic contour tonometry in relation to central corneal thickness and corneal curvature
title_full Comparison of Goldmann applanation tonometry and Pascal dynamic contour tonometry in relation to central corneal thickness and corneal curvature
title_fullStr Comparison of Goldmann applanation tonometry and Pascal dynamic contour tonometry in relation to central corneal thickness and corneal curvature
title_full_unstemmed Comparison of Goldmann applanation tonometry and Pascal dynamic contour tonometry in relation to central corneal thickness and corneal curvature
title_sort comparison of goldmann applanation tonometry and pascal dynamic contour tonometry in relation to central corneal thickness and corneal curvature
publisher Dove Medical Press
publishDate 2016
url https://doaj.org/article/c9aa12c1e002429abfe0c4627b9369b7
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