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Frequency of Goldmann Applanation Tonometer Calibration Error Checks

Authors: Sandhu SS; Chattopadhyay S; Birch MK; Ray-Chaudhuri N;

Frequency of Goldmann Applanation Tonometer Calibration Error Checks

Abstract

To investigate how quickly Goldmann applanation tonometers used in clinical practice develop calibration errors, and to determine the frequency of checks required to detect these errors.Prospective check of the calibration error of all Haag-Streit Goldmann applanation tonometers in the department at month zero, month one, and month four. The tonometers were checked according to the Haag-Streit method using a standard calibration check weight bar by two independent observers. Calibration errors were classed as +/-0.5 to 2.5 mm Hg, +/-3 to 4 mm Hg, or >+/-4 mm Hg. Tonometers with a calibration error greater than +/-2.5 mm Hg were returned to the manufacturer for re-calibration.At month zero 2 of 34 (5.9%), at month one 3 of 29 (10.3%), and at month four 0 of 33 (0.0%) tonometers fell within the manufacturer's recommended calibration range of +/-0.5 mm Hg. A total of 14 of 34 (41.2%) tonometers at month zero, 10 of 29 (34.5%) tonometers at month one, and 17 of 33 (51.5%) tonometers at month four were identified to have calibration errors greater than +/-2.5 mm Hg.Goldmann applanation tonometers are not as accurate as the manufacturer's recommended calibration error tolerance of +/-0.5 mm Hg would suggest. Calibration error of less than +/-2.5 mm Hg is clinically acceptable. Calibration error checks should be carried out once monthly and tonometers with calibration error greater than +/-2.5 mm Hg returned to the manufacturer for re-calibration. Additional checks should be made if tonometers suffer specific damage. Ideally individual ophthalmologists should check calibration before each session.

Keywords

Quality Control, Tonometry, Ocular, Time Factors, Calibration, Humans, Reproducibility of Results, Prospective Studies, Intraocular Pressure

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
38
Top 10%
Top 10%
Top 10%
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