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Comparison of Disposable Goldmann Applanation Tonometer, ICare ic100, and Tonopen XL to Standards of Care Goldmann Nondisposable Applanation Tonometer for Measuring Intraocular Pressure

Authors: Benny Wong; Allison Angelilli; Carolyn Shih; Lisa Rosen; Matthew Gorski; Deep Parikh;

Comparison of Disposable Goldmann Applanation Tonometer, ICare ic100, and Tonopen XL to Standards of Care Goldmann Nondisposable Applanation Tonometer for Measuring Intraocular Pressure

Abstract

Purpose: To compare intraocular pressure (IOP) measurements by Goldmann applanation tonometer (GAT), disposable Goldmann applanation prism, ICare, and Tonopen. Materials and Methods: A total of 74 patients with varying glaucoma status were examined in our outpatient clinic and IOP was measured with 3 tonometers. The disposable Tonojet prism (dGAT), Tonopen XL, and ICare ic100 were compared with the GAT. Results: There were good intraclass correlation coefficients between IOP measurements by GAT and dGAT (0.95), Tonopen (0.83), and ICare (0.77), all P<0.001. The IOP mean differences between dGAT and GAT were mean 0.80 mm Hg; 95% limits of agreement: −3.35 to 4.96 mm Hg. For Tonopen and GAT: mean, −1.67 mm Hg; limits of agreement, −8.55 to 5.21 mm Hg. For ICare and GAT: mean, 0.44 mm Hg; limits of agreement, −8.18 to 9.06 mm Hg. Conclusions: The most reliable modality, with good correlation with the Goldmann tonometer values, was the GAT with dGAT, followed in descending order by the Tonopen XL and ICare. There was good interdevice agreement and consistency between all devices. On subgroup analysis, all 3 modalities were found to be less reliable at extreme IOP values (<10 and >24 mm Hg). These disposable modalities should be avoided in extreme IOP ranges outside the normal range.

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Keywords

Adult, Aged, 80 and over, Male, Adolescent, Reproducibility of Results, Standard of Care, Middle Aged, Ambulatory Care Facilities, Healthy Volunteers, Tonometry, Ocular, Young Adult, Reference Values, Humans, Female, Disposable Equipment, Glaucoma, Open-Angle, Intraocular Pressure, Aged

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Powered by OpenAIRE graph
Found an issue? Give us feedback
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!
22
Top 10%
Top 10%
Top 10%
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