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Comprasion of ICare Rebound Tonometer and Goldmann Applanation Tonometer in High Myopia

Authors: Halil Huseyin Cagatay; Metin Ekinci; Zeliha Yazar; Gokcen Gokce; Erdinc Ceylan;

Comprasion of ICare Rebound Tonometer and Goldmann Applanation Tonometer in High Myopia

Abstract

Purpose.To compare intraocular pressure (IOP) measurements with the Goldmann applanation tonometer (GAT) and the ICare rebound tonometer (RBT) in high myopic eyes.Patients and Methods. This randomized prospective study included 40 eyes of 40 patients with high myopia. All patients’ central corneal thickness (CCT), anterior chamber depth (ACD), axial length (AXL), keratometry, and refractive measurements were recorded and followed by IOP measurement with RBT and GAT.Results. The average CCT, AXL, and ACD were determined to be514.65±32 μm,27.65±2.22 mm, and3.25±0.51 mm, respectively. MeanKwas43.27±1.4 D and mean spherical equivalent was-11.31±4.30 D. The mean IOP values obtained by RBT and GAT were17.18±3.72 mmHg and16.48±3.19 mmHg, respectively. The deviations of RBT readings from corrected GAT values were highly correlated with CCT values (r=0.588,P=0.0001). The mean corrected GAT reading was17.49±3.01 mmHg. Linear regression analysis showed that a CCT change of 10 μm resulted in an RBT reading deviation of 0.57 mmHg. The Bland-Altman scatter-plot and McNemar test showed a clinically good level of agreement between the two tonometers.Conclusion. This study found a good agreement level between the two tonometers in high myopic patients and that RBT measurements are influenced by CCT variations.

Keywords

Adult, Male, Technology, Adolescent, Corneal Pachymetry, Anterior Chamber, T, Science, Q, R, Reproducibility of Results, Middle Aged, Cornea, Axial Length, Eye, Tonometry, Ocular, Clinical Study, Myopia, Medicine, Humans, Female, Prospective Studies, Intraocular Pressure

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selected citations
These citations are derived from selected sources.
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!
9
Average
Average
Average
Green
gold