Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/53767
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Type: Journal article
Title: Clinical comparison of the Icare tonometer and Goldmann applanation tonometry
Author: Pakrou, N.
Gray, T.
Mills, R.
Landers, J.
Craig, J.
Citation: Journal of Glaucoma, 2008; 17(1):43-47
Publisher: Lippincott Williams & Wilkins
Issue Date: 2008
ISSN: 1057-0829
1536-481X
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Responsibility: 
Pakrou, Nima; Gray, Tim; Mills, Richard; Landers, John and Craig, Jamie
Abstract: PURPOSE: To compare a new method of intraocular pressure (IOP) measurement, using the Icare tonometer, with Goldmann applanation tonometry (GAT). PATIENTS AND METHODS: Two observers obtained IOP readings in 292 eyes (143 right and 149 left) of 153 subjects, using the Icare without topical anesthetic. A GAT reading was subsequently obtained by a consultant ophthalmologist, without the knowledge of the Icare readings. Central corneal thickness (CCT) was obtained on all eyes with ultrasound pachymetry. Patient comfort after IOP measurement was assessed in a consecutive subset of patients. RESULTS: The intraclass correlation coefficient between the 2 modalities of IOP measurement was r=0.95 for the right and r=0.93 for the left eye. The mean difference (Icare-GAT) between the IOP measured by the 2 methods was 0.4 mm Hg in the right eye (SD 3.0, 95% confidence interval -5.5 to 6.3), and 0.8 mm Hg in the left eye (SD 3.0, confidence interval -4.7 to 6.2). GAT measurements did not vary with CCT [correlation coefficient=0.09 (P=0.25) right and 0.14 (P=0.09) left eyes]. However, IOP measured with Icare tonometry increased with increasing CCT [correlation coefficient=0.16 (P=0.05) right and 0.21 (P=0.01) left eyes]. For every 100-microm increase in CCT, the difference (Icare-GAT) increased by 1 mm Hg. Of the 38 consecutive patients surveyed, 28 (73.7%) rated the Icare more comfortable than GAT, with only 2 (5.3%) rating it less comfortable (P<0.001). CONCLUSIONS: There is good correlation between the 2 methods of IOP measurement, even at extremes of IOP. The Icare instrument was easy to use and recorded rapid and consistent readings with minimal training. It seems to be more comfortable than GAT and obviates the need for topical anesthesia.
Keywords: Humans; Glaucoma, Open-Angle; Tonometry, Ocular; Reproducibility of Results; Intraocular Pressure; Adolescent; Adult; Aged; Aged, 80 and over; Middle Aged; Female; Male
RMID: 0020084879
DOI: 10.1097/IJG.0b013e318133fb32
Appears in Collections:Medicine publications

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