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. 1994 Sep;78(9):671–676. doi: 10.1136/bjo.78.9.671

Intraocular pressure measurement after penetrating keratoplasty: minified Goldmann applanation tonometer, pneumatonometer, and Tono-Pen versus manometry.

M J Ménage 1, P L Kaufman 1, M A Croft 1, S P Landay 1
PMCID: PMC504903  PMID: 7947545

Abstract

The accuracy of intraocular pressure measurement with the minified Goldmann applanation tonometer, the pneumatonometer, and the Tono-Pen tonometer were compared in post-mortem human eyes which had undergone penetrating keratoplasty. Enucleated post-mortem human eyes underwent same sized (7.75 mm) or 0.5 mm oversized (8.25 mm) autologous penetrating keratoplasty. Intraocular pressure was then set and measured manometrically while being determined successively with each tonometer over the range of 0-65 mm Hg. Linear regression analysis comparing tonometric and manometric readings showed: (1) minified Goldmann applanation tonometer-slope 0.985 and 0.944, intercept 1.64 and 2.55 mm Hg, correlation coefficient 0.99 and 0.99 in same sized and oversized grafted eyes respectively; (2) pneumatonometer-slope 1.008 and 0.990, intercept 3.37 and 3.69 mm Hg, correlation coefficient 0.99 and 0.98; (3) Tono-Pen-slope 1.061 and 1.002, intercept 5.01 and 4.06 mm Hg, correlation coefficient 0.97 and 0.98. We concluded that the minified Goldmann applanation tonometer is as accurate or more accurate than the pneumatonometer and the Tono-Pen in post-mortem post-keratoplasty human eyes, and may be an economical, convenient alternative to the latter two instruments in clinical practice.

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Selected References

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  1. BARANY E. H. SIMULTANEOUS MEASUREMENT OF CHANGING INTRAOCULAR PRESSURE AND OUTFLOW FACILITY IN THE VERVET MONKEY BY CONSTANT PRESSURE INFUSION. Invest Ophthalmol. 1964 Apr;3:135–143. [PubMed] [Google Scholar]
  2. Boothe W. A., Lee D. A., Panek W. C., Pettit T. H. The Tono-Pen. A manometric and clinical study. Arch Ophthalmol. 1988 Sep;106(9):1214–1217. doi: 10.1001/archopht.1988.01060140374035. [DOI] [PubMed] [Google Scholar]
  3. Frenkel R. E., Hong Y. J., Shin D. H. Comparison of the Tono-Pen to the Goldmann applanation tonometer. Arch Ophthalmol. 1988 Jun;106(6):750–753. doi: 10.1001/archopht.1988.01060130820030. [DOI] [PubMed] [Google Scholar]
  4. Geyer O., Mayron Y., Loewenstein A., Neudorfer M., Rothkoff L., Lazar M. Tono-Pen tonometry in normal and in post-keratoplasty eyes. Br J Ophthalmol. 1992 Sep;76(9):538–540. doi: 10.1136/bjo.76.9.538. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Hahneberger R. W. Applanation tonometry in the conscious cynomolgus monkey (Macaca fascicularis). Acta Ophthalmol (Copenh) 1976 Jul;54(3):311–319. doi: 10.1111/j.1755-3768.1976.tb01260.x. [DOI] [PubMed] [Google Scholar]
  6. Heidemann D. G., Sugar A., Meyer R. F., Musch D. C. Oversized donor grafts in penetrating keratoplasty. A randomized trial. Arch Ophthalmol. 1985 Dec;103(12):1807–1811. doi: 10.1001/archopht.1985.01050120041016. [DOI] [PubMed] [Google Scholar]
  7. Holladay J. T., Allison M. E., Prager T. C. Goldmann applanation tonometry in patients with regular corneal astigmatism. Am J Ophthalmol. 1983 Jul;96(1):90–93. doi: 10.1016/0002-9394(83)90459-2. [DOI] [PubMed] [Google Scholar]
  8. Irvine A. R., Kaufman H. E. Intraolar pressure following penetrating keratoplasty. Am J Ophthalmol. 1969 Nov;68(5):835–844. doi: 10.1016/0002-9394(69)94577-2. [DOI] [PubMed] [Google Scholar]
  9. Kao S. F., Lichter P. R., Bergstrom T. J., Rowe S., Musch D. C. Clinical comparison of the Oculab Tono-Pen to the Goldmann applanation tonometer. Ophthalmology. 1987 Dec;94(12):1541–1544. doi: 10.1016/s0161-6420(87)33249-x. [DOI] [PubMed] [Google Scholar]
  10. Kaufman H. E. Pressure measurement: which tonometer? Invest Ophthalmol. 1972 Feb;11(2):80–85. [PubMed] [Google Scholar]
  11. Kaufman H. E., Wind C. A., Waltman S. R. Validity of Mackay-Marg electronic applanation tonometer in patients with scarred irregular corneas. Am J Ophthalmol. 1970 Jun;69(6):1003–1007. doi: 10.1016/0002-9394(70)91047-0. [DOI] [PubMed] [Google Scholar]
  12. Kaufman P. L., Davis G. E. "Minified" Goldmann applanating prism for tonometry in monkeys and humans. Arch Ophthalmol. 1980 Mar;98(3):542–546. doi: 10.1001/archopht.1980.01020030538022. [DOI] [PubMed] [Google Scholar]
  13. Langham M. E., McCarthy E. A rapid pneumatic applanation tonometer. Comparative findings and evaluation. Arch Ophthalmol. 1968 Apr;79(4):389–399. doi: 10.1001/archopht.1968.03850040391006. [DOI] [PubMed] [Google Scholar]
  14. MACKAY R. S., MARG E. Fast, automatic, electronic tonometers based on an exact theroy. Acta Ophthalmol (Copenh) 1959;37:495–507. doi: 10.1111/j.1755-3768.1959.tb03461.x. [DOI] [PubMed] [Google Scholar]
  15. MOSES R. A. The Goldmann applanation tonometer. Am J Ophthalmol. 1958 Dec;46(6):865–869. doi: 10.1016/0002-9394(58)90998-x. [DOI] [PubMed] [Google Scholar]
  16. Minckler D. S., Baerveldt G., Heuer D. K., Quillen-Thomas B., Walonker A. F., Weiner J. Clinical evaluation of the Oculab Tono-Pen. Am J Ophthalmol. 1987 Aug 15;104(2):168–173. doi: 10.1016/0002-9394(87)90010-9. [DOI] [PubMed] [Google Scholar]
  17. Moses R. A., Grodzki W. J., Jr The pneumatonograph. A laboratory study. Arch Ophthalmol. 1979 Mar;97(3):547–552. doi: 10.1001/archopht.1979.01020010291023. [DOI] [PubMed] [Google Scholar]
  18. Olson R. J., Kaufman H. E. Prognostic factors of intraocular pressure after aphakic keratoplasty. Am J Ophthalmol. 1978 Oct;86(4):510–515. doi: 10.1016/0002-9394(78)90298-2. [DOI] [PubMed] [Google Scholar]
  19. Quigley H. A., Langham M. E. Comparative intraocular pressure measurements with the pneumatonograph and Goldmann tonometer. Am J Ophthalmol. 1975 Aug;80(2):266–273. doi: 10.1016/0002-9394(75)90144-0. [DOI] [PubMed] [Google Scholar]
  20. Rootman D. S., Insler M. S., Thompson H. W., Parelman J., Poland D., Unterman S. R. Accuracy and precision of the Tono-Pen in measuring intraocular pressure after keratoplasty and epikeratophakia and in scarred corneas. Arch Ophthalmol. 1988 Dec;106(12):1697–1700. doi: 10.1001/archopht.1988.01060140869030. [DOI] [PubMed] [Google Scholar]
  21. Simmons R. B., Stern R. A., Teekhasaenee C., Kenyon K. R. Elevated intraocular pressure following penetrating keratoplasty. Trans Am Ophthalmol Soc. 1989;87:79–93. [PMC free article] [PubMed] [Google Scholar]
  22. Sponsel W. E., Kaufman P. L., Strinden T. I., DePaul K. L., Bowes H. N., Olander K. W., Barnebey H. S. Evaluation of the Keeler Pulsair non-contact tonometer. Acta Ophthalmol (Copenh) 1989 Oct;67(5):567–572. doi: 10.1111/j.1755-3768.1989.tb04109.x. [DOI] [PubMed] [Google Scholar]
  23. West C. E., Capella J. A., Kaufman H. E. Measurement of intraocular pressure with a pneumatic applanation tonometer. Am J Ophthalmol. 1972 Sep;74(3):505–509. doi: 10.1016/0002-9394(72)90917-8. [DOI] [PubMed] [Google Scholar]
  24. Whitacre M. M., Emig M., Hassanein K. The effect of Perkins, Tono-Pen, and Schiötz tonometry on intraocular pressure. Am J Ophthalmol. 1991 Jan 15;111(1):59–64. doi: 10.1016/s0002-9394(14)76898-9. [DOI] [PubMed] [Google Scholar]
  25. Wind C. A., Irvine A. R. Electronic applanation tonometry in corneal edema and keratoplasty. Invest Ophthalmol. 1969 Dec;8(6):620–624. [PubMed] [Google Scholar]
  26. Wind C. A., Kaufman H. E. Validity of MacKay-Marg applanation tonometry following penetrating keratoplasty in man. Am J Ophthalmol. 1971 Jul 30;72(1):117–118. doi: 10.1016/0002-9394(71)91599-6. [DOI] [PubMed] [Google Scholar]
  27. Wood T. O., West C., Kaufman H. E. Control of intraocular pressure in penetrating keratoplasty. Am J Ophthalmol. 1972 Oct;74(4):724–728. doi: 10.1016/0002-9394(72)90835-5. [DOI] [PubMed] [Google Scholar]
  28. Zimmerman T., Olson R., Waltman S., Kaufman H. Transplant size and elevated intraocular pressure. Postkeratoplasty. Arch Ophthalmol. 1978 Dec;96(12):2231–2233. doi: 10.1001/archopht.1978.03910060533012. [DOI] [PubMed] [Google Scholar]

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