The influence of central corneal thickness on intraocular pressure, measured by different tonometers: noncontact and goldmann applanation tonometers. -
Punit Singh, Raghunandan Kothari, Himadri Patel
Abstract
Punit Singh, Raghunandan Kothari, Himadri Patel
Abstract
Aim: The aim of this study is to determine if the central corneal thickness (CCT) influences the concordance of intraocular pressure (IOP) readings taken with a noncontact tonometer (NCT) and a Goldmann applanation tonometer (GAT). Methodology: 100 patients were enrolled in the present cross sectional comparative study. The difference in IOP readings between the 2 methods (NCT-GAT), were calculated and the relationship between the IOP readings, and CCT was analysed using a linear regression line. Results: IOP measured by both NCT and GAT was significantly correlated with CCT. NCT readings were significantly higher in the thicker group (CCT>or=530 micron) than in the thinner group (CCT<530 microm). GAT readings had no difference between the thicker and thinner groups. An IOP value measured by NCT had a significant positive correlation with CCT .The value of IOP measured by NCT was significantly higher in the thicker group than in the thinner group. Conclusion: NCT can be more affected by CCT than GAT.Therefore CCT can influence the discordance of IOP readings taken with NCT significantly, whereas only minor influence is observed with GAT.
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Aim: The aim of this study is to determine if the central corneal thickness (CCT) influences the concordance of intraocular pressure (IOP) readings taken with a noncontact tonometer (NCT) and a Goldmann applanation tonometer (GAT). Methodology: 100 patients were enrolled in the present cross sectional comparative study. The difference in IOP readings between the 2 methods (NCT-GAT), were calculated and the relationship between the IOP readings, and CCT was analysed using a linear regression line. Results: IOP measured by both NCT and GAT was significantly correlated with CCT. NCT readings were significantly higher in the thicker group (CCT>or=530 micron) than in the thinner group (CCT<530 microm). GAT readings had no difference between the thicker and thinner groups. An IOP value measured by NCT had a significant positive correlation with CCT .The value of IOP measured by NCT was significantly higher in the thicker group than in the thinner group. Conclusion: NCT can be more affected by CCT than GAT.Therefore CCT can influence the discordance of IOP readings taken with NCT significantly, whereas only minor influence is observed with GAT.
Key concepts: Goldmann Applanation Tonometer, Intraocular pressure, Ophthalmology, Medicine, Applanation tonometry, Concordance, Significant difference, Optometry