Effect of Repeated Applanation Tonometry on the Accuracy of Intraocular Pressure Measurements
2010
Purpose: To evaluate the stability of successive applanation tonometry measurements in glaucomatous eyes.Methods: A prospective, comparative, randomized, and evaluator-masked study was conducted in a tertiary medical center. Sixty-seven patients with glaucoma attending our glaucoma clinic underwent four successive intraocular pressure (IOP) measurements with Goldmann-type applanation tonometry. Findings were compared with 70 patients scheduled for cataract surgery, similar in age and sex. The results were statistically analyzed with repeated measures analysis.Results: In the glaucoma group, the difference between the first and second IOP measurements was statistically significant (15.94 mmHg vs 14.9 mmHg, p < 0.0001), as was the decrease in IOP from the first measurement to each of the other successive measurements. No significant change in IOP was noted in the control group (mean, 13.7 mmHg).Conclusions: Patients with glaucoma show a decrease in IOP on repeated applanation tonometry measurements. By cont...
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