Dominguez A, Alvarez M G, Banos M S
Adv Ophthalmol. 1975;29:88-125.
Mackay-Marg electronic tonometry was performed without any kind of drugs in 604 eyes of newborn babies (up to 4 days of age). The first 100 cases were eliminated from the sample due to the significantly higher intraocular pressures obtained, attributed to small number of tonometries in each eye. The decision is fully discussed. The remaining cases (504 eyes) gave a mean of 12.41 mm Hg and a standard deviation of 2.58. The most important finding was the extreme and continuous variations found in newborn intraocular pressure; some hypotheses are discussed in this regard. The concept of 'basal intraocular pressure' is introduced to use the lowest intraocular pressure as a more homogenous comparative level than the ones previously used. Standardized anesthetic procedure is recommended for baby tonometry. While the possibilities of the Mackay-Marg electronic tonometer are recognized, the Goldmann tonometer (manual model) is found to be more reliable for clinical decisons in babies.
在604例新生儿(年龄达4天)的眼睛上,未使用任何药物进行了麦凯-马格电子眼压测量。由于每只眼睛眼压测量次数较少导致眼压明显较高,样本中最初的100例被排除。对该决定进行了充分讨论。其余病例(504只眼)的平均眼压为12.41 mmHg,标准差为2.58。最重要的发现是新生儿眼压存在极端且持续的变化;对此讨论了一些假设。引入“基础眼压”的概念,以使用最低眼压作为比先前使用的眼压更均匀的比较水平。建议对婴儿眼压测量采用标准化麻醉程序。虽然麦凯-马格电子眼压计的可能性得到认可,但发现戈德曼眼压计(手动型号)在婴儿临床决策中更可靠。