Miller P E, Pickett J P
Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison 53706.
J Am Vet Med Assoc. 1992 Oct 1;201(7):1017-20.
Intraocular pressure (IOP) was measured in 73 eyes of 37 clinically normal cats with 2 applanation tonometers (Tono-Pen and Mackay-Marg) and the Schiotz indentation tonometer, using the 5.5- and 7.5-g weights. Statistically, the Tono-Pen tonometer underestimated IOP compared with the values obtained by use of the Mackay-Marg tonometer (P less than 0.0001) and the Schiotz tonometer, with either weight and either the human (P less than 0.01) or the canine (P less than 0.0001) calibration tables. Estimates of IOP using the human calibration table and either the 5.5- or 7.5-g weight were not significantly different from each other or from those obtained with the Mackay-Marg tonometer. Schiotz measurements obtained with either weight and converted using the canine calibration table were not only significantly (P less than 0.0001) different from each other, but were also clinically and significantly (P less than 0.0001) higher than measurements obtained with the Tono-Pen and Mackay-Marg tonometers or the Schiotz tonometer, using the human calibration table and either weight. Approximately three quarters of clinically normal cats had an IOP greater than or equal to 30 mm of Hg when Schiotz tonometer measurements were converted with the canine conversion table. The human calibration table was the most clinically useful table for converting Schiotz measurements from clinically normal feline eyes to estimates of IOP in mm of Hg. Normal mean (+/- SD) feline readings with the Schiotz tonometer and the 5.5-g weight was 3.9 +/- 1.4 tonometer scale units (range, 1.0 to 7.5; 95% confidence interval [CI], 1.1 to 6.7).(ABSTRACT TRUNCATED AT 250 WORDS)
使用两种压平眼压计(Tono-Pen眼压计和Mackay-Marg眼压计)以及Schiotz压陷式眼压计,分别采用5.5克和7.5克砝码,对37只临床正常猫的73只眼睛进行了眼压(IOP)测量。统计学分析表明,与使用Mackay-Marg眼压计(P<0.0001)以及Schiotz眼压计(无论使用哪种砝码以及使用人类校准表(P<0.01)或犬类校准表(P<0.0001))所获得的值相比,Tono-Pen眼压计低估了眼压。使用人类校准表以及5.5克或7.5克砝码对眼压的估计值,彼此之间以及与使用Mackay-Marg眼压计所获得的值相比,均无显著差异。使用犬类校准表将使用两种砝码获得的Schiotz测量值进行转换后,不仅彼此之间存在显著差异(P<0.0001),而且在临床意义上也显著高于使用人类校准表以及两种砝码之一的Tono-Pen眼压计、Mackay-Marg眼压计或Schiotz眼压计所获得的测量值(P<0.0001)。当使用犬类转换表对Schiotz眼压计测量值进行转换时,约四分之三的临床正常猫眼压大于或等于30毫米汞柱。在将临床正常猫眼中的Schiotz测量值转换为以毫米汞柱为单位的眼压估计值时,人类校准表在临床上最为有用。使用Schiotz眼压计和5.5克砝码时,正常猫的平均(±标准差)读数为3.9±1.4眼压计刻度单位(范围为1.0至7.5;95%置信区间[CI]为1.1至6.7)。(摘要截短至250字)