患者和检查者使用的宝视德压平眼压计与戈德曼压平眼压计的比较。

Comparison of the Proview pressure phosphene tonometer performed by the patient and examiner with the Goldmann applanation tonometer.

作者信息

Danesh-Meyer Helen V, Niederer Rachel, Gaskin Brent J, Gamble Greg

机构信息

Department of Ophthalmology, University of Auckland, Auckland, New Zealand.

出版信息

Clin Exp Ophthalmol. 2004 Feb;32(1):29-32. doi: 10.1046/j.1442-9071.2004.00753.x.

DOI:10.1046/j.1442-9071.2004.00753.x

PMID:14746587

Abstract

OBJECTIVE

To compare the results of Proview pressure phosphene tonometry (PPPT) performed by the patient and an examiner with Goldmann applanation tonometry (GAT).

METHODS

A comparative case series of 96 (192 eyes) consecutive patients from a glaucoma clinic was conducted. Intraocular pressure (IOP) was measured with GAT by one examiner, PPPT by another examiner, and PPPT by the patient. All examiners were masked to the results from any preceding IOP measurement.

RESULTS

The coefficient of repeatability for repeated measurements for the GAT was +/-0.48 mmHg. The limits of agreement for self-measurement of IOP with the PPPT and examiner measured IOP with PPPT were 6.3 mmHg and 4.8 mmHg, respectively. The limits of agreement between GAT and self assessed PPPT were +/-11.8 mmHg (mean difference of 0.63 mmHg). When the same comparison was made between GAT and examiner assessed PPPT, the results were limits of agreement of +/-10 mmHg (mean difference of 2.86 mmHg). No significant difference was identified in the agreement of the GAT and the PPPT when subanalysed for age of patient or diagnosis (P > 0.05). The limits of agreement between self-assessed IOP with the PPPT and the GAT were +/-8.2 for those with IOP <20 mmHg and +/-14.9 mmHg for those with IOP>20 mmHg.

CONCLUSIONS

Poor agreement exists between IOP measured by GAT and PPPT measured by an examiner or by the patient.

摘要

目的

比较患者及检查者使用普罗维眼压磷光眼压计（PPPT）与戈德曼压平眼压计（GAT）测量眼压的结果。

方法

对一家青光眼诊所连续的96例（192只眼）患者进行了一项比较病例系列研究。由一名检查者使用GAT测量眼压，另一名检查者使用PPPT测量眼压，患者自己也使用PPPT测量眼压。所有检查者均不知道之前任何眼压测量的结果。

结果

GAT重复测量的重复性系数为±0.48 mmHg。患者自行使用PPPT测量眼压与检查者使用PPPT测量眼压的一致性界限分别为6.3 mmHg和4.8 mmHg。GAT与患者自行评估的PPPT之间的一致性界限为±11.8 mmHg（平均差值为0.63 mmHg）。当对GAT和检查者评估的PPPT进行相同比较时，结果的一致性界限为±10 mmHg（平均差值为2.86 mmHg）。按患者年龄或诊断进行亚分析时，GAT与PPPT的一致性未发现显著差异（P>0.05）。眼压<20 mmHg者，PPPT自行评估的眼压与GAT之间的一致性界限为±8.2，眼压>20 mmHg者为±14.9 mmHg。