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眼压回弹式眼压计的临床评估

Clinical evaluation of rebound tonometer.

作者信息

Davies Leon N, Bartlett Hannah, Mallen Edward A H, Wolffsohn James S

机构信息

School of Life and Health Sciences, Aston University, Birmingham, UK.

出版信息

Acta Ophthalmol Scand. 2006 Apr;84(2):206-9. doi: 10.1111/j.1600-0420.2005.00610.x.

Abstract

PURPOSE

To evaluate the reliability and repeatability of intraocular pressure (IOP) measurements using a new rebound tonometer.

METHODS

Intraocular pressure was measured in 42 healthy human eyes of subjects aged 18-30 years (mean +/- standard deviation [SD] 21.5 +/- 3.2 years) using the ICare Rebound and Goldmann tonometers in two separate sessions.

RESULTS

Intraocular pressure measurements were found to read slightly, but not significantly, higher with the ICare tonometer compared with the Goldmann instrument in both sessions (first session: mean bias +/- SD + 0.50 +/- 2.33 mmHg; second session: mean bias +/- SD + 0.52 +/- 1.92 mmHg). Limits of agreement between repeated readings were +/- 5.11 mmHg for measurements taken with the ICare tonometer, compared with +/- 3.15 mmHg for measurements taken with the Goldmann method.

CONCLUSION

Measurement of IOP in normal, healthy subjects using the ICare rebound tonometer produced a small, statistically insignificant, positive bias when compared with the Goldmann tonometer. Intersessional repeatability of IOP taken with the ICare is poorer than that of IOP taken with the Goldmann tonometer, but is comparable with that of other non-Goldman-type tonometers currently available.

摘要

目的

使用一种新型回弹式眼压计评估眼压(IOP)测量的可靠性和可重复性。

方法

在两个不同的时间段,使用ICare回弹式眼压计和Goldmann眼压计对42只年龄在18至30岁(平均±标准差[SD]为21.5±3.2岁)的健康人眼进行眼压测量。

结果

在两个时间段中,与Goldmann眼压计相比,使用ICare眼压计测得的眼压读数略高,但差异不显著(第一个时间段:平均偏差±标准差为+0.50±2.33 mmHg;第二个时间段:平均偏差±标准差为+0.52±1.92 mmHg)。使用ICare眼压计进行的重复测量的一致性界限为±5.11 mmHg,而使用Goldmann方法进行的测量为±3.15 mmHg。

结论

与Goldmann眼压计相比,使用ICare回弹式眼压计测量正常健康受试者的眼压产生了一个小的、统计学上不显著的正偏差。使用ICare进行的眼压测量的不同时间段间的可重复性比使用Goldmann眼压计的情况要差,但与目前可用的其他非Goldman型眼压计相当。

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