经验丰富和经验不足的眼压测量师使用Icare回弹式眼压计与Goldmann压平式眼压计的比较。
Comparison of the ICare rebound tonometer with the Goldmann applanation tonometer by experienced and inexperienced tonometrists.
作者信息
Abraham L M, Epasinghe N C R, Selva D, Casson R
机构信息
Department of Ophthalmology and Visual Sciences, South Australian Institute of Ophthalmology, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
出版信息
Eye (Lond). 2008 Apr;22(4):503-6. doi: 10.1038/sj.eye.6702669. Epub 2006 Dec 8.
PURPOSE
To assess the agreement between ICare rebound tonometer and Goldmann applanation tonometer in the hands of experienced and inexperienced tonometrists.
PATIENTS AND METHODS
Two tonometrists, experienced with both Goldmann applanation tonometry (GAT) and ICare Tonometry (ICT) measured intraocular pressure (IOP), in a masked fashion, in 100 patients. In another series of 58 patients, ICT was performed by an inexperienced tonometrist and GAT by an experienced tonometrist.
RESULTS
In approximately 80% of patients, the difference in IOP between GAT and ICT was <or=2 mmHg in group 1 and <or=3 mmHg in group 2. The 95% limits of agreement were -4.0-4.4 mmHg in group 1 and -6.0-5.0 mmHg in group 2.
CONCLUSION
ICT compares reasonably with GAT, in both experienced and inexperienced hands. Its ease of use, portability, and sterility make it an attractive tonometer. Its degree of accuracy in inexperienced hands would make it a useful instrument for health care workers with limited ophthalmic experience.
目的
评估在经验丰富和经验不足的眼压测量者手中，Icare回弹眼压计与Goldmann压平眼压计之间的一致性。
患者与方法
两名既精通Goldmann压平眼压测量法（GAT）又熟悉Icare眼压测量法（ICT）的眼压测量者，对100例患者进行了遮盖法眼压测量。在另一组58例患者中，由一名经验不足的眼压测量者进行ICT测量，由一名经验丰富的眼压测量者进行GAT测量。
结果
在大约80%的患者中，第1组GAT和ICT之间的眼压差异≤2 mmHg，第2组≤3 mmHg。第1组一致性的95%界限为-4.0至4.4 mmHg，第2组为-6.0至5.0 mmHg。
结论
无论是在经验丰富还是经验不足的人手中，ICT与GAT相比都较为合理。其易用性、便携性和无菌性使其成为一种有吸引力的眼压计。在经验不足的人手中它的准确度，使其成为眼科经验有限的医护人员的有用工具。
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