Au Y K, Reynolds M
Department of Ophthalmology, Louisiana State University, Shreveport 71130-3932.
CLAO J. 1991 Oct;17(4):256-7.
Topical instillation of fluorescein during standard Goldmann tonometry may cause subsequent contact lens staining. We evaluated a method of Goldmann tonometry that uses only a small amount of fluorescein. In this experimental technique, the fluorescein is applied only to the tip of the applanation cone with fluorescein-coated tissue paper. Thirty patients had their intraocular pressures (IOPs) determined by this method. The IOP measurements were then repeated on the same eyes after instillation of fluorescein directly onto their eyes. In addition, 20 soft contact lens wearers had their IOPs determined by the experimental method, with contact lenses fitted immediately after the measurements. There was no statistically significant difference between the IOPs measured by the standard technique and by the experimental method. In addition, no fluorescein staining was detected in the 20 soft contact lenses examined. Our results suggest that the proposed method is accurate and useful in determining IOP prior to soft contact lens fitting.
在标准的戈德曼眼压测量法中局部滴入荧光素可能会导致后续隐形眼镜染色。我们评估了一种仅使用少量荧光素的戈德曼眼压测量方法。在这项实验技术中，仅用涂有荧光素的薄纸将荧光素应用于压平圆锥体的尖端。30名患者通过这种方法测定了眼压。然后在直接向他们的眼睛滴入荧光素后，对同一只眼睛再次测量眼压。此外，20名软性隐形眼镜佩戴者通过实验方法测定了眼压，并在测量后立即佩戴隐形眼镜。标准技术测量的眼压与实验方法测量的眼压之间没有统计学上的显著差异。此外，在检查的20副软性隐形眼镜中未检测到荧光素染色。我们的结果表明，所提出的方法在软性隐形眼镜验配前测定眼压方面是准确且有用的。
