Ralston M E, Choplin N T, Hollenbach K A, Applegate B J, Henn T W
Department of Family Practice, Naval Medical Clinic, Seattle, Washington.
J Fam Pract. 1992 Jan;34(1):73-7.
Guidelines for glaucoma screening by the primary care physician have not been firmly established. Despite its limitations as a screening test, intraocular pressure measurement by tonometry remains the mainstay of glaucoma monitoring but is not widely used in the primary care setting. The purpose of this study was to compare the effectiveness of noncontact tonometry using the Pulsair instrument with that of conventional tonometry using the Goldmann applanation tonometer as a screening tool for glaucoma.
Intraocular pressure was measured by non-contact and Goldmann applanation tonometry in both eyes of 50 volunteers who enrolled in a glaucoma screening program at a primary care clinic.
Noncontact tonometry correctly identified over 90% of the patients with intraocular pressures greater than 22 mm Hg.
Noncontact tonometry is an easy, practical, and well-tolerated method of intraocular pressure measurement. When combined with direct ophthalmoscopy, noncontact tonometry can easily be used in routine primary care health examinations to detect glaucoma.
初级保健医生进行青光眼筛查的指南尚未完全确立。尽管眼压测量作为一种筛查测试存在局限性，但眼压计测量眼压仍是青光眼监测的主要手段，但在初级保健环境中并未广泛使用。本研究的目的是比较使用Pulsair仪器的非接触眼压测量法与使用戈德曼压平眼压计的传统眼压测量法作为青光眼筛查工具的有效性。
在一家初级保健诊所参加青光眼筛查项目的50名志愿者的双眼，通过非接触眼压测量法和戈德曼压平眼压测量法测量眼压。
非接触眼压测量法正确识别出90%以上眼压高于22 mmHg的患者。
非接触眼压测量法是一种简便、实用且耐受性良好的眼压测量方法。与直接检眼镜检查相结合时，非接触眼压测量法可轻松用于常规初级保健健康检查以检测青光眼。
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