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[角膜厚度在非接触眼压测量中的意义]

[Significance of the corneal thickness in non-contact tonometry].

作者信息

Gräf M

机构信息

Univ.-Augenklinik Giessen.

出版信息

Klin Monbl Augenheilkd. 1991 Sep;199(3):183-6. doi: 10.1055/s-2008-1046068.

DOI:10.1055/s-2008-1046068
PMID:1753670
Abstract

In this study the Reichert non-contact tonometer (NCT II) was compared with the Goldmann applanation tonometer (GAT) in 25 subjects (50 eyes; pressure range 9-17 mmHg). The relationship NCT/GAT fulfilled the conditions required for legal verification. Marked differences between the readings of both instruments can be caused by anomalous central corneal thickness, because non-contact tonometry is influenced more than conventional applanation tonometry by the corneal thickness. Starting from a central thickness of 0.51 mm, the NCT is assumed to underestimate the actual intraocular pressure in eyes with thinner and to overestimate it in eyes with thicker cornea by 1 mmHg per 0.01 mm difference of corneal thickness. This value changes with individual corneal tissue qualities and is not valid especially in presence of corneal edema.

摘要

在本研究中,对25名受试者(50只眼;眼压范围9 - 17 mmHg)使用Reichert非接触眼压计(NCT II)与Goldmann压平眼压计(GAT)进行了比较。NCT/GAT的关系满足法定验证所需的条件。两种仪器读数之间的显著差异可能由异常的中央角膜厚度引起,因为非接触眼压测量比传统压平眼压测量受角膜厚度的影响更大。从中央厚度0.51 mm开始,假设角膜厚度每相差0.01 mm,NCT会低估较薄角膜眼的实际眼压,而高估较厚角膜眼的实际眼压1 mmHg。该值会因个体角膜组织特性而变化,尤其在存在角膜水肿时无效。

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