Donaldson Mark J, Bhatnagar Pawan, Dhrami-Gavazi Elona, Santos Rodrigo A V, Barile Gaetano R, Del Priore Lucian V, Iranmanesh Reza, Schiff William M, Chang Stanley
Edward Harkness Eye Institute, Columbia University Medical Center, New York Presbyterian Hospital, New York, New York, USA.
Retina. 2009 Apr;29(4):481-6. doi: 10.1097/IAE.0b013e31818c5dc9.
To compare Pascal Dynamic Contour Tonometry with Goldmann Applanation Tonometry in eyes after vitrectomy surgery with intraocular tamponade of air, silicone oil or perfluorocarbon gas.
Prospective clinical comparative study. Eighty-two consecutive patients undergoing vitrectomy surgery with postoperative air, gas or oil tamponade were recruited. Intraocular pressure was measured with both devices.
Mean Goldmann intraocular pressure was 16.6 mmHg (range, 1.0-46.0; SD = 8.80) and the mean Pascal intraocular pressure was 21.70 (range, 4.7-58.5; SD = 9.8) The mean difference between the Pascal and Goldmann readings was 5.09 mmHg (range, -14.7 to +12.9; 95% CI = 4.2-6.0; SD, 4.0; P < 0.001). Mean differences for the different tamponades were 5.09 mmHg for silicone oil, 4.02 mmHg for air, and 5.38 mmHg for perfluorocarbon gas.
Pascal dynamic contour tonometry gives readings that are highly correlated with Goldmann applanation tonometry, but on average 5 mmHg higher in eyes after vitrectomy surgery with air, gas or silicone oil tamponades. The difference between Goldmann and Pascal readings does not appear to be altered by the presence of a scleral buckle, or the size of the intraocular gas bubble.
比较在接受空气、硅油或全氟碳气体眼内填充的玻璃体切除术后的眼睛中，帕斯卡动态轮廓眼压计与戈德曼压平眼压计的测量结果。
前瞻性临床对照研究。招募了82例连续接受玻璃体切除术并在术后使用空气、气体或油填充的患者。使用两种设备测量眼压。
戈德曼眼压计测量的平均眼压为16.6 mmHg（范围1.0 - 46.0；标准差 = 8.80），帕斯卡眼压计测量的平均眼压为21.70（范围4.7 - 58.5；标准差 = 9.8）。帕斯卡眼压计与戈德曼眼压计读数的平均差值为5.09 mmHg（范围 - 14.7至 + 12.9；95%置信区间 = 4.2 - 6.0；标准差，4.0；P < 0.001）。不同填充材料的平均差值分别为：硅油5.09 mmHg，空气4.02 mmHg，全氟碳气体5.38 mmHg。
帕斯卡动态轮廓眼压计的读数与戈德曼压平眼压计高度相关，但在接受空气、气体或硅油填充的玻璃体切除术后的眼睛中，平均高出5 mmHg。戈德曼眼压计与帕斯卡眼压计读数的差异似乎不受巩膜扣带的存在或眼内气泡大小的影响。
