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重复测量及局部麻醉对儿童眼压回弹测量值的影响。

The effect of repeated measurements and the use of topical anesthetic on rebound tonometry values in children.

作者信息

Dosunmu Eniolami O, Marcus Inna, Tung Irene, Thiamthat Warakorn, Freedman Sharon F

机构信息

Department of Ophthalmology, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio.

Virginia Eye Institute, Richmond, Virginia.

出版信息

J AAPOS. 2014 Dec;18(6):619-21. doi: 10.1016/j.jaapos.2014.07.167. Epub 2014 Nov 12.

DOI:10.1016/j.jaapos.2014.07.167
PMID:25448141
Abstract

Measurement of intraocular pressure (IOP) in children is important in the management of pediatric glaucoma. Availability of the Icare rebound tonometer has greatly facilitated our ability to obtain awake IOP in infants and children, but little has been reported on either the effect of repeated sequential IOP measurements with Icare or the effect of topical anesthetic on subsequent Icare tonometry. This prospective study of 20 eyes of 10 cooperative children (12 normal eyes, 8 with suspected or known glaucoma) found that neither 8 sequential Icare measurements nor application of topical anesthetic produced a statistically or clinically signficant change in measured IOP by rebound tonometry.

摘要

测量儿童眼压(IOP)对小儿青光眼的治疗很重要。Icare回弹眼压计的出现极大地促进了我们获取婴幼儿和儿童清醒状态下眼压的能力,但关于使用Icare进行连续多次眼压测量的影响或局部麻醉药对后续Icare眼压测量的影响,鲜有报道。这项针对10名配合良好的儿童的20只眼(12只正常眼,8只疑似或已知青光眼的眼睛)的前瞻性研究发现,无论是连续8次使用Icare测量,还是使用局部麻醉药,通过回弹眼压测量法测得的眼压在统计学或临床上均无显著变化。

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