Pahlitzsch Milena, Brünner Jeanette, Gonnermann Johannes, Maier Anna-Karina B, Torun Necip, Bertelmann Eckart, Klamann Matthias Kj
Glaucoma and Retinal Degeneration Research Group, UCL, Institute of Ophthalmology, Bath Street, London, EC1V 9EL, United Kingdom.
Department of Ophthalmology, Campus Virchow Clinic, Charite University Medicine, Augustenburger Platz 1, Berlin13353, Germany.
Int J Ophthalmol. 2016 Nov 18;9(11):1624-1628. doi: 10.18240/ijo.2016.11.14. eCollection 2016.
To compare IOPen and ICare rebound tonometry to Goldmann applanation tonometry (GAT) according to International Standards Organization (ISO) 8612 criteria.
Totally 191 eyes (=107 individuals) were included. Criteria of ISO 8612 were fulfilled: 3 clusters of IOP, measured by GAT, were formed. The GAT results were given as mean±standard deviation.
GAT (19.7±0.5 mm Hg) showed a significant correlation to ICare (19.8±0.5 mm Hg) (=0.547, <0.001) and IOPen (19.5±0.5 mm Hg) (=0.526, <0.001). According to ISO 8612 criteria in all 3 IOP groups the number of outliers (of the 95% limits of agreement) exceeded 5% for ICare and IOPen GAT: No.1 (=68) 29.4% and 22.1%, No.2 (=62) 35.5% and 37.1%, No.3 (=61) 26.2% and 42.6%, respectively.
The strict requirements of the ISO 8612 are not fulfilled in a glaucoma collective by ICare and IOPen at present. As long as the Goldmann tonometry is applicable it should be used first of all for reproducible IOP readings. ICare and IOPen tonometry should be considered as an alternative tool, if application of Goldmann tonometry is not possible.
根据国际标准化组织（ISO）8612标准，比较IOPen眼压计和ICare眼压回弹式眼压计与Goldmann压平眼压计（GAT）。
共纳入191只眼（=107名个体）。符合ISO 8612标准：通过GAT测量形成3组眼压。GAT结果以平均值±标准差表示。
GAT（19.7±0.5 mmHg）与ICare（19.8±0.5 mmHg）（=0.547，<0.001）和IOPen（19.5±0.5 mmHg）（=0.526，<0.001）显示出显著相关性。根据ISO 8612标准，在所有3组眼压中，ICare和IOPen的异常值数量（在95%一致性界限内）均超过5%：GAT：第1组（=68只眼）分别为29.4%和22.1%，第2组（=62只眼）分别为35.5%和37.1%，第3组（=61只眼）分别为26.2%和42.6%。
目前，青光眼患者群体中ICare和IOPen眼压计未达到ISO 8612的严格要求。只要Goldmann眼压计适用，就应首先使用它来获取可重复的眼压读数。如果无法应用Goldmann眼压计，ICare和IOPen眼压计可作为替代工具。
