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验证 Reichert® Tono-Vera® Vet 回弹眼压计在正常离体犬眼中的应用。

Validation of the Reichert® Tono-Vera® Vet rebound tonometer in normal ex vivo canine eyes.

机构信息

Department of Small Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, Michigan, USA.

Center for Statistical Training and Consulting, Michigan State University, East Lansing, Michigan, USA.

出版信息

Vet Ophthalmol. 2024 May;27(3):290-293. doi: 10.1111/vop.13213. Epub 2024 Apr 4.

Abstract

OBJECTIVE

To determine the accuracy of the Reichert® Tono-Vera® Vet rebound tonometer for canine intraocular pressure (IOP) measurement.

ANIMALS STUDIED

Five normal canine ex vivo globes.

PROCEDURES

The anterior chambers of five freshly enucleated normal canine eyes were cannulated and connected to a reservoir of Plasma-Lyte A and a manometer. Starting at a manometric IOP of 5 mmHg, the pressure was progressively increased to 80 mmHg by raising the reservoir. Triplicate IOP measurements were taken with the Tono-Vera® Vet from the central cornea using the dog setting and compared to the manometric pressure by linear regression analysis and Bland-Altman plots.

RESULTS

There was a strong positive linear regression trend when comparing central corneal Tono-Vera® Vet IOPs to manometric pressures (r = .99) with solid agreement between the two methods. Compared to manometric IOPs, the Tono-Vera® Vet underestimated IOPs at higher pressures ≥70 mmHg.

CONCLUSIONS

Measurement of IOPs from the central cornea with the Tono-Vera® Vet provided accurate results over a large range in normal canine globes compared to direct manometry. The mild to moderate underestimation of IOPs at high pressures was not considered clinically relevant.

摘要

目的

确定 Reichert® Tono-Vera® Vet 回弹眼压计测量犬眼内压(IOP)的准确性。

研究动物

5 只正常犬离体眼球。

程序

将 5 只新鲜眼球的前房进行套管穿刺,并与 Plasma-Lyte A 储液器和压力计连接。从压力计 IOP 为 5mmHg 开始,通过升高储液器将压力逐渐升高至 80mmHg。使用犬设置从中央角膜对 Tono-Vera® Vet 进行 3 次眼压测量,并通过线性回归分析和 Bland-Altman 图将其与压力计压力进行比较。

结果

当将中央角膜 Tono-Vera® Vet IOP 与压力计压力进行比较时,存在强烈的正线性回归趋势(r=.99),两种方法之间具有良好的一致性。与压力计 IOP 相比,Tono-Vera® Vet 在较高压力(≥70mmHg)下低估了 IOP。

结论

与直接压力计相比,Tono-Vera® Vet 从正常犬眼球中央角膜测量 IOP 可提供大范围的准确结果。在较高压力下对 IOP 的轻度至中度低估在临床上被认为无意义。

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