Corbett James W, Sandhu Sukhpal S, Gale Jesse
Wellington Regional Hospital, Te Whatu Ora Health New Zealand, Wellington, New Zealand.
The Royal Victorian Eye and Ear Hospital, Melbourne, VIC, Australia.
Eye (Lond). 2025 May 20. doi: 10.1038/s41433-025-03855-6.
The essential technique of Goldmann tonometry is thought to have a risk of nosocomial infection, and thus there has been pressure to use single-use tonometer tips or slower and more-costly methods of disinfection for reusable tips. Here we review the evidence of infection from tonometry and the evidence behind different disinfection methods. The only infection reported to be transmitted by tonometry is adenoviral epidemic keratoconjunctivitis, which is also transmitted without tonometry and is a relatively low-morbidity infection. More serious eye infections or systemic infections have never been reported to be attributed to tonometry or eye examination. The most popular, affordable, quick and sustainable method of disinfection, using alcohol swabs to wipe the tip, is the only economically justifiable method.
戈德曼眼压测量法的基本技术被认为存在医院感染风险，因此一直存在使用一次性眼压计探头或对可重复使用探头采用更缓慢且成本更高的消毒方法的压力。在此，我们回顾眼压测量法导致感染的证据以及不同消毒方法背后的证据。据报道，唯一经眼压测量法传播的感染是腺病毒性流行性角膜结膜炎，这种感染在未使用眼压测量法的情况下也会传播，且发病率相对较低。从未有更严重的眼部感染或全身感染被报道归因于眼压测量法或眼部检查。最常用、经济实惠、快速且可持续的消毒方法，即使用酒精棉签擦拭探头，是唯一在经济上合理的方法。
