近视性准分子激光角膜切削术后眼压测量的可靠性

Reliability of intraocular pressure measurements after myopic excimer photorefractive keratectomy.

作者信息

Abbasoglu O E, Bowman R W, Cavanagh H D, McCulley J P

机构信息

Department of Ophthalmology, University of Texas Southwestern Medical Center at Dallas 75235-9057, USA.

出版信息

Ophthalmology. 1998 Dec;105(12):2193-6. doi: 10.1016/S0161-6420(98)91215-5.

DOI:10.1016/S0161-6420(98)91215-5

PMID:9855146

Abstract

OBJECTIVE

To determine the reliability of intraocular pressure (IOP) measurements by Goldmann applanation tonometry and pneumotonometry in eyes treated with excimer myopic photorefractive keratectomy (PRK).

DESIGN

A prospective case series.

PARTICIPANTS

Forty consecutive eyes treated with PRK were evaluated.

INTERVENTION AND MAIN OUTCOME MEASURES

Central and peripheral corneal Goldmann tonometry and pneumotonometry measurements were done before surgery, at 1 week, and at 1 and 3 months after surgery.

RESULTS

The IOP by Goldmann tonometry from the central cornea was significantly lower than the peripheral IOP; however, there was no difference between IOP measured from central and peripheral corneas by pneumotonometry, which, in turn, correlated with peripheral Goldmann measurements. There was a trend, but not a statistically significant correlation, between the spherical equivalent of the treatment and the amount of decrease in central Goldmann IOP.

CONCLUSIONS

Pneumotonometry measures the IOP reliably after PRK from all parts of the cornea, whereas central Goldmann tonometry underestimates the IOP by 2.40+/-1.23 mmHg.

摘要