Literature DB >> 16937203

Underestimation of intraocular pressure after photorefractive keratectomy: a biomechanical analysis.

Per Hallberg1, Anders Eklund, Kenneth Santala, Timo Koskela, Olof Lindahl, Christina Lindén.   

Abstract

Excimer laser surgery, to correct corneal refraction, induces changes in corneal thickness and curvature. Both factors can cause measurement errors when determining intraocular pressure (IOP). This study evaluates effects of photorefractive keratectomy (PRK) on IOP measurements, using Goldmann applanation tonometry (GAT) and Applanation resonance tonometry (ART), in an in vitro model. Six porcine eyes was enucleated and pressurised to a constant IOP=30 mmHg. After removal of the epithelium, the eyes were PRK-treated for a total of 25 dioptres. The measured IOP decreased 13.2 mmHg for GAT and 9.0 mmHg for ART. The total underestimation by GAT was larger than for ART, and a part of the ART underestimation (3.5 mmHg) was assigned to sensitivity to the change in corneal surface structure resulting from the removal of epithelium. The flat contact probe of GAT, as compared with the convex tip of ART, provided explanation for the difference in IOP measurement error after PRK.

Mesh:

Year:  2006        PMID: 16937203     DOI: 10.1007/s11517-006-0093-6

Source DB:  PubMed          Journal:  Med Biol Eng Comput        ISSN: 0140-0118            Impact factor:   2.602


  26 in total

1.  An applanation resonator sensor for measuring intraocular pressure using combined continuous force and area measurement.

Authors:  Anders Eklund; Per Hallberg; Christina Lindén; Olof A Lindahl
Journal:  Invest Ophthalmol Vis Sci       Date:  2003-07       Impact factor: 4.799

Review 2.  Techniques of intraocular pressure determination.

Authors:  K Green
Journal:  Lens Eye Toxic Res       Date:  1990

3.  Influence of corneal biomechanical properties on intraocular pressure measurement: quantitative analysis.

Authors:  Jun Liu; Cynthia J Roberts
Journal:  J Cataract Refract Surg       Date:  2005-01       Impact factor: 3.351

4.  Comparison of Goldmann applanation and applanation resonance tonometry in a biomicroscope-based in vitro porcine eye model.

Authors:  P Hallberg; K Santala; C Lindén; O A Lindahl; A Eklund
Journal:  J Med Eng Technol       Date:  2006 Nov-Dec

Review 5.  Human corneal thickness and its impact on intraocular pressure measures: a review and meta-analysis approach.

Authors:  M J Doughty; M L Zaman
Journal:  Surv Ophthalmol       Date:  2000 Mar-Apr       Impact factor: 6.048

6.  On the calculation of power from curvature of the cornea.

Authors:  T Olsen
Journal:  Br J Ophthalmol       Date:  1986-02       Impact factor: 4.638

7.  The effect of corneal thickness on applanation tonometry.

Authors:  M M Whitacre; R A Stein; K Hassanein
Journal:  Am J Ophthalmol       Date:  1993-05-15       Impact factor: 5.258

Review 8.  Sources of error with use of Goldmann-type tonometers.

Authors:  M M Whitacre; R Stein
Journal:  Surv Ophthalmol       Date:  1993 Jul-Aug       Impact factor: 6.048

9.  Applanation resonance tonometry for intraocular pressure in humans.

Authors:  Per Hallberg; Christina Lindén; Olof A Lindahl; Tomas Bäcklund; Anders Eklund
Journal:  Physiol Meas       Date:  2004-08       Impact factor: 2.833

10.  Intraocular pressure measurements using dynamic contour tonometry after laser in situ keratomileusis.

Authors:  Claude Kaufmann; Lucas M Bachmann; Michael A Thiel
Journal:  Invest Ophthalmol Vis Sci       Date:  2003-09       Impact factor: 4.799

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  2 in total

1.  Can we trust intraocular pressure measurements in eyes with intracameral air?

Authors:  Gauti Jóhannesson; Christina Lindén; Anders Eklund; Anders Behndig; Per Hallberg
Journal:  Graefes Arch Clin Exp Ophthalmol       Date:  2014-07-17       Impact factor: 3.117

2.  Repeatability and reproducibility of applanation resonance tonometry: a cross-sectional study.

Authors:  Laura Ottobelli; Paolo Fogagnolo; Paolo Frezzotti; Stefano De Cillà; Elena Vallenzasca; Maurizio Digiuni; Ruggiero Paderni; Ilaria Motolese; Simone Alex Bagaglia; Eduardo Motolese; Luca Rossetti
Journal:  BMC Ophthalmol       Date:  2015-04-10       Impact factor: 2.209

  2 in total

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