A comparison between Goldmann applanation tonometry and dynamic contour tonometry after photorefractive keratectomy

Background The intraocular pressure (IOP) could be measured by both Goldmann applanation tonometry (GAT) and dynamic contour tonometry (DCT). Although these two methods have been discussed widely after laser-assisted sub-epithelial keratectomy (LASIK), there is little data in the cases undergoing ph...

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Veröffentlicht in:Graefe's archive for clinical and experimental ophthalmology 2013-02, Vol.251 (2), p.603-608
Hauptverfasser: Sadigh, Afshin Lotfi, Fouladi, Rohollah F., Hashemi, Hassan, Beheshtnejad, Amir Houshang
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creator Sadigh, Afshin Lotfi
Fouladi, Rohollah F.
Hashemi, Hassan
Beheshtnejad, Amir Houshang
description Background The intraocular pressure (IOP) could be measured by both Goldmann applanation tonometry (GAT) and dynamic contour tonometry (DCT). Although these two methods have been discussed widely after laser-assisted sub-epithelial keratectomy (LASIK), there is little data in the cases undergoing photorefractive keratectomy (PRK). We aimed to compare the changes of IOP measurements obtained by GAT and DCT after PRK for myopia/myopic astigmatism. Methods This prospective study enrolled 77 candidates (154 eyes) for PRK to correct myopia or myopic astigmatism and 30 matched patients (30 eyes) with myopia or myopic astigmatism who served as controls. Changes of the IOP measurements (ΔIOP) obtained by GAT and DCT before and at 6 months after PRK in the operated eyes, and at baseline and 6 months later in the controls, were documented. Changes of the central corneal thickness (ΔCCT) were determined in the same fashion. Results The mean IOP readings obtained by DCT were comparable before and at 6 months after procedure (18.34 ± 3.03 mmHg and 17.87 ± 2.61 mmHg respectively, p  = 0.41); whereas the mean IOP reading obtained by GAT decreased significantly 6 months postoperatively (17.92 ± 3.63 mmHg and 16.25 ± 2.66 mmHg, p  
doi_str_mv 10.1007/s00417-012-2142-1
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Although these two methods have been discussed widely after laser-assisted sub-epithelial keratectomy (LASIK), there is little data in the cases undergoing photorefractive keratectomy (PRK). We aimed to compare the changes of IOP measurements obtained by GAT and DCT after PRK for myopia/myopic astigmatism. Methods This prospective study enrolled 77 candidates (154 eyes) for PRK to correct myopia or myopic astigmatism and 30 matched patients (30 eyes) with myopia or myopic astigmatism who served as controls. Changes of the IOP measurements (ΔIOP) obtained by GAT and DCT before and at 6 months after PRK in the operated eyes, and at baseline and 6 months later in the controls, were documented. Changes of the central corneal thickness (ΔCCT) were determined in the same fashion. Results The mean IOP readings obtained by DCT were comparable before and at 6 months after procedure (18.34 ± 3.03 mmHg and 17.87 ± 2.61 mmHg respectively, p  = 0.41); whereas the mean IOP reading obtained by GAT decreased significantly 6 months postoperatively (17.92 ± 3.63 mmHg and 16.25 ± 2.66 mmHg, p  &lt; 0.001). A significant correlation was present between the ΔIOP obtained by GAT and ΔCCT ( r  = 0.61, p  &lt; 0.001). Similar correlation was not significant between the DCT-obtained ΔIOP and the ΔCCT ( r  = 0.07, p  = 0.44). The mean ΔIOP obtained by GAT was significantly higher in the operated eyes than in the controls (−1.54 ± 1.45 vs 0.07 ± 0.44 mmHg, p  = 0.02). The mean DCT-obtained ΔIOP was just marginally insignificant between the operated and nonoperated eyes (−0.63 ± 0.59 vs 0.02 ± 0.38 mmHg respectively; p  = 0.09). Conclusions The authors recommend DCT after PRK in the cases with myopia or myopic astigmatism</description><identifier>ISSN: 0721-832X</identifier><identifier>EISSN: 1435-702X</identifier><identifier>DOI: 10.1007/s00417-012-2142-1</identifier><identifier>PMID: 22940796</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adult ; Astigmatism - physiopathology ; Astigmatism - surgery ; Cornea - physiopathology ; Corneal Pachymetry ; Female ; Humans ; Intraocular Pressure - physiology ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Myopia - physiopathology ; Myopia - surgery ; Ophthalmology ; Photorefractive Keratectomy ; Postoperative Period ; Prospective Studies ; Refractive Surgery ; Tonometry, Ocular - instrumentation ; Tonometry, Ocular - methods ; Visual Acuity - physiology ; Young Adult</subject><ispartof>Graefe's archive for clinical and experimental ophthalmology, 2013-02, Vol.251 (2), p.603-608</ispartof><rights>Springer-Verlag 2012</rights><rights>Springer-Verlag Berlin Heidelberg 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-ed6f37a84862e55fe06bcb2feb85470eff33c8c00368533b1058607c0b2a86fd3</citedby><cites>FETCH-LOGICAL-c372t-ed6f37a84862e55fe06bcb2feb85470eff33c8c00368533b1058607c0b2a86fd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00417-012-2142-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00417-012-2142-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,27907,27908,41471,42540,51302</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22940796$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sadigh, Afshin Lotfi</creatorcontrib><creatorcontrib>Fouladi, Rohollah F.</creatorcontrib><creatorcontrib>Hashemi, Hassan</creatorcontrib><creatorcontrib>Beheshtnejad, Amir Houshang</creatorcontrib><title>A comparison between Goldmann applanation tonometry and dynamic contour tonometry after photorefractive keratectomy</title><title>Graefe's archive for clinical and experimental ophthalmology</title><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><description>Background The intraocular pressure (IOP) could be measured by both Goldmann applanation tonometry (GAT) and dynamic contour tonometry (DCT). Although these two methods have been discussed widely after laser-assisted sub-epithelial keratectomy (LASIK), there is little data in the cases undergoing photorefractive keratectomy (PRK). We aimed to compare the changes of IOP measurements obtained by GAT and DCT after PRK for myopia/myopic astigmatism. Methods This prospective study enrolled 77 candidates (154 eyes) for PRK to correct myopia or myopic astigmatism and 30 matched patients (30 eyes) with myopia or myopic astigmatism who served as controls. Changes of the IOP measurements (ΔIOP) obtained by GAT and DCT before and at 6 months after PRK in the operated eyes, and at baseline and 6 months later in the controls, were documented. Changes of the central corneal thickness (ΔCCT) were determined in the same fashion. Results The mean IOP readings obtained by DCT were comparable before and at 6 months after procedure (18.34 ± 3.03 mmHg and 17.87 ± 2.61 mmHg respectively, p  = 0.41); whereas the mean IOP reading obtained by GAT decreased significantly 6 months postoperatively (17.92 ± 3.63 mmHg and 16.25 ± 2.66 mmHg, p  &lt; 0.001). A significant correlation was present between the ΔIOP obtained by GAT and ΔCCT ( r  = 0.61, p  &lt; 0.001). Similar correlation was not significant between the DCT-obtained ΔIOP and the ΔCCT ( r  = 0.07, p  = 0.44). The mean ΔIOP obtained by GAT was significantly higher in the operated eyes than in the controls (−1.54 ± 1.45 vs 0.07 ± 0.44 mmHg, p  = 0.02). The mean DCT-obtained ΔIOP was just marginally insignificant between the operated and nonoperated eyes (−0.63 ± 0.59 vs 0.02 ± 0.38 mmHg respectively; p  = 0.09). 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Although these two methods have been discussed widely after laser-assisted sub-epithelial keratectomy (LASIK), there is little data in the cases undergoing photorefractive keratectomy (PRK). We aimed to compare the changes of IOP measurements obtained by GAT and DCT after PRK for myopia/myopic astigmatism. Methods This prospective study enrolled 77 candidates (154 eyes) for PRK to correct myopia or myopic astigmatism and 30 matched patients (30 eyes) with myopia or myopic astigmatism who served as controls. Changes of the IOP measurements (ΔIOP) obtained by GAT and DCT before and at 6 months after PRK in the operated eyes, and at baseline and 6 months later in the controls, were documented. Changes of the central corneal thickness (ΔCCT) were determined in the same fashion. Results The mean IOP readings obtained by DCT were comparable before and at 6 months after procedure (18.34 ± 3.03 mmHg and 17.87 ± 2.61 mmHg respectively, p  = 0.41); whereas the mean IOP reading obtained by GAT decreased significantly 6 months postoperatively (17.92 ± 3.63 mmHg and 16.25 ± 2.66 mmHg, p  &lt; 0.001). A significant correlation was present between the ΔIOP obtained by GAT and ΔCCT ( r  = 0.61, p  &lt; 0.001). Similar correlation was not significant between the DCT-obtained ΔIOP and the ΔCCT ( r  = 0.07, p  = 0.44). The mean ΔIOP obtained by GAT was significantly higher in the operated eyes than in the controls (−1.54 ± 1.45 vs 0.07 ± 0.44 mmHg, p  = 0.02). The mean DCT-obtained ΔIOP was just marginally insignificant between the operated and nonoperated eyes (−0.63 ± 0.59 vs 0.02 ± 0.38 mmHg respectively; p  = 0.09). Conclusions The authors recommend DCT after PRK in the cases with myopia or myopic astigmatism</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>22940796</pmid><doi>10.1007/s00417-012-2142-1</doi><tpages>6</tpages></addata></record>
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subjects Adult
Astigmatism - physiopathology
Astigmatism - surgery
Cornea - physiopathology
Corneal Pachymetry
Female
Humans
Intraocular Pressure - physiology
Male
Medicine
Medicine & Public Health
Middle Aged
Myopia - physiopathology
Myopia - surgery
Ophthalmology
Photorefractive Keratectomy
Postoperative Period
Prospective Studies
Refractive Surgery
Tonometry, Ocular - instrumentation
Tonometry, Ocular - methods
Visual Acuity - physiology
Young Adult
title A comparison between Goldmann applanation tonometry and dynamic contour tonometry after photorefractive keratectomy
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