Rebound tonometry versus Goldmann tonometry in school children: feasibility and agreement of intraocular pressure measurements
High intraocular pressure (IOP) is an important risk factor for a variety of pediatric ophthalmic conditions. The purpose of this study is to evaluate the feasibility, length of examination, and corneal epithelial damage induced by rebound tonometry (RBT) versus Goldmann applanation tonometry (GAT)...
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Veröffentlicht in: | Arquivos brasileiros de oftalmologia 2015-11, Vol.78 (6), p.359-362 |
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creator | Esporcatte, Bruno Leonardo Barranco Lopes, Flávio Siqueira Santos Fonseca Netto, Camila Rebouças-Santos, Vespasiano Dias, Diego Torres Marujo, Fábio Iglesias Rolim-de-Moura, Christiane |
description | High intraocular pressure (IOP) is an important risk factor for a variety of pediatric ophthalmic conditions. The purpose of this study is to evaluate the feasibility, length of examination, and corneal epithelial damage induced by rebound tonometry (RBT) versus Goldmann applanation tonometry (GAT) in school children.
Healthy children (n=57) participated in a randomized, transversal study with IOP measurement by GAT followed by RBT (study arm 1) or RBT followed by GAT (study arm 2). The number of attempts to acquire a reliable IOP measurement and the length of the examination were quantified. Corneal epithelial damage induced by tonometry was evaluated. Bland-Altman analysis was performed to establish the level of agreement between the two techniques.
The IOP was measured in all children with at least one of the devices. In both study arms, more children failed to be examined with GAT than with RBT (26% vs. 4%, and 16% vs. 6%, p |
doi_str_mv | 10.5935/0004-2749.20150095 |
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Healthy children (n=57) participated in a randomized, transversal study with IOP measurement by GAT followed by RBT (study arm 1) or RBT followed by GAT (study arm 2). The number of attempts to acquire a reliable IOP measurement and the length of the examination were quantified. Corneal epithelial damage induced by tonometry was evaluated. Bland-Altman analysis was performed to establish the level of agreement between the two techniques.
The IOP was measured in all children with at least one of the devices. In both study arms, more children failed to be examined with GAT than with RBT (26% vs. 4%, and 16% vs. 6%, p<0.001, in study arm 1 and 2, respectively). The length of examination was shorter for RBT than for GAT (67.81 s ± 35.20 s vs. 126.70 s ± 56.60 s; p<0.0001); IOP measurements with RBT in both study arms were higher than those with GAT (15.20 ± 2.74 mmHg vs. 13.25 ± 2.47 mmHg, p=0.0247 and 16.76 ± 3.99 mmHg vs. 13.92 ± 2.08 mmHg, p=0.003, respectively). No difference was observed between RBT and GAT regarding the corneal epithelial damage caused by tonometry.
IOP measurement is feasible in a greater number of children with RBT, and the examination was faster than that for GAT. Compared with GAT, RBT tended to overestimate the IOP. None of the methods induced marked corneal epithelial defects.</description><identifier>ISSN: 0004-2749</identifier><identifier>ISSN: 1678-2925</identifier><identifier>EISSN: 1678-2925</identifier><identifier>DOI: 10.5935/0004-2749.20150095</identifier><identifier>PMID: 26677038</identifier><language>eng</language><publisher>Brazil: Conselho Brasileiro de Oftalmologia</publisher><subject>Child ; Cornea - anatomy & histology ; Corneal Injuries - etiology ; Corneal Pachymetry - methods ; Cross-Sectional Studies ; Feasibility Studies ; Female ; Humans ; Intraocular Pressure - physiology ; Male ; OPHTHALMOLOGY ; Reference Values ; Reproducibility of Results ; Statistics, Nonparametric ; Time Factors ; Tonometry, Ocular - adverse effects ; Tonometry, Ocular - instrumentation ; Tonometry, Ocular - methods</subject><ispartof>Arquivos brasileiros de oftalmologia, 2015-11, Vol.78 (6), p.359-362</ispartof><rights>This work is licensed under a Creative Commons Attribution 4.0 International License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c386t-ebc9093e060cde1373074c2d80144c1f3deba7c815fc0eb3e23d7bfef987fab63</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,777,781,882,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26677038$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Esporcatte, Bruno Leonardo Barranco</creatorcontrib><creatorcontrib>Lopes, Flávio Siqueira Santos</creatorcontrib><creatorcontrib>Fonseca Netto, Camila</creatorcontrib><creatorcontrib>Rebouças-Santos, Vespasiano</creatorcontrib><creatorcontrib>Dias, Diego Torres</creatorcontrib><creatorcontrib>Marujo, Fábio Iglesias</creatorcontrib><creatorcontrib>Rolim-de-Moura, Christiane</creatorcontrib><title>Rebound tonometry versus Goldmann tonometry in school children: feasibility and agreement of intraocular pressure measurements</title><title>Arquivos brasileiros de oftalmologia</title><addtitle>Arq Bras Oftalmol</addtitle><description>High intraocular pressure (IOP) is an important risk factor for a variety of pediatric ophthalmic conditions. The purpose of this study is to evaluate the feasibility, length of examination, and corneal epithelial damage induced by rebound tonometry (RBT) versus Goldmann applanation tonometry (GAT) in school children.
Healthy children (n=57) participated in a randomized, transversal study with IOP measurement by GAT followed by RBT (study arm 1) or RBT followed by GAT (study arm 2). The number of attempts to acquire a reliable IOP measurement and the length of the examination were quantified. Corneal epithelial damage induced by tonometry was evaluated. Bland-Altman analysis was performed to establish the level of agreement between the two techniques.
The IOP was measured in all children with at least one of the devices. In both study arms, more children failed to be examined with GAT than with RBT (26% vs. 4%, and 16% vs. 6%, p<0.001, in study arm 1 and 2, respectively). The length of examination was shorter for RBT than for GAT (67.81 s ± 35.20 s vs. 126.70 s ± 56.60 s; p<0.0001); IOP measurements with RBT in both study arms were higher than those with GAT (15.20 ± 2.74 mmHg vs. 13.25 ± 2.47 mmHg, p=0.0247 and 16.76 ± 3.99 mmHg vs. 13.92 ± 2.08 mmHg, p=0.003, respectively). No difference was observed between RBT and GAT regarding the corneal epithelial damage caused by tonometry.
IOP measurement is feasible in a greater number of children with RBT, and the examination was faster than that for GAT. Compared with GAT, RBT tended to overestimate the IOP. None of the methods induced marked corneal epithelial defects.</description><subject>Child</subject><subject>Cornea - anatomy & histology</subject><subject>Corneal Injuries - etiology</subject><subject>Corneal Pachymetry - methods</subject><subject>Cross-Sectional Studies</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Intraocular Pressure - physiology</subject><subject>Male</subject><subject>OPHTHALMOLOGY</subject><subject>Reference Values</subject><subject>Reproducibility of Results</subject><subject>Statistics, Nonparametric</subject><subject>Time Factors</subject><subject>Tonometry, Ocular - adverse effects</subject><subject>Tonometry, Ocular - instrumentation</subject><subject>Tonometry, Ocular - methods</subject><issn>0004-2749</issn><issn>1678-2925</issn><issn>1678-2925</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkU9P3DAUxC0Egu22X6AH5COXbJ_tJI65IURpJaRK_DlbjvNcghx7sZNKe-Gzk2hh1dM7vPnNSDOEfGewqZSofgBAWXBZqg0HVgGo6oisWC2bgiteHZPVQXBGvuT8AsBLpapTcsbrWkoQzYq83WMbp9DRMYY44Jh29B-mPGV6G303mBD--_SBZvsco6f2ufddwnBJHZrct73vxx01s4_5mxAHDCONbgbGZKKdvEl0mzDnKSEdZmK-iyZ_JSfO-IzfPu6aPP28ebz-Vdz9uf19fXVXWNHUY4GtVaAEQg22QyakAFla3jXAytIyJzpsjbQNq5wFbAVy0cnWoVONdKatxZps9r7Z9uijfolTCnOgflg60ktH-w7nBBBzu2tysQe2Kb5OmEc99Nmi9yZgnLJmsoKy5EotUr6X2hRzTuj0NvWDSTvNQC9D6UOG_hxqhs4__Kd2wO6AfC4j3gH80Y-F</recordid><startdate>20151101</startdate><enddate>20151101</enddate><creator>Esporcatte, Bruno Leonardo Barranco</creator><creator>Lopes, Flávio Siqueira Santos</creator><creator>Fonseca Netto, Camila</creator><creator>Rebouças-Santos, Vespasiano</creator><creator>Dias, Diego Torres</creator><creator>Marujo, Fábio Iglesias</creator><creator>Rolim-de-Moura, Christiane</creator><general>Conselho Brasileiro de Oftalmologia</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>GPN</scope></search><sort><creationdate>20151101</creationdate><title>Rebound tonometry versus Goldmann tonometry in school children: feasibility and agreement of intraocular pressure measurements</title><author>Esporcatte, Bruno Leonardo Barranco ; Lopes, Flávio Siqueira Santos ; Fonseca Netto, Camila ; Rebouças-Santos, Vespasiano ; Dias, Diego Torres ; Marujo, Fábio Iglesias ; Rolim-de-Moura, Christiane</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-ebc9093e060cde1373074c2d80144c1f3deba7c815fc0eb3e23d7bfef987fab63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Child</topic><topic>Cornea - anatomy & histology</topic><topic>Corneal Injuries - etiology</topic><topic>Corneal Pachymetry - methods</topic><topic>Cross-Sectional Studies</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Intraocular Pressure - physiology</topic><topic>Male</topic><topic>OPHTHALMOLOGY</topic><topic>Reference Values</topic><topic>Reproducibility of Results</topic><topic>Statistics, Nonparametric</topic><topic>Time Factors</topic><topic>Tonometry, Ocular - adverse effects</topic><topic>Tonometry, Ocular - instrumentation</topic><topic>Tonometry, Ocular - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Esporcatte, Bruno Leonardo Barranco</creatorcontrib><creatorcontrib>Lopes, Flávio Siqueira Santos</creatorcontrib><creatorcontrib>Fonseca Netto, Camila</creatorcontrib><creatorcontrib>Rebouças-Santos, Vespasiano</creatorcontrib><creatorcontrib>Dias, Diego Torres</creatorcontrib><creatorcontrib>Marujo, Fábio Iglesias</creatorcontrib><creatorcontrib>Rolim-de-Moura, Christiane</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SciELO</collection><jtitle>Arquivos brasileiros de oftalmologia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Esporcatte, Bruno Leonardo Barranco</au><au>Lopes, Flávio Siqueira Santos</au><au>Fonseca Netto, Camila</au><au>Rebouças-Santos, Vespasiano</au><au>Dias, Diego Torres</au><au>Marujo, Fábio Iglesias</au><au>Rolim-de-Moura, Christiane</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Rebound tonometry versus Goldmann tonometry in school children: feasibility and agreement of intraocular pressure measurements</atitle><jtitle>Arquivos brasileiros de oftalmologia</jtitle><addtitle>Arq Bras Oftalmol</addtitle><date>2015-11-01</date><risdate>2015</risdate><volume>78</volume><issue>6</issue><spage>359</spage><epage>362</epage><pages>359-362</pages><issn>0004-2749</issn><issn>1678-2925</issn><eissn>1678-2925</eissn><abstract>High intraocular pressure (IOP) is an important risk factor for a variety of pediatric ophthalmic conditions. The purpose of this study is to evaluate the feasibility, length of examination, and corneal epithelial damage induced by rebound tonometry (RBT) versus Goldmann applanation tonometry (GAT) in school children.
Healthy children (n=57) participated in a randomized, transversal study with IOP measurement by GAT followed by RBT (study arm 1) or RBT followed by GAT (study arm 2). The number of attempts to acquire a reliable IOP measurement and the length of the examination were quantified. Corneal epithelial damage induced by tonometry was evaluated. Bland-Altman analysis was performed to establish the level of agreement between the two techniques.
The IOP was measured in all children with at least one of the devices. In both study arms, more children failed to be examined with GAT than with RBT (26% vs. 4%, and 16% vs. 6%, p<0.001, in study arm 1 and 2, respectively). The length of examination was shorter for RBT than for GAT (67.81 s ± 35.20 s vs. 126.70 s ± 56.60 s; p<0.0001); IOP measurements with RBT in both study arms were higher than those with GAT (15.20 ± 2.74 mmHg vs. 13.25 ± 2.47 mmHg, p=0.0247 and 16.76 ± 3.99 mmHg vs. 13.92 ± 2.08 mmHg, p=0.003, respectively). No difference was observed between RBT and GAT regarding the corneal epithelial damage caused by tonometry.
IOP measurement is feasible in a greater number of children with RBT, and the examination was faster than that for GAT. Compared with GAT, RBT tended to overestimate the IOP. None of the methods induced marked corneal epithelial defects.</abstract><cop>Brazil</cop><pub>Conselho Brasileiro de Oftalmologia</pub><pmid>26677038</pmid><doi>10.5935/0004-2749.20150095</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Child Cornea - anatomy & histology Corneal Injuries - etiology Corneal Pachymetry - methods Cross-Sectional Studies Feasibility Studies Female Humans Intraocular Pressure - physiology Male OPHTHALMOLOGY Reference Values Reproducibility of Results Statistics, Nonparametric Time Factors Tonometry, Ocular - adverse effects Tonometry, Ocular - instrumentation Tonometry, Ocular - methods |
title | Rebound tonometry versus Goldmann tonometry in school children: feasibility and agreement of intraocular pressure measurements |
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