The impact of central corneal thickness on values of intraocular pressure measured using two methods: Goldmann applanation and dynamic contour tonometry in patients with open-angle glaucoma

Introduction Dynamic contour tonometry (DCT) is a contact, non-applanation method for measuring intraocular pressure (IOP). Objektive The study aimed at evaluating the impact of central corneal thickness (CCT) on values of IOP measured using two methods: Goldmann applanation tonometry (GAT) and DCT....

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Main Authors: Jordanova Elena, Hentova-Senćanić Paraskeva, Marjanović Ivan, Senćanić Ivan, Stefanović Ivana, Baralić Marko
Format: Article
Language:English
Published: City Medical emergency department, Belgrade 2020-01-01
Series:Halo 194
Subjects:
Online Access:https://scindeks-clanci.ceon.rs/data/pdf/2334-6477/2020/2334-64772001007J.pdf
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author Jordanova Elena
Hentova-Senćanić Paraskeva
Marjanović Ivan
Senćanić Ivan
Stefanović Ivana
Baralić Marko
author_facet Jordanova Elena
Hentova-Senćanić Paraskeva
Marjanović Ivan
Senćanić Ivan
Stefanović Ivana
Baralić Marko
author_sort Jordanova Elena
collection DOAJ
description Introduction Dynamic contour tonometry (DCT) is a contact, non-applanation method for measuring intraocular pressure (IOP). Objektive The study aimed at evaluating the impact of central corneal thickness (CCT) on values of IOP measured using two methods: Goldmann applanation tonometry (GAT) and DCT. Methods The study included 150 patients (300 eyes) with the diagnosis of open-angle glaucoma (54 males) and mean age of 59.39± 13.12 years. IOP was measured using two methods: GAT and DCT. CCT was measured (ultrasound pachymetry). DCT introduced a new value - the ocular pulse amplitude (OPA). Results The IOP measured with the GAT was lower compared to the IOP measured with DCT (17.71±3.35mmHg vs 19.80± 3.67mmHg). There was a significant positive correlation between IOP measured with GAT and IOP measured with DCT (r= 0.867, p< 0.01). In all patients, there was a significant positive correlation between CCT and IOP measured with GAT (r=0.198, p< 0.01), as well as between CCT and IOP measured with DCT (r=0.180, p< 0.05). With every 10mm of change in CCT, the change of IOP measured with GAT was 0.3mmHg, while the average change of IOP measured with DCT was 0.4 mmHg. There was a significant positive correlation between CCT and OPA (r=0.204, p< 0.01). There was also a significant positive correlation between OPA and IOP measured with GAT (r= 0.393, p< 0.01) and between OPA and IOP measured with DCT (r= 0.452, p< 0.01). Conclusion IOP measured with GAT was lower than IOP measured with DCT. CCT had impact on both methods: GAT and DCT. The impact of CCT on IOP (DCT) was lower compared to the impact of CCT on IOP(GAT).
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spelling doaj.art-7e42587887a8452aa273997fb0ea7b712022-12-22T01:16:03ZengCity Medical emergency department, BelgradeHalo 1942334-64772334-64772020-01-012617142334-64772001007JThe impact of central corneal thickness on values of intraocular pressure measured using two methods: Goldmann applanation and dynamic contour tonometry in patients with open-angle glaucomaJordanova Elena0Hentova-Senćanić Paraskeva1Marjanović Ivan2Senćanić Ivan3Stefanović Ivana4Baralić Marko5https://orcid.org/0000-0001-5585-9793KBC Zemun, Klinika za internu medicinu, Služba nefrologije, BeogradMedigroup-oftalmološka ambulanta Oftalmika, BeogradKCS, Klinika za očne bolesti, BeogradKBC Zvezdara, Klinika za očne bolesti, BeogradGradski zavod za hitnu medicinsku pomoć, BeogradKCS, Klinika za nefrologiju, BeogradIntroduction Dynamic contour tonometry (DCT) is a contact, non-applanation method for measuring intraocular pressure (IOP). Objektive The study aimed at evaluating the impact of central corneal thickness (CCT) on values of IOP measured using two methods: Goldmann applanation tonometry (GAT) and DCT. Methods The study included 150 patients (300 eyes) with the diagnosis of open-angle glaucoma (54 males) and mean age of 59.39± 13.12 years. IOP was measured using two methods: GAT and DCT. CCT was measured (ultrasound pachymetry). DCT introduced a new value - the ocular pulse amplitude (OPA). Results The IOP measured with the GAT was lower compared to the IOP measured with DCT (17.71±3.35mmHg vs 19.80± 3.67mmHg). There was a significant positive correlation between IOP measured with GAT and IOP measured with DCT (r= 0.867, p< 0.01). In all patients, there was a significant positive correlation between CCT and IOP measured with GAT (r=0.198, p< 0.01), as well as between CCT and IOP measured with DCT (r=0.180, p< 0.05). With every 10mm of change in CCT, the change of IOP measured with GAT was 0.3mmHg, while the average change of IOP measured with DCT was 0.4 mmHg. There was a significant positive correlation between CCT and OPA (r=0.204, p< 0.01). There was also a significant positive correlation between OPA and IOP measured with GAT (r= 0.393, p< 0.01) and between OPA and IOP measured with DCT (r= 0.452, p< 0.01). Conclusion IOP measured with GAT was lower than IOP measured with DCT. CCT had impact on both methods: GAT and DCT. The impact of CCT on IOP (DCT) was lower compared to the impact of CCT on IOP(GAT).https://scindeks-clanci.ceon.rs/data/pdf/2334-6477/2020/2334-64772001007J.pdfcentral corneal thicknessdynamic contour tonometryocular pulse amplitude
spellingShingle Jordanova Elena
Hentova-Senćanić Paraskeva
Marjanović Ivan
Senćanić Ivan
Stefanović Ivana
Baralić Marko
The impact of central corneal thickness on values of intraocular pressure measured using two methods: Goldmann applanation and dynamic contour tonometry in patients with open-angle glaucoma
Halo 194
central corneal thickness
dynamic contour tonometry
ocular pulse amplitude
title The impact of central corneal thickness on values of intraocular pressure measured using two methods: Goldmann applanation and dynamic contour tonometry in patients with open-angle glaucoma
title_full The impact of central corneal thickness on values of intraocular pressure measured using two methods: Goldmann applanation and dynamic contour tonometry in patients with open-angle glaucoma
title_fullStr The impact of central corneal thickness on values of intraocular pressure measured using two methods: Goldmann applanation and dynamic contour tonometry in patients with open-angle glaucoma
title_full_unstemmed The impact of central corneal thickness on values of intraocular pressure measured using two methods: Goldmann applanation and dynamic contour tonometry in patients with open-angle glaucoma
title_short The impact of central corneal thickness on values of intraocular pressure measured using two methods: Goldmann applanation and dynamic contour tonometry in patients with open-angle glaucoma
title_sort impact of central corneal thickness on values of intraocular pressure measured using two methods goldmann applanation and dynamic contour tonometry in patients with open angle glaucoma
topic central corneal thickness
dynamic contour tonometry
ocular pulse amplitude
url https://scindeks-clanci.ceon.rs/data/pdf/2334-6477/2020/2334-64772001007J.pdf
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