Clinical comparison of Pulsair non-contact tonometer and Goldmann applanation tonometer in Indian population

Introduction: Goldmann applanation tonometer (GAT) is the gold standard for Intraocular Pressure (IOP) measurement but has disadvantage of being contact device and problems with portability. The aim of the study was to compare the Keeler's Pulsair noncontact tonometer (NCT) with GAT in Indian P...

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Main Authors: Shalini Mohan, Satyaprakash Tiwari, Arvind Jain, Jaya Gupta, Surendra Kumar Sachan
Format: Article
Language:English
Published: Elsevier 2014-04-01
Series:Journal of Optometry
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1888429613000460
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author Shalini Mohan
Satyaprakash Tiwari
Arvind Jain
Jaya Gupta
Surendra Kumar Sachan
author_facet Shalini Mohan
Satyaprakash Tiwari
Arvind Jain
Jaya Gupta
Surendra Kumar Sachan
author_sort Shalini Mohan
collection DOAJ
description Introduction: Goldmann applanation tonometer (GAT) is the gold standard for Intraocular Pressure (IOP) measurement but has disadvantage of being contact device and problems with portability. The aim of the study was to compare the Keeler's Pulsair noncontact tonometer (NCT) with GAT in Indian Population. Materials and methods: Eighty-one subjects were screened from a Glaucoma clinic of a tertiary care centre in North India. The IOP was measured by Pulsair NCT and GAT after explaining the procedure. Central corneal thickness (CCT) was measured to avoid its bias on IOP readings. The data were analyzed using SPSS software. Results: The mean age of subjects was 49.9 ± 8.8 (mean ± SD) years. The mean IOP as taken by Pulsair NCT was 15.79 ± 4.07 mmHg and that for GAT was 17.02 ± 4.23 mmHg (p = 0.062). The mean CCT was 0.536 ± 0.019 mm. A positive Pearson's correlation coefficient of 0.909 (p = 0.0001) was found between the two instruments. Bland and Altmann analysis showed a fair agreement between the two tonometers at lower IOP range. Conclusion: Pulsair NCT can be used as a screening tool for community practices but is not reliable in the subjects with higher IOP range.
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spelling doaj.art-f3ee24c8ec4b44a9b49fc3eb15522eef2022-12-22T01:56:14ZengElsevierJournal of Optometry1888-42962014-04-0172869010.1016/j.optom.2013.06.002Clinical comparison of Pulsair non-contact tonometer and Goldmann applanation tonometer in Indian populationShalini MohanSatyaprakash TiwariArvind JainJaya GuptaSurendra Kumar SachanIntroduction: Goldmann applanation tonometer (GAT) is the gold standard for Intraocular Pressure (IOP) measurement but has disadvantage of being contact device and problems with portability. The aim of the study was to compare the Keeler's Pulsair noncontact tonometer (NCT) with GAT in Indian Population. Materials and methods: Eighty-one subjects were screened from a Glaucoma clinic of a tertiary care centre in North India. The IOP was measured by Pulsair NCT and GAT after explaining the procedure. Central corneal thickness (CCT) was measured to avoid its bias on IOP readings. The data were analyzed using SPSS software. Results: The mean age of subjects was 49.9 ± 8.8 (mean ± SD) years. The mean IOP as taken by Pulsair NCT was 15.79 ± 4.07 mmHg and that for GAT was 17.02 ± 4.23 mmHg (p = 0.062). The mean CCT was 0.536 ± 0.019 mm. A positive Pearson's correlation coefficient of 0.909 (p = 0.0001) was found between the two instruments. Bland and Altmann analysis showed a fair agreement between the two tonometers at lower IOP range. Conclusion: Pulsair NCT can be used as a screening tool for community practices but is not reliable in the subjects with higher IOP range.http://www.sciencedirect.com/science/article/pii/S1888429613000460Non-contact tonometerApplanation tonometryIntraocular pressure
spellingShingle Shalini Mohan
Satyaprakash Tiwari
Arvind Jain
Jaya Gupta
Surendra Kumar Sachan
Clinical comparison of Pulsair non-contact tonometer and Goldmann applanation tonometer in Indian population
Journal of Optometry
Non-contact tonometer
Applanation tonometry
Intraocular pressure
title Clinical comparison of Pulsair non-contact tonometer and Goldmann applanation tonometer in Indian population
title_full Clinical comparison of Pulsair non-contact tonometer and Goldmann applanation tonometer in Indian population
title_fullStr Clinical comparison of Pulsair non-contact tonometer and Goldmann applanation tonometer in Indian population
title_full_unstemmed Clinical comparison of Pulsair non-contact tonometer and Goldmann applanation tonometer in Indian population
title_short Clinical comparison of Pulsair non-contact tonometer and Goldmann applanation tonometer in Indian population
title_sort clinical comparison of pulsair non contact tonometer and goldmann applanation tonometer in indian population
topic Non-contact tonometer
Applanation tonometry
Intraocular pressure
url http://www.sciencedirect.com/science/article/pii/S1888429613000460
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AT arvindjain clinicalcomparisonofpulsairnoncontacttonometerandgoldmannapplanationtonometerinindianpopulation
AT jayagupta clinicalcomparisonofpulsairnoncontacttonometerandgoldmannapplanationtonometerinindianpopulation
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