Background: Applanation tonometry in eyes with pathological corneae can often not be performed or delivers rather questionable results. We report on our 4-year experience with electronic intraocular needle tonometry.

Patients And Methods: After since 1994 developing and calibrating a system for intraocular needle tonometry, we have performed 395 measurements in 252 eyes with irregular corneae and suspicion of glaucoma. If applanation tonometry values could be obtained, they were compared with the true intraocular pressure.

Results: Depending on the kind of corneal pathology, applanation tonometry values were lower and sometimes much lower than true intraocular pressure. No serious complications occurred as a result of intraocular needle tonometry.

Conclusions: Intraocular needle tonometry is a safe procedure and is the only way to measure intraocular pressure precisely in eyes with pathological corneae.

Download full-text PDF

Source
http://dx.doi.org/10.1007/s003470050444DOI Listing

Publication Analysis

Top Keywords

intraocular needle
20
applanation tonometry
12
experience electronic
8
intraocular
8
electronic intraocular
8
eyes pathological
8
pathological corneae
8
needle tonometry
8
tonometry values
8
true intraocular
8

Similar Publications

Purpose: The light adjustable lens (LAL) (RxSight, Aliso Viejo, CA) is a premium intraocular lens that allows for correction of residual refractive error and astigmatism following implantation. Herein, we describe the surgical approach and evaluate the visual outcomes of patients following scleral fixation of the LAL.

Methods: Retrospective, single-surgeon surgical case series of 3 patients (3 eyes) with intraocular lens complications, who underwent combined pars plana vitrectomy and sutureless needle assisted intrascleral haptic fixation of the LAL between April 2022, to August 2023.

View Article and Find Full Text PDF

Purpose: To present a novel bended-needle drainage system in vitreous cavity lavage (VCL) for postoperative vitreous cavity hemorrhage (POVCH).

Methods: This retrospective case series include all patients with POVCH who received VCL with the bended-needle drainage system at ophthalmology department of Peking Union Medical College Hospital from January 2022 to May 2024. Patients adopted a supine position that allows preparation and draping.

View Article and Find Full Text PDF

Purpose: To describe a custom bent 27-gauge needle-guided suture snare technique for scleral fixation of posterior chamber intraocular lenses (PCIOL).

Methods: An 8-0 polypropylene suture was threaded into the lumen of a custom bent 27-gauge needle, and the needle tip was advanced into the eye from the intraocular lens (IOL) fixation point. The suture was threaded through the posterior limbal incision inside the IOL haptic loop and pulled out.

View Article and Find Full Text PDF

Purpose: To discuss comprehensively the varied complications after stent-less incisional or excisional minimally invasive glaucoma surgery (MIGS).

Method: A review of reported complications after stent-less MIGS procedures including gonioscopy-assisted transluminal trabeculotomy (GATT), bent needle goniectomy (BANG), Kahook-dual blade goniotomy, and microincisional trabeculectomy (MIT) published between 2014-2024, were analyzed and summarized.

Results: Apart from hyphema, peripheral anterior synechiae, and intraocular pressure spikes, other vision-threatening complications like cyclodialysis, Descemet's detachment, corneal edema, iridodilalysis, vitreous loss or vitreous hemorrhage can also occur intra- or postoperatively after any incisional or excisional MIGS procedures.

View Article and Find Full Text PDF

Aim: To evaluate the short-term efficacy of XEN45 Gel Stent (XEN) implantation for primary open angle glaucoma (POAG) and pseudoexfoliation (PEX) glaucoma across two university eye clinics, aiming to assess the impact of varying center-specific protocols during the first postoperative year.

Methods: We retrospectively examined 282 patients (183 in center 1, 99 in center 2), who underwent XEN microstent implantation for uncontrolled POAG or PEX glaucoma. Parameters including intraocular pressure (IOP), IOP-lowering medication count, best corrected visual acuity (BCVA), and postoperative complications were evaluated over 12mo.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!