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Intraocular pressure measurement in patients with previous LASIK surgery using pressure phosphene tonometer. | LitMetric

Intraocular pressure measurement in patients with previous LASIK surgery using pressure phosphene tonometer.

Clin Exp Ophthalmol

Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, University Eye Center, Hong Kong Eye Hospital, Hong Kong, China.

Published: April 2005

Purpose: To compare intraocular pressure (IOP) assessment in post-LASIK patients using non-contact tonometry, pressure phosphene tonometry and applanation tonometry.

Methods: Sixty-two consecutive LASIK patients were analysed preoperatively and postoperatively with non-contact, pressure phosphene and applanation tonometry. Comparisons among these values were assessed with paired sample Student t-test, Pearson's correlation test and Bland-Altman plotting.

Results: There was no significant difference for preoperative IOP measurement between non-contact, pressure phosphene and applanation tonometry. The mean +/-SD difference between the preoperative non-contact tonometry and postoperative pressure phosphene tonometry IOP measurements was 0.80 +/- 2.77 mmHg (P < 0.01). Postoperative applanation tonometry significantly underestimated IOP measurement by 5.45 +/- 2.96 mmHg (P < 0.001) and postoperative non-contact tonometry significantly underestimated IOP measurement by 9.96 +/- 2.25 mmHg (P < 0.001).

Conclusion: Pressure phosphene tonometry may provide an alternative method for the assessment of IOP in post-LASIK patients.

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Source
http://dx.doi.org/10.1111/j.1442-9071.2005.00988.xDOI Listing

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