Comparison of Dynamic Contour Tonometry and Goldmann Applanation Tonometry in Relation to Central Corneal Thickness.
10.3341/jkos.2015.56.9.1392
- Author:
Min Kyo KIM
1
;
Si Yoon PARK
;
Chan Yun KIM
;
Ji Hyun KIM
Author Information
1. Siloam Eye Hospital, Seoul, Korea. jhkim32@daum.net
- Publication Type:Original Article
- Keywords:
Central corneal thickness;
Dynamic contour tonometry;
Glaucoma;
Goldmann applanation tonometry
- MeSH:
Cornea;
Glaucoma;
Humans;
Intraocular Pressure;
Manometry*;
Prospective Studies;
Ultrasonography
- From:Journal of the Korean Ophthalmological Society
2015;56(9):1392-1399
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: In this study we compared the intraocular pressures (IOPs) measured using dynamic contour tonometry (DCT) and Goldmann applanation tonometry (GAT) and investigated the correlation between central corneal thickness (CCT) and IOP. METHODS: In a prospective study, 178 eyes of 91 subjects with glaucoma and glaucoma suspect were enrolled. IOP was measured using DCT and GAT and CCT was measured using ultrasound pachymetry. Each eye was classified into 1 of 3 groups according to their CCT: low CCT (Group A; CCT < 525 microm), normal CCT (Group B; 525 < or = CCT < 561 microm), and high CCT (Group C; CCT > or = 561 microm). In each group, we investigated the correlation between CCT and IOP measurement using GAT and DCT. RESULTS: A significant correlation was found between CCT and IOP measured using GAT (p < 0.001), but not between CCT and IOP measured using DCT (p = 0.108) in all patients. Subgroup analysis showed that CCT affected IOP measured with GAT only in Group A (p = 0.027) and IOP measured with DCT was not affected by CCT in all 3 groups. CONCLUSIONS: IOP measured using GAT and DCT were significantly affected by CCT, especially when the CCT was low. CCT may have no effect on DCT thus, IOP measured using DCT is more reliable than GAT in patients with thin corneas.
