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tonometry
Indication:
- evaluation of increased intraocular pressure
Procedure:
- measures the intraocular pressure of the eye by determining the amount of pressure needed to depress the cornea
Methods:
1) Contact tonometry
a) Schiotz tonometer
- hand-held device easy to use
- accuracy affected by:
- improper placement
- eyelid closure
- sterilization between patients required to prevent transmission of disease (i.e. HIV etc.)
b) Goldmann's applanation tonometer
- most frequently used tonometer
- attached to slit lamp
- requires use of topical anesthetic
2) Non-contact tonometry
- measures pressure using jet of air to depress globe
- pressure recorded by pneumotonometer
- good for screening large numbers of patients
- may require several measurements for accurate reading
Related
intraocular pressure (IOP)
Specific
Goldman applanation tonometry (GAT Tapp, Ta)
intraocular pressure (IOP) by applanation tonometry (Ta)
intraocular pressure (IOP) by pneumatonometer (Tp)
intraocular pressure (IOP) by Shiotz tonometry (Ts)
intraocular pressure (IOP) by TonoPen (Tpen)
General
clinical procedure
References
Saunders Manual of Medical Practice, Rakel (ed),
WB Saunders, Philadelphia, 1996, pg 66-67