ProTon tonometer determination of intraocular pressure in patients with scarred corneas

Jain, Arun K.; Sukhija, Jaspreet; Gupta, Amod
June 2006
Indian Journal of Ophthalmology;Jun2006, Vol. 54 Issue 2, p95
Academic Journal
Purpose: To evaluate the measure of intraocular pressure (IOP) in patients with scarred corneas obtained from the affected and non-affected areas. Materials and Methods: Eighteen patients with small maculo-leucomatous corneal opacity following microbial keratitis were prospectively included in the study. Goldmann applanation tonometry was done first on the non-affected corneal surface. ProTon tonometry (PT) was then carried out on the same eye, to obtain IOP measurements from the non-affected (PT1) and the affected area (PT2) of the cornea. The IOP measurements were compared using a two-tail paired t test. Results: The mean of IOP measurements of PT 2 and PT1 was 22 mm of Hg (SD ... 5.2) and 14.8 mm of Hg (SD ... 5.4), respectively. The higher reading of PT2 was statistically significant (P<0.001). The mean Goldmann applanation tonometry was 14.6 mm of Hg (SD 5.4) and it did not differ significantly (P = 0.86) from the PT1 readings of 14.8 mm of Hg (SD 5.4). Conclusion: In patients with maculo-leucomatous corneal opacity, determination of IOP by ProTon tonometer varies from the affected to the non-affected area. The ProTon tonometer overestimates the level of IOP when it is applied to a leucomatous corneal opacity.


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