Title: Effect of Central Corneal Thickness on Intraocular Pressure Readings by Goldmann Applanation Tonometer and Non Contact Tonometer

Authors: Chitra Raghavan, Swathi Subramanian, V Sahasranamam, Beena Thankappan

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i3.189

Abstract

Purpose: To study the effect of CCT on IOP readings obtained by NCT and GAT across varying IOP ranges, and to correlate the IOP readings obtained by GAT and NCT.

Methods: 230 eyes were included in this cross sectional study. CCT, IOP by GAT and NCT were measured. Correlation and linear regression between CCT and IOP obtained by GAT and NCT were analysed.

Results: The mean IOP obtained by GAT was 15.64 ± 6.27 mm Hg, and that by NCT was 16 mmHg. The mean CCT measured was 537.6 ± 39.3 μm.IOP by GAT showed a significant positive correlation with CCT (r = 0.78 and p < 0.001). IOP by GAT changes by 1.25 mm Hg per 10 μm change in CCT. IOP by NCT also shows positive correlation with CCT (r = 0.72, p < 0.001).IOP by NCT changes by 1.21 mm Hg per 10 μm change in CCT.IOP measured by GAT and NCT showed a significant positive correlation, with highest correlation in the IOP range of 11 – 20 mm Hg( r = 0.719 , p < 0.001).

Conclusion: A significant positive correlation exists between IOP measured by GAT and NCT in all IOP ranges.IOP measured by NCT also significantly correlates with CCT. Change in IOP by NCT is 1.21 mm Hg (1.06 to 1.36 mm Hg) per 10 μm change in CCT, and is comparable to that by GAT.

Keywords: Intraocular pressure, Goldmann applanation tonometer, noncontact tonometer, glaucoma.

References

  1. Goldmann H, Schmidt T. Applanation tonometry [in German]. Ophthalmologica 1957;134:221–42.
  2. Brandt JD, Beiser JA, Kass MA, et al. Central corneal thickness in the Ocular Hypertension Treatment Study (OHTS). Ophthalmology. 2001; 108(10):1779-1788
  3. Mohan S, Tiwari S, Jain A, Gupta J,Sachan S. K. (2014). Clinical comparison of Pulsair non-contact tonometer and Goldmann applanation tonometer in Indian population. Journal of Optometry, 7(2), 86–90
  4. Patel Himadri L, Singh Punit V, Kothari Raghunandan N, Desai Vivan D, Jain Jayesh, Siddharth Dua. To study the influence of central corneal thickness on intraocular pressure, measured by noncontact and Goldmann applanation tonometers in glaucomatous patients. International Journal of Research in Health Sciences 2015 Volume-3, Issue-4
  5. Aysel Pelit, Rana Altan-Yaycioglu, Aykut Pelit, Yonca A. Effect of corneal thickness on intraocular pressure measurements with the Pascal dynamic contour, Canon TX-10 non-contact and Goldmann applanation tonometers in healthy subjects. Clin Exp Optom 2009; 92: 1: 14–18
  6. Viney Gupta, Parul Sony, Harish C Agarwal, Ramanjit Sihota, Ajay Sharma. Inter-instrument agreement and influence of central corneal thickness on measurements with Goldmann, pneumotonometer and noncontact tonometer in glaucomatous eyes. Indian J Ophthalmol 2006;54:261-5
  7. Eysteinsson T, Jonasson F, Sasaki H, Arnarsson A, Sverrisson T, Sasaki K, et al. Central corneal thickness, radius of curvature and intraocular pressure in normal subjects using non contact techniques: Reykjavik eye study. Acta Ophthalmol Scand 2002;80:11-15.
  8. Ko YC, Liu CJ, Hsu WM. Varying effects of corneal thickness on intraocular pressure measurements with different tonometers. Eye 2005;19:327-332
  9. Abdulrahman et al. Comparison of the CT80 Non-Contact Tonometer and Goldmann Applanation Tonometer .Med. J. Cairo Univ., Vol. 79, No. 2, December: 9-11, 2011.

Corresponding Author

V Sahasranamam

Director, Regional Institute of Ophthalmology, Thiruvananthapuram-695001

Phone number: +91-9846020421, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.