Skip to main content
Top
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology 9/2017

01-09-2017 | Glaucoma

Limbal rebound tonometry: clinical comparisons and applications

Authors: Georgios Bontzos, Michail Agiorgiotakis, Zoi Kapsala, Efstathios Detorakis

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 9/2017

Login to get access

Abstract

Purpose

The accuracy of contact tonometry may be compromised in cases with disorders affecting central corneal bio-mechanical properties. This study examined the reliability of rebound tonometry (RT) on the area of corneo-scleral limbus, instead of the conventional central corneal area, and the correlation of findings with ocular biometric parameters.

Methods

This is a prospective cross-sectional study performed at the Department of Ophthalmology of the University Hospital of Heraklion, in Crete, Greece. Consecutive cataract surgery candidates without concomitant ocular pathology, apart from cataract, were included. RT was performed on the central cornea (central RT, CRT) as well as on the limbus and scleral spur area (limbal RT, LRT). Findings were correlated with Goldmann applanation tonometry (GAT) as well as axial length (AL), central corneal thickness (CCT), and corneal curvature (CC) measurements.

Results

LRT readings were significantly correlated with central CRT as well as with GAT readings, whereas respective correlations with other parameters examined were not statistically significant.

Conclusions

LRT may be used as an alternative tool in clinical practice to determine intraocular pressure when conventional devices and techniques might be inadequate or unreliable.
Literature
1.
go back to reference Kass MA (1996) Standardizing the measurement of intraocular pressure for clinical research. Guidelines from the eye care technology forum. Ophthalmology 103(1):183–185CrossRefPubMed Kass MA (1996) Standardizing the measurement of intraocular pressure for clinical research. Guidelines from the eye care technology forum. Ophthalmology 103(1):183–185CrossRefPubMed
2.
go back to reference Whitacre MM, Stein R (1993) Sources of error with use of Goldmann-type tonometers. Surv Ophthalmol 38(1):1–30CrossRefPubMed Whitacre MM, Stein R (1993) Sources of error with use of Goldmann-type tonometers. Surv Ophthalmol 38(1):1–30CrossRefPubMed
3.
go back to reference Poostchi A, Mitchell R, Nicholas S et al (2009) The iCare rebound tonometer: comparisons with Goldmann tonometry, and influence of central corneal thickness. Clin Exp Ophthalmol 37(7):687–691CrossRefPubMed Poostchi A, Mitchell R, Nicholas S et al (2009) The iCare rebound tonometer: comparisons with Goldmann tonometry, and influence of central corneal thickness. Clin Exp Ophthalmol 37(7):687–691CrossRefPubMed
4.
go back to reference Pakrou N, Gray T, Mills R, Landers J et al (2008) Clinical comparison of the Icare tonometer and Goldmann applanation tonometry. J Glaucoma 17(1):43–47CrossRefPubMed Pakrou N, Gray T, Mills R, Landers J et al (2008) Clinical comparison of the Icare tonometer and Goldmann applanation tonometry. J Glaucoma 17(1):43–47CrossRefPubMed
5.
go back to reference Brusini P, Salvetal ML, Zeppieri M et al (2006) Comparison of ICare tonometer with Goldmann applanation tonometer in glaucoma patients. J Glaucoma 15(3):213–217CrossRefPubMed Brusini P, Salvetal ML, Zeppieri M et al (2006) Comparison of ICare tonometer with Goldmann applanation tonometer in glaucoma patients. J Glaucoma 15(3):213–217CrossRefPubMed
6.
go back to reference Damji KF, Muni RH, Munger RM (2003) Influence of corneal variables on accuracy of intraocular pressure measurement. J Glaucoma 12(1):69–80CrossRefPubMed Damji KF, Muni RH, Munger RM (2003) Influence of corneal variables on accuracy of intraocular pressure measurement. J Glaucoma 12(1):69–80CrossRefPubMed
7.
go back to reference Senthil S, Rathi V, Garudadri C (2010) Misleading Goldmann applanation tonometry in a post-LASIK eye with interface fluid syndrome. Indian J Ophthalmol 58(4):333–335CrossRefPubMedPubMedCentral Senthil S, Rathi V, Garudadri C (2010) Misleading Goldmann applanation tonometry in a post-LASIK eye with interface fluid syndrome. Indian J Ophthalmol 58(4):333–335CrossRefPubMedPubMedCentral
8.
go back to reference Greene PR (1980) Mechanical considerations in myopia: relative effects of accommodation, convergence, intraocular pressure, and the extraocular muscles. Am J Optom Physiol Optic 57(12):902–914CrossRef Greene PR (1980) Mechanical considerations in myopia: relative effects of accommodation, convergence, intraocular pressure, and the extraocular muscles. Am J Optom Physiol Optic 57(12):902–914CrossRef
9.
go back to reference Krakau CE, Wilke K (1971) On repeated tonometry. Acta Ophthalmol 49(4):611–614CrossRef Krakau CE, Wilke K (1971) On repeated tonometry. Acta Ophthalmol 49(4):611–614CrossRef
10.
go back to reference Van Buskirk EM (1989) The anatomy of the limbus. Eye (Lond) 3(Pt 2):101–108CrossRef Van Buskirk EM (1989) The anatomy of the limbus. Eye (Lond) 3(Pt 2):101–108CrossRef
11.
go back to reference Oliveira C, Tello C, Liebmann J et al (2006) Central corneal thickness is not related to anterior scleral thickness or axial length. J Glaucoma 15(3):190–194CrossRefPubMed Oliveira C, Tello C, Liebmann J et al (2006) Central corneal thickness is not related to anterior scleral thickness or axial length. J Glaucoma 15(3):190–194CrossRefPubMed
12.
go back to reference Queiros A, González-Méijome JM, Fernandez P et al (2007) Technical note: a comparison of central and peripheral intraocular pressure using rebound tonometry. Ophthalmic Physiol Opt 27(5):506–511CrossRefPubMed Queiros A, González-Méijome JM, Fernandez P et al (2007) Technical note: a comparison of central and peripheral intraocular pressure using rebound tonometry. Ophthalmic Physiol Opt 27(5):506–511CrossRefPubMed
13.
go back to reference Muttuvelu DV, Baggesen K, Ehlers N (2012) Precision and accuracy of the ICare tonometer - peripheral and central IOP measurements by rebound tonometry. Acta Ophthalmol 90(4):322–326CrossRefPubMed Muttuvelu DV, Baggesen K, Ehlers N (2012) Precision and accuracy of the ICare tonometer - peripheral and central IOP measurements by rebound tonometry. Acta Ophthalmol 90(4):322–326CrossRefPubMed
14.
go back to reference Kanngiesser HE, Kniestedt C, Robert YC (2005) Dynamic contour tonometry: presentation of a new tonometer. J Glaucoma 14(5):344–350CrossRefPubMed Kanngiesser HE, Kniestedt C, Robert YC (2005) Dynamic contour tonometry: presentation of a new tonometer. J Glaucoma 14(5):344–350CrossRefPubMed
15.
go back to reference Browning AC, Bhan A, Rotchford AP et al (2004) The effect of corneal thickness on intraocular pressure measurement in patients with corneal pathology. Br J Ophthalmol 88(11):1395–1399CrossRefPubMedPubMedCentral Browning AC, Bhan A, Rotchford AP et al (2004) The effect of corneal thickness on intraocular pressure measurement in patients with corneal pathology. Br J Ophthalmol 88(11):1395–1399CrossRefPubMedPubMedCentral
16.
go back to reference Kapamajian MA, de la Cruz J, Hallak J et al (2013) Correlation between corneal and scleral pneumatonometry: an alternative method for intraocular pressure measurement. Am J Ophthalmol 156(5):902–906.e1CrossRefPubMed Kapamajian MA, de la Cruz J, Hallak J et al (2013) Correlation between corneal and scleral pneumatonometry: an alternative method for intraocular pressure measurement. Am J Ophthalmol 156(5):902–906.e1CrossRefPubMed
17.
go back to reference Kolin T, Wedemeyer L, Kolin E et al (2003) Comparison of scleral and corneal Tono-Pen readings. J AAPOS 7(4):291–292CrossRefPubMed Kolin T, Wedemeyer L, Kolin E et al (2003) Comparison of scleral and corneal Tono-Pen readings. J AAPOS 7(4):291–292CrossRefPubMed
18.
go back to reference Wilke K (1971) Intraocular pressure measurement on various parts of the cornea. Acta Ophthalmol 49(4):545–551CrossRef Wilke K (1971) Intraocular pressure measurement on various parts of the cornea. Acta Ophthalmol 49(4):545–551CrossRef
19.
go back to reference Rootman DS et al (1988) Accuracy and precision of the Tono-Pen in measuring intraocular pressure after keratoplasty and epikeratophakia and in scarred corneas. Arch Ophthalmol 106(12):1697–1700CrossRefPubMed Rootman DS et al (1988) Accuracy and precision of the Tono-Pen in measuring intraocular pressure after keratoplasty and epikeratophakia and in scarred corneas. Arch Ophthalmol 106(12):1697–1700CrossRefPubMed
20.
go back to reference Azuara-Blanco A, Bhojani T, Sarhan A et al (1998) Tono-Pen determination of intraocular pressure in patients with band keratopathy or glued cornea. Br J Ophthalmol 82(6):634–636CrossRefPubMedPubMedCentral Azuara-Blanco A, Bhojani T, Sarhan A et al (1998) Tono-Pen determination of intraocular pressure in patients with band keratopathy or glued cornea. Br J Ophthalmol 82(6):634–636CrossRefPubMedPubMedCentral
21.
go back to reference Stodtmeister R (2002) Central corneal thickness on GAT (Goldman applanation tonometry accuracy). J Glaucoma 11(6):543CrossRefPubMed Stodtmeister R (2002) Central corneal thickness on GAT (Goldman applanation tonometry accuracy). J Glaucoma 11(6):543CrossRefPubMed
22.
go back to reference Keel S, Malesic L, Chan SP (2014) Diurnal variation in central corneal thickness and intraocular pressure in eyes with pseudoexfoliation syndrome without glaucoma. Indian J Ophthalmol 62(11):1072–1076CrossRefPubMedPubMedCentral Keel S, Malesic L, Chan SP (2014) Diurnal variation in central corneal thickness and intraocular pressure in eyes with pseudoexfoliation syndrome without glaucoma. Indian J Ophthalmol 62(11):1072–1076CrossRefPubMedPubMedCentral
23.
go back to reference Kozobolis V, Detorakis E, Tsilimbaris M et al (1999) Correlation between age-related macular degeneration and pseudoexfoliation syndrome in the population of Crete (Greece). Arch Ophthalmol 117(5):664–669CrossRefPubMed Kozobolis V, Detorakis E, Tsilimbaris M et al (1999) Correlation between age-related macular degeneration and pseudoexfoliation syndrome in the population of Crete (Greece). Arch Ophthalmol 117(5):664–669CrossRefPubMed
24.
go back to reference Detorakis E, Chrysochoou F, Paliobei V et al (2008) Evaluation of the acoustic function in pseudoexfoliation syndrome and exfoliation glaucoma: audiometric and tympanometric findings. Eur J Ophthalmol 18(1):71–76PubMed Detorakis E, Chrysochoou F, Paliobei V et al (2008) Evaluation of the acoustic function in pseudoexfoliation syndrome and exfoliation glaucoma: audiometric and tympanometric findings. Eur J Ophthalmol 18(1):71–76PubMed
25.
go back to reference Quaranta L, Riva I, Mazziotti G et al (2014) Elevated intraocular pressure in patients with acromegaly. Graefes Arch Clin Exp Ophthalmol 252(7):1133–1139CrossRefPubMed Quaranta L, Riva I, Mazziotti G et al (2014) Elevated intraocular pressure in patients with acromegaly. Graefes Arch Clin Exp Ophthalmol 252(7):1133–1139CrossRefPubMed
26.
go back to reference Goldich Y, Barkana Y, Gerber Y et al (2009) Effect of diabetes mellitus on biomechanical parameters of the cornea. J Cataract Refract Surg 35(4):715–719CrossRefPubMed Goldich Y, Barkana Y, Gerber Y et al (2009) Effect of diabetes mellitus on biomechanical parameters of the cornea. J Cataract Refract Surg 35(4):715–719CrossRefPubMed
27.
go back to reference Detorakis E, Tsaglioti E, Kymionis G (2015) Non-invasive ocular rigidity measurement: a differential tonometry approach. Acta Med (Hradec Kralove) 58(3):92–97CrossRef Detorakis E, Tsaglioti E, Kymionis G (2015) Non-invasive ocular rigidity measurement: a differential tonometry approach. Acta Med (Hradec Kralove) 58(3):92–97CrossRef
28.
go back to reference Kymionis G, Panagiotoglou TD, Yoo SH et al (2007) Central corneal thickness in patients with neovascular age-related macular degeneration. Cornea 26(2):182–184CrossRefPubMed Kymionis G, Panagiotoglou TD, Yoo SH et al (2007) Central corneal thickness in patients with neovascular age-related macular degeneration. Cornea 26(2):182–184CrossRefPubMed
29.
go back to reference Kong YX, Fan Gaskin JC, Ang GS (2015) Issues with intraocular pressure measurement in post-LASIK corneal interface fluid syndrome. Clin Exp Ophthalmol 43(7):688–689CrossRefPubMed Kong YX, Fan Gaskin JC, Ang GS (2015) Issues with intraocular pressure measurement in post-LASIK corneal interface fluid syndrome. Clin Exp Ophthalmol 43(7):688–689CrossRefPubMed
30.
go back to reference Fick A (1888) Ueber Messung des Druckes im Auge. Archiv für die gesamte Physiologie des Menschen und der Tiere 42(1):86–90CrossRef Fick A (1888) Ueber Messung des Druckes im Auge. Archiv für die gesamte Physiologie des Menschen und der Tiere 42(1):86–90CrossRef
31.
go back to reference Talajic JC, Agoumi Y, Gagné S et al (2012) Prevalence, progression, and impact of glaucoma on vision after Boston type 1 keratoprosthesis surgery. Am J Ophthalmol 153(2):267–274.e1CrossRefPubMed Talajic JC, Agoumi Y, Gagné S et al (2012) Prevalence, progression, and impact of glaucoma on vision after Boston type 1 keratoprosthesis surgery. Am J Ophthalmol 153(2):267–274.e1CrossRefPubMed
33.
go back to reference Yang Y, Hong J, Deng SX et al (2014) Age-related changes in human corneal epithelial thickness measured with anterior segment optical coherence tomography. Invest Ophthalmol Vis Sci 55(8):5032–5038CrossRefPubMed Yang Y, Hong J, Deng SX et al (2014) Age-related changes in human corneal epithelial thickness measured with anterior segment optical coherence tomography. Invest Ophthalmol Vis Sci 55(8):5032–5038CrossRefPubMed
Metadata
Title
Limbal rebound tonometry: clinical comparisons and applications
Authors
Georgios Bontzos
Michail Agiorgiotakis
Zoi Kapsala
Efstathios Detorakis
Publication date
01-09-2017
Publisher
Springer Berlin Heidelberg
Published in
Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 9/2017
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-017-3725-7

Other articles of this Issue 9/2017

Graefe's Archive for Clinical and Experimental Ophthalmology 9/2017 Go to the issue