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Published in: International Ophthalmology 2/2020

01-02-2020 | Measurement of Intraocular Pressure | Original Paper

Error in measurement of intraocular pressure with the Icare and IcarePRO

Authors: Mitsuya Otsuka, Naoki Tojo, Atsushi Hayashi

Published in: International Ophthalmology | Issue 2/2020

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Abstract

Purpose

We sought to determine whether changes in the measurement angle of the Icare TA01i and IcarePRO tonometers led to errors in the measurement of intraocular pressure (IOP).

Methods

In this prospective, single-facility study, we analyzed 77 patients from November 2017 to September 2019. We measured IOP with the Icare TA01i and IcarePRO while changing the angle of the device with the cornea center and analyzed the associated changes in the measurement.

Results

IOP measured with the Icare tilted − 30°, − 15° vertically was significantly higher than that measured with the Icare tilted horizontally (p < 0.0001, p < 0.0001). The IOP measured with a + 10° vertical tilt was significantly lower than that measured horizontally (p < 0.0001). When the IcarePRO was tilted + 90° vertically, the IOP was significantly lower with the patient in the supine position than in the lateral position (p = 0.00058).

Conclusions

IOP measured with the Icare and IcarePRO is affected by the measurement angle. The study results will direct the clinicians to exercise extra precautions in determining the measurement angle while measuring IOP.
Literature
1.
go back to reference Collaborative Normal-tension Glaucoma Study Group (1998) The effectiveness of intraocular pressure reduction in the treatment of normal-tension glaucoma. Am J Ophthalmol 126:498–505CrossRef Collaborative Normal-tension Glaucoma Study Group (1998) The effectiveness of intraocular pressure reduction in the treatment of normal-tension glaucoma. Am J Ophthalmol 126:498–505CrossRef
2.
go back to reference Collaborative Normal-Tension Glaucoma Study Group (1998) Comparison of glaucomatous progression between untreated patients with normal-tension glaucoma and patients with therapeutically reduced intraocular pressures. Am J Ophthalmol 126:487–497CrossRef Collaborative Normal-Tension Glaucoma Study Group (1998) Comparison of glaucomatous progression between untreated patients with normal-tension glaucoma and patients with therapeutically reduced intraocular pressures. Am J Ophthalmol 126:487–497CrossRef
3.
go back to reference The AGIS investigators (2000) The relationship between control of intraocular pressure and visual field deterioration. Am J Ophthalmol 130:429–440CrossRef The AGIS investigators (2000) The relationship between control of intraocular pressure and visual field deterioration. Am J Ophthalmol 130:429–440CrossRef
4.
go back to reference Gao F, Lix X, Zhao Q et al (2017) Comparison of the Icare rebound tonometer and the Goldmann applanation tonometer. Exp Ther Med 13:1912–1916CrossRef Gao F, Lix X, Zhao Q et al (2017) Comparison of the Icare rebound tonometer and the Goldmann applanation tonometer. Exp Ther Med 13:1912–1916CrossRef
5.
go back to reference Nakamura M, Darhad U, Tatsumi Y et al (2006) Agreement of rebound tonometer in measuring intraocular pressure with three types of applanation tonometer. Am J Ophthalmol 142:332–334CrossRef Nakamura M, Darhad U, Tatsumi Y et al (2006) Agreement of rebound tonometer in measuring intraocular pressure with three types of applanation tonometer. Am J Ophthalmol 142:332–334CrossRef
6.
go back to reference Davies LN, Bartlett H, Mallen EA et al (2006) Clinical evaluation of rebound tonometer. Acta Ophthalmol Scand 84:206–209CrossRef Davies LN, Bartlett H, Mallen EA et al (2006) Clinical evaluation of rebound tonometer. Acta Ophthalmol Scand 84:206–209CrossRef
7.
go back to reference Pakrou N, Gray T, Mills R et al (2008) Clinical comparison of the Icare tonometer and goldmann applanation tonometry. J Glaucoma 17:43–47CrossRef Pakrou N, Gray T, Mills R et al (2008) Clinical comparison of the Icare tonometer and goldmann applanation tonometry. J Glaucoma 17:43–47CrossRef
8.
go back to reference Nakamura S (2018) Icare® rebound tonometers: review of their characteristics and ease of use. Clin Ophthalmol 12:1245–1253CrossRef Nakamura S (2018) Icare® rebound tonometers: review of their characteristics and ease of use. Clin Ophthalmol 12:1245–1253CrossRef
9.
go back to reference Kanda Y (2013) Investigation of the freely available easy-to-use software EZR for medical statistics. Bone Marrow Transplant 48:452–458CrossRef Kanda Y (2013) Investigation of the freely available easy-to-use software EZR for medical statistics. Bone Marrow Transplant 48:452–458CrossRef
10.
go back to reference Jablonski KS, Rosentreter A, Gaki S et al (2013) Clinical use of a new position-independent rebound tonometer. J Glaucoma 22:763–767CrossRef Jablonski KS, Rosentreter A, Gaki S et al (2013) Clinical use of a new position-independent rebound tonometer. J Glaucoma 22:763–767CrossRef
11.
go back to reference Schweier C, Hanson JV, Funk J et al (2013) Repeatability of intraocular pressure measurements with Icare PRO rebound, Tono-Pen AVIA, and Goldmann tonometers in sitting and reclining positions. BMC Ophthalmol 13:44CrossRef Schweier C, Hanson JV, Funk J et al (2013) Repeatability of intraocular pressure measurements with Icare PRO rebound, Tono-Pen AVIA, and Goldmann tonometers in sitting and reclining positions. BMC Ophthalmol 13:44CrossRef
12.
go back to reference Barkana Y, Gutfreund S (2014) Measurement of the difference in intraocular pressure between the sitting and lying body positions in healthy subjects: direct comparison of the IcarePro with the Goldmann applanation tonometer, pneumatonometer and Tonopen XL. Clin Exp Ophthalmol 42:608–614CrossRef Barkana Y, Gutfreund S (2014) Measurement of the difference in intraocular pressure between the sitting and lying body positions in healthy subjects: direct comparison of the IcarePro with the Goldmann applanation tonometer, pneumatonometer and Tonopen XL. Clin Exp Ophthalmol 42:608–614CrossRef
13.
go back to reference Ozkok A, Tamcelik N, Capar O et al (2014) Posture-induced changes in intraocular pressure: comparison of pseudoexfoliaton glaucoma and primary open-angle glaucoma. Jpn J Ophthalmol 58:261–266CrossRef Ozkok A, Tamcelik N, Capar O et al (2014) Posture-induced changes in intraocular pressure: comparison of pseudoexfoliaton glaucoma and primary open-angle glaucoma. Jpn J Ophthalmol 58:261–266CrossRef
14.
go back to reference Seo H, Yoo C, Lee TE et al (2015) Head position and intraocular pressure in the lateral decubitus position. Optom Vis Sci 92:95–101CrossRef Seo H, Yoo C, Lee TE et al (2015) Head position and intraocular pressure in the lateral decubitus position. Optom Vis Sci 92:95–101CrossRef
15.
go back to reference Kato Y, Nakamura S, Matsuo N et al (2018) Agreement among Goldmann applanation tonometer, Icare, and Icare PRO rebound tonometers; non-contact tonometer; and Tonopen XL in healthy elderly subjects. Int Ophthalmol 38:687–696CrossRef Kato Y, Nakamura S, Matsuo N et al (2018) Agreement among Goldmann applanation tonometer, Icare, and Icare PRO rebound tonometers; non-contact tonometer; and Tonopen XL in healthy elderly subjects. Int Ophthalmol 38:687–696CrossRef
16.
go back to reference Nakamura S, Mori E, Yamamoto M et al (2015) Intradevice and interdevice agreement between a rebound tonometer, Icare PRO, and the Tonopen XL and Kowa hand-held applanation tonometer when used in the sitting and supine position. J Glaucoma 24:515–521CrossRef Nakamura S, Mori E, Yamamoto M et al (2015) Intradevice and interdevice agreement between a rebound tonometer, Icare PRO, and the Tonopen XL and Kowa hand-held applanation tonometer when used in the sitting and supine position. J Glaucoma 24:515–521CrossRef
Metadata
Title
Error in measurement of intraocular pressure with the Icare and IcarePRO
Authors
Mitsuya Otsuka
Naoki Tojo
Atsushi Hayashi
Publication date
01-02-2020
Publisher
Springer Netherlands
Published in
International Ophthalmology / Issue 2/2020
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI
https://doi.org/10.1007/s10792-019-01204-7

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