scholarly journals Evaluation of intraocular pressure estimates obtained using an iCare rebound tonometer

2016 ◽  
Vol 100 (2) ◽  
pp. 179-183 ◽  
Author(s):  
Safal Khanal ◽  
Meredith Walton ◽  
Pinakin Gunvant Davey
Author(s):  
Ya-Chuan Hsiao ◽  
Jacqueline R. Dzau ◽  
Meghan S. Flemmons ◽  
Sanjay Asrani ◽  
Sarah Jones ◽  
...  

Diagnosis ◽  
2015 ◽  
Vol 2 (4) ◽  
pp. 227-234 ◽  
Author(s):  
Yifan Li ◽  
Christopher R. Carpenter ◽  
Kathryn Nicholson ◽  
William Ken Milne

AbstractVision health is recognized as a critical unmet need in North America. The ocular morbidity associated with glaucoma results from increased intraocular pressure (IOP) and early detection is crucial for the management of glaucoma. Our objective was to find a diagnostically accurate screening tool for intraocular hypertension that can be used in rural communities. We sought to validate the diagnostic accuracy of the iCare rebound tonometer against the gold standard Perkins applanation tonometer (PAT) in measuring IOP.Patients from two rural communities in Ontario, Canada visiting their optometrists for routine appointments had their IOP measured by a non-contact tonometer (NCT), an iCare rebound tonometer, and a Perkins applanation tonometer (PAT). Values of sensitivity, specificity, and likelihood ratios for a positive and negative result were calculated for the iCare and the NCT.Complete data was collected from 209 patients. Overall, the iCare tonometer had high levels of validity, as compared to the gold standard PAT. The iCare tonometer displayed excellent sensitivity of 98.3% (90–99%, 95% CI) and excellent negative likelihood ratio of 0.024 (0.0088–0.066, 95% CI) which is useful for ruling out intraocular hypertension.The iCare tonometer is a reasonably valid tool for detecting elevated IOP. Its ease of use, simplicity, and accessibility makes it a good screening tool to improve eye health in rural areas.


2011 ◽  
Vol 20 (2) ◽  
pp. 74-79 ◽  
Author(s):  
Sanjay Asrani ◽  
Ashmita Chatterjee ◽  
David K. Wallace ◽  
Cecilia Santiago-Turla ◽  
Sandra Stinnett

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Ian G. Beasley ◽  
Deborah S. Laughton ◽  
Benjamin J. Coldrick ◽  
Thomas E. Drew ◽  
Marium Sallah ◽  
...  

Purpose. To examine the influence of positional misalignments on intraocular pressure (IOP) measurement with a rebound tonometer.Methods. Using the iCare rebound tonometer, IOP readings were taken from the right eye of 36 healthy subjects at the central corneal apex (CC) and compared to IOP measures using the Goldmann applanation tonometer (GAT). Using a bespoke rig, iCare IOP readings were also taken 2 mm laterally from CC, both nasally and temporally, along with angular deviations of 5 and 10 degrees, both nasally and temporally to the visual axis.Results. Mean IOP ± SD, as measured by GAT, was14.7±2.5 mmHgversusiCare tonometer readings of17.4±3.6 mmHg at CC, representing an iCare IOP overestimation of2.7±2.8 mmHg (P<0.001), which increased at higher average IOPs. IOP at CC using the iCare tonometer was not significantly different to values at lateral displacements. IOP was marginally underestimated with angular deviation of the probe but only reaching significance at 10 degrees nasally.Conclusions. As shown previously, the iCare tonometer overestimates IOP compared to GAT. However, IOP measurement in normal, healthy subjects using the iCare rebound tonometer appears insensitive to misalignments. An IOP underestimation of <1 mmHg with the probe deviated 10 degrees nasally reached statistical but not clinical significance levels.


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