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- W2329382335 abstract "Purpose: To examine factors that influence intraocular pressure (IOP) measurement agreement between Goldmann applanation (GAT), Ocular Response Analyzer (ORA), and Pascal Dynamic Contour tonometers (DCT). Patients and Methods: In subjects who were diagnosed with primary open-angle glaucoma, ocular hypertension, glaucoma suspect, and normal, we used ORA, DCT, and GAT to obtain corneal hysteresis (CH), corneal resistance factor (CRF), ocular pulse amplitude, and 4 IOP values (ORA-IOPcc; ORA-IOPg; DCT-IOP; and GAT-IOP.) We also obtained corneal curvature, corneal thickness, axial length, retinal nerve fiber layer thickness, visual field parameters, diabetes diagnostic status, and topical IOP-lowering treatment data. Analysis of variance, Bland-Altman, and regression analyses were used to examine IOP agreement and associated factors. Results: In 243 eyes of the 243 subjects, mean DCT-IOP (18.73±4.92) was not different from mean ORA-IOPcc (18.96±5.41) but both were significantly higher than ORA-IOPg (16.97±5.49) and GAT-IOP (16.37±4.97). In multivariate regression models, intermethod differences between IOPg, IOPcc, and DCT-IOP were explained almost completely by variations in CH, CRF, and level of IOP (r2=0.98 to 0.99); conversely, intermethod variability between GAT-IOP and the other 3 IOP metrics was only partially explained by the factors evaluated in this study (r2=0.31 to 0.65). Conclusions: Consistent with other studies, we found that the 4 IOP variables examined in this study are not interchangeable. The most consistent confounders of IOP measurement agreement were the ORA-measured corneal parameters, CH and CRF. Thus, accounting for these factors may be important in efforts to obtain accurate transcorneal estimates of IOP." @default.
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- W2329382335 date "2013-08-01" @default.
- W2329382335 modified "2023-09-27" @default.
- W2329382335 title "Factors Influencing Intermethod Agreement Between Goldmann Applanation, Pascal Dynamic Contour, and Ocular Response Analyzer Tonometry" @default.
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- W2329382335 doi "https://doi.org/10.1097/ijg.0b013e31824cd08d" @default.
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