Tonographic Effect of Ocular Response Analyzer in Comparison to Goldmann Applanation Tonometry
The tonographic effect is a phenomenon of intraocular pressure (IOP) reduction following repeated tonometry. This study examines whether the tonographic effect occurs following IOP measurement performed with Ocular Response Analyzer (ORA). Both eyes of 31 glaucoma patients and 35 healthy controls un...
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| Published in | PloS one Vol. 12; no. 1; p. e0169438 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Public Library of Science
09.01.2017
Public Library of Science (PLoS) |
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| Online Access | Get full text |
| ISSN | 1932-6203 1932-6203 |
| DOI | 10.1371/journal.pone.0169438 |
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| Abstract | The tonographic effect is a phenomenon of intraocular pressure (IOP) reduction following repeated tonometry. This study examines whether the tonographic effect occurs following IOP measurement performed with Ocular Response Analyzer (ORA).
Both eyes of 31 glaucoma patients and 35 healthy controls underwent nine IOP-measurements performed with GAT and ORA. The number of GAT and ORA measurements performed on each eye differed depending on the randomly allocated investigation scheme. Central corneal thickness (CCT), anterior chamber volume (ACV) and anterior chamber depth (ACD) were assessed with Pentacam before and after the repeated GAT/ORA measurements.
There was no statistically significant tonographic effect for IOP readings obtained by the ORA: corneal compensated intraocular pressure (IOPcc) (-0.11 ± 3.06 mmHg, p = 0.843 in patients and -0.71 ± 3.28 mmHg, p = 0.208 for controls) and Goldmann-correlated intraocular pressure (IOPg) (-0.31 ± 2.38 mmHg, p = 0.469 in patients and -0.31 ± 2.37 mmHg, p = 0.441 in controls) measured with ORA. There was a significant IOP reduction from the first to the second GAT measurement, i.e. tonographic effect (-0.55 ± 2.00 mmHg, p = 0.138 in patients and -1.15 ± 1.52 mmHg, p < 0.001 in controls). CCT, corneal hysteresis (CH) and corneal resistance factor (CRF) were lower in glaucoma patients. The repeated IOP measurements resulted in an increase of CCT in all subjects (but no change of ACV and ACD). The tonographic effect of GAT correlated with CCT in glaucoma patients (r = 0.37).
In contrast to GAT, repeated ORA measurements do not result in the tonographic effect. Repeated IOP measurements resulted in an increase of central corneal thickness, but did not influence the volume and depth of anterior chamber. |
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| AbstractList | Aims The tonographic effect is a phenomenon of intraocular pressure (IOP) reduction following repeated tonometry. This study examines whether the tonographic effect occurs following IOP measurement performed with Ocular Response Analyzer (ORA). Methods Both eyes of 31 glaucoma patients and 35 healthy controls underwent nine IOP-measurements performed with GAT and ORA. The number of GAT and ORA measurements performed on each eye differed depending on the randomly allocated investigation scheme. Central corneal thickness (CCT), anterior chamber volume (ACV) and anterior chamber depth (ACD) were assessed with Pentacam before and after the repeated GAT/ORA measurements. Results There was no statistically significant tonographic effect for IOP readings obtained by the ORA: corneal compensated intraocular pressure (IOPcc) (-0.11 ± 3.06 mmHg, p = 0.843 in patients and -0.71 ± 3.28 mmHg, p = 0.208 for controls) and Goldmann-correlated intraocular pressure (IOPg) (-0.31 ± 2.38 mmHg, p = 0.469 in patients and -0.31 ± 2.37 mmHg, p = 0.441 in controls) measured with ORA. There was a significant IOP reduction from the first to the second GAT measurement, i.e. tonographic effect (-0.55 ± 2.00 mmHg, p = 0.138 in patients and -1.15 ± 1.52 mmHg, p < 0.001 in controls). CCT, corneal hysteresis (CH) and corneal resistance factor (CRF) were lower in glaucoma patients. The repeated IOP measurements resulted in an increase of CCT in all subjects (but no change of ACV and ACD). The tonographic effect of GAT correlated with CCT in glaucoma patients (r = 0.37). Conclusion In contrast to GAT, repeated ORA measurements do not result in the tonographic effect. Repeated IOP measurements resulted in an increase of central corneal thickness, but did not influence the volume and depth of anterior chamber. AIMSThe tonographic effect is a phenomenon of intraocular pressure (IOP) reduction following repeated tonometry. This study examines whether the tonographic effect occurs following IOP measurement performed with Ocular Response Analyzer (ORA).METHODSBoth eyes of 31 glaucoma patients and 35 healthy controls underwent nine IOP-measurements performed with GAT and ORA. The number of GAT and ORA measurements performed on each eye differed depending on the randomly allocated investigation scheme. Central corneal thickness (CCT), anterior chamber volume (ACV) and anterior chamber depth (ACD) were assessed with Pentacam before and after the repeated GAT/ORA measurements.RESULTSThere was no statistically significant tonographic effect for IOP readings obtained by the ORA: corneal compensated intraocular pressure (IOPcc) (-0.11 ± 3.06 mmHg, p = 0.843 in patients and -0.71 ± 3.28 mmHg, p = 0.208 for controls) and Goldmann-correlated intraocular pressure (IOPg) (-0.31 ± 2.38 mmHg, p = 0.469 in patients and -0.31 ± 2.37 mmHg, p = 0.441 in controls) measured with ORA. There was a significant IOP reduction from the first to the second GAT measurement, i.e. tonographic effect (-0.55 ± 2.00 mmHg, p = 0.138 in patients and -1.15 ± 1.52 mmHg, p < 0.001 in controls). CCT, corneal hysteresis (CH) and corneal resistance factor (CRF) were lower in glaucoma patients. The repeated IOP measurements resulted in an increase of CCT in all subjects (but no change of ACV and ACD). The tonographic effect of GAT correlated with CCT in glaucoma patients (r = 0.37).CONCLUSIONIn contrast to GAT, repeated ORA measurements do not result in the tonographic effect. Repeated IOP measurements resulted in an increase of central corneal thickness, but did not influence the volume and depth of anterior chamber. The tonographic effect is a phenomenon of intraocular pressure (IOP) reduction following repeated tonometry. This study examines whether the tonographic effect occurs following IOP measurement performed with Ocular Response Analyzer (ORA). Both eyes of 31 glaucoma patients and 35 healthy controls underwent nine IOP-measurements performed with GAT and ORA. The number of GAT and ORA measurements performed on each eye differed depending on the randomly allocated investigation scheme. Central corneal thickness (CCT), anterior chamber volume (ACV) and anterior chamber depth (ACD) were assessed with Pentacam before and after the repeated GAT/ORA measurements. There was no statistically significant tonographic effect for IOP readings obtained by the ORA: corneal compensated intraocular pressure (IOPcc) (-0.11 ± 3.06 mmHg, p = 0.843 in patients and -0.71 ± 3.28 mmHg, p = 0.208 for controls) and Goldmann-correlated intraocular pressure (IOPg) (-0.31 ± 2.38 mmHg, p = 0.469 in patients and -0.31 ± 2.37 mmHg, p = 0.441 in controls) measured with ORA. There was a significant IOP reduction from the first to the second GAT measurement, i.e. tonographic effect (-0.55 ± 2.00 mmHg, p = 0.138 in patients and -1.15 ± 1.52 mmHg, p < 0.001 in controls). CCT, corneal hysteresis (CH) and corneal resistance factor (CRF) were lower in glaucoma patients. The repeated IOP measurements resulted in an increase of CCT in all subjects (but no change of ACV and ACD). The tonographic effect of GAT correlated with CCT in glaucoma patients (r = 0.37). In contrast to GAT, repeated ORA measurements do not result in the tonographic effect. Repeated IOP measurements resulted in an increase of central corneal thickness, but did not influence the volume and depth of anterior chamber. Aims The tonographic effect is a phenomenon of intraocular pressure (IOP) reduction following repeated tonometry. This study examines whether the tonographic effect occurs following IOP measurement performed with Ocular Response Analyzer (ORA). Methods Both eyes of 31 glaucoma patients and 35 healthy controls underwent nine IOP-measurements performed with GAT and ORA. The number of GAT and ORA measurements performed on each eye differed depending on the randomly allocated investigation scheme. Central corneal thickness (CCT), anterior chamber volume (ACV) and anterior chamber depth (ACD) were assessed with Pentacam before and after the repeated GAT/ORA measurements. Results There was no statistically significant tonographic effect for IOP readings obtained by the ORA: corneal compensated intraocular pressure (IOPcc) (-0.11 plus or minus 3.06 mmHg, p = 0.843 in patients and -0.71 plus or minus 3.28 mmHg, p = 0.208 for controls) and Goldmann-correlated intraocular pressure (IOPg) (-0.31 plus or minus 2.38 mmHg, p = 0.469 in patients and -0.31 plus or minus 2.37 mmHg, p = 0.441 in controls) measured with ORA. There was a significant IOP reduction from the first to the second GAT measurement, i.e. tonographic effect (-0.55 plus or minus 2.00 mmHg, p = 0.138 in patients and -1.15 plus or minus 1.52 mmHg, p < 0.001 in controls). CCT, corneal hysteresis (CH) and corneal resistance factor (CRF) were lower in glaucoma patients. The repeated IOP measurements resulted in an increase of CCT in all subjects (but no change of ACV and ACD). The tonographic effect of GAT correlated with CCT in glaucoma patients (r = 0.37). Conclusion In contrast to GAT, repeated ORA measurements do not result in the tonographic effect. Repeated IOP measurements resulted in an increase of central corneal thickness, but did not influence the volume and depth of anterior chamber. The tonographic effect is a phenomenon of intraocular pressure (IOP) reduction following repeated tonometry. This study examines whether the tonographic effect occurs following IOP measurement performed with Ocular Response Analyzer (ORA). Both eyes of 31 glaucoma patients and 35 healthy controls underwent nine IOP-measurements performed with GAT and ORA. The number of GAT and ORA measurements performed on each eye differed depending on the randomly allocated investigation scheme. Central corneal thickness (CCT), anterior chamber volume (ACV) and anterior chamber depth (ACD) were assessed with Pentacam before and after the repeated GAT/ORA measurements. There was no statistically significant tonographic effect for IOP readings obtained by the ORA: corneal compensated intraocular pressure (IOPcc) (-0.11 ± 3.06 mmHg, p = 0.843 in patients and -0.71 ± 3.28 mmHg, p = 0.208 for controls) and Goldmann-correlated intraocular pressure (IOPg) (-0.31 ± 2.38 mmHg, p = 0.469 in patients and -0.31 ± 2.37 mmHg, p = 0.441 in controls) measured with ORA. There was a significant IOP reduction from the first to the second GAT measurement, i.e. tonographic effect (-0.55 ± 2.00 mmHg, p = 0.138 in patients and -1.15 ± 1.52 mmHg, p < 0.001 in controls). CCT, corneal hysteresis (CH) and corneal resistance factor (CRF) were lower in glaucoma patients. The repeated IOP measurements resulted in an increase of CCT in all subjects (but no change of ACV and ACD). The tonographic effect of GAT correlated with CCT in glaucoma patients (r = 0.37). In contrast to GAT, repeated ORA measurements do not result in the tonographic effect. Repeated IOP measurements resulted in an increase of central corneal thickness, but did not influence the volume and depth of anterior chamber. Aims The tonographic effect is a phenomenon of intraocular pressure (IOP) reduction following repeated tonometry. This study examines whether the tonographic effect occurs following IOP measurement performed with Ocular Response Analyzer (ORA). Methods Both eyes of 31 glaucoma patients and 35 healthy controls underwent nine IOP-measurements performed with GAT and ORA. The number of GAT and ORA measurements performed on each eye differed depending on the randomly allocated investigation scheme. Central corneal thickness (CCT), anterior chamber volume (ACV) and anterior chamber depth (ACD) were assessed with Pentacam before and after the repeated GAT/ORA measurements. Results There was no statistically significant tonographic effect for IOP readings obtained by the ORA: corneal compensated intraocular pressure (IOPcc) (-0.11 ± 3.06 mmHg, p = 0.843 in patients and -0.71 ± 3.28 mmHg, p = 0.208 for controls) and Goldmann-correlated intraocular pressure (IOPg) (-0.31 ± 2.38 mmHg, p = 0.469 in patients and -0.31 ± 2.37 mmHg, p = 0.441 in controls) measured with ORA. There was a significant IOP reduction from the first to the second GAT measurement, i.e. tonographic effect (-0.55 ± 2.00 mmHg, p = 0.138 in patients and -1.15 ± 1.52 mmHg, p < 0.001 in controls). CCT, corneal hysteresis (CH) and corneal resistance factor (CRF) were lower in glaucoma patients. The repeated IOP measurements resulted in an increase of CCT in all subjects (but no change of ACV and ACD). The tonographic effect of GAT correlated with CCT in glaucoma patients (r = 0.37). Conclusion In contrast to GAT, repeated ORA measurements do not result in the tonographic effect. Repeated IOP measurements resulted in an increase of central corneal thickness, but did not influence the volume and depth of anterior chamber. |
| Audience | Academic |
| Author | Wasielica-Poslednik, Joanna Schmidtmann, Irene Zimmermann, Martin Pitz, Susanne Pfeiffer, Norbert |
| AuthorAffiliation | 1 Department of Ophthalmology, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany Bascom Palmer Eye Institute, UNITED STATES 2 Institute for Medical Biostatistics, Epidemiology and Informatics (IMBEI), University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany |
| AuthorAffiliation_xml | – name: 2 Institute for Medical Biostatistics, Epidemiology and Informatics (IMBEI), University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany – name: 1 Department of Ophthalmology, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany – name: Bascom Palmer Eye Institute, UNITED STATES |
| Author_xml | – sequence: 1 givenname: Martin orcidid: 0000-0001-7241-8551 surname: Zimmermann fullname: Zimmermann, Martin – sequence: 2 givenname: Susanne surname: Pitz fullname: Pitz, Susanne – sequence: 3 givenname: Irene surname: Schmidtmann fullname: Schmidtmann, Irene – sequence: 4 givenname: Norbert surname: Pfeiffer fullname: Pfeiffer, Norbert – sequence: 5 givenname: Joanna surname: Wasielica-Poslednik fullname: Wasielica-Poslednik, Joanna |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28068365$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1117_1_JBO_29_3_037003 crossref_primary_10_1167_tvst_8_2_10 crossref_primary_10_1186_s12886_022_02309_x crossref_primary_10_1038_s41598_017_15386_6 crossref_primary_10_1167_tvst_10_14_4 crossref_primary_10_1016_j_preteyeres_2024_101303 crossref_primary_10_1097_OPX_0000000000002066 crossref_primary_10_1117_1_JBO_23_11_117001 crossref_primary_10_1038_s41467_022_35188_3 crossref_primary_10_12677_HJO_2022_112023 |
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| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 ObjectType-Undefined-3 Conceptualization: JW IS SP NP.Data curation: MZ JW IS.Formal analysis: MZ IS.Funding acquisition: JW.Investigation: MZ JW IS.Methodology: JW IS MZ.Project administration: MZ JW.Resources: JW SP NP.Software: IS.Supervision: JW SP NP.Validation: IS.Visualization: MZ IS.Writing – original draft: MZ JW.Writing – review & editing: MZ JW IS SP NP. Competing Interests: The authors have declared that no competing interests exist. |
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reference: 9501878 - Invest Ophthalmol Vis Sci. 1998 Mar;39(3):644-8 |
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| Snippet | The tonographic effect is a phenomenon of intraocular pressure (IOP) reduction following repeated tonometry. This study examines whether the tonographic effect... Aims The tonographic effect is a phenomenon of intraocular pressure (IOP) reduction following repeated tonometry. This study examines whether the tonographic... AIMSThe tonographic effect is a phenomenon of intraocular pressure (IOP) reduction following repeated tonometry. This study examines whether the tonographic... Aims The tonographic effect is a phenomenon of intraocular pressure (IOP) reduction following repeated tonometry. This study examines whether the tonographic... |
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| SubjectTerms | Adult Aged Anterior chamber Archives & records Biology and Life Sciences Biomechanics Care and treatment Case-Control Studies Clinical trials Cornea Diagnosis Eye (anatomy) Female Glaucoma Glaucoma - diagnosis Glaucoma - parasitology Glaucoma - physiopathology Humans Intraocular Pressure Measurement Measurement techniques Medicine and Health Sciences Middle Aged Ophthalmology Optometry Patients Physiological aspects Pressure Reduction Resistance factors Statistical analysis Tonometry, Ocular |
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| Title | Tonographic Effect of Ocular Response Analyzer in Comparison to Goldmann Applanation Tonometry |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/28068365 https://www.proquest.com/docview/1856859671 https://www.proquest.com/docview/1857379691 https://www.proquest.com/docview/1868345029 https://pubmed.ncbi.nlm.nih.gov/PMC5221819 https://doaj.org/article/6782f4c407004bd4b6ddd89eebe41466 http://dx.doi.org/10.1371/journal.pone.0169438 |
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