You Position: Home > Paper
Comparative measurement of intraocular pressure by Rebound and non -contact tonometry in patients wearing bandage contact lenses after pterygium excision
( views:233, downloads:119 )
- Author:
- No author available
- Journal Title:
- International Eye Science
- Issue:
- 6
- DOI:
- 10.3980/j.issn.1672-5123.2020.6.37
- Key Word:
- 翼状胬肉切除手术;治疗用绷带镜;眼压;回弹式眼压计;非接触眼压计
Abstract： 目的:利用回弹式眼压计(RT)及非接触式眼压计(NCT)测量并比较翼状胬肉术后配戴治疗用绷带镜时与裸眼眼压的差异.方法:选取2019-04/06在开封市中心医院开封眼病医院手术治疗的翼状胬肉患者(鼻侧原发性翼状胬肉小于4mm且术后配戴治疗用绷带镜)50例50眼.于术后14d用RT及NCT分别在戴镜状态、裸眼状态测量患者眼压,比较并分析翼状胬肉术后治疗用绷带镜对眼压测量的影响.结果:RT在戴镜状态、裸眼状态测得的眼压分别为18.20±3.19、15.17±3.80mmHg,相差3.04±1.79mmHg,且前后两次测量具有良好的相关性(r=0.884,P<0.001);NCT在戴镜状态、裸眼状态测得的眼压分别为15.74±3.23、13.19±3.89mmHg,相差2.55±1.88mmHg,且具有良好的相关性(r=0.876,P<0.001);在戴镜状态及裸眼状态,两种设备测量所得眼压分别相差2.46±1.45、1.98±1.67mmHg,RT测量结果均显著高于NCT测量结果(P<0.001).结论:翼状胬肉术后应用RT、NCT测量配戴治疗用绷带镜状态与裸眼状态的眼压一致性均较好,但在配戴治疗用绷带镜时两种眼压计均有高估患者眼压风险,且应用RT在戴镜状态及裸眼状态眼压高估较NCT更明显.
- [1]中国健康管理协会接触镜安全监控与视觉健康专业委员会.中国治疗用绷带镜临床应用专家共识（2019年）[J].2019,(6).
- [2]Aleksandra Zakrzewska,Marta PWiqcek,Anna Machalińska.Impact of corneal parameters on intraocular pressure measurements in different tonometry methods[J].2019,(12).
- [3]Riedler Daniela,Spergser Joachim,Tichy Alexander,etc.The effects of two different types of bandage contact lenses on the healthy canine eye[J].2018,21(5).
- [4]Uzel, Mehmet Murat,Koc, Mustafa,Ozulken, Kemal,etc.The Effect of Pterygium and Pterygium Surgery on Corneal Biomechanics[J].2018,33(4).
- [5]Mudie, Lucy I.,LaBarre, Sophie,Varadaraj, Varshini,etc.The Icare HOME (TA022) Study Performance of an Intraocular Pressure Measuring Device for Self-Tonometry by Glaucoma Patients[J].2016,123(8).
- [6]Senay Asik Nacaroglu,Emine Seker Un,Mehmet Giray Ersoz,etc.Intraocular pressure measurement over soft contact lens by rebound tonometer: a comparative study[J].2015,(3).
- [7]Yeung, S. N.,Lichtinger, A.,Kim, P.,etc.Efficacy and safety of patching vs bandage lens on postoperative pain following pterygium surgery[J].2015,29(2).
- [8]Rudolf F. Guthoff,Andrey Zhivov,Ria Beck.Corneal and conjunctival findings after mitomycin C application in pterygium surgery: an in-vivo confocal microscopy study[J].2009,87(2).
- [9]Sudi Patel,Graeme Stevenson.Influence of lens material and intra-ocular pressure on the outcome of non-contact tonometry over soft contact lenses[J].2009,32(2).
- [10]S, Patel,W, Illahi.Non-contact tonometry over soft contact lenses: effect of contact lens power on the measurement of intra-ocular pressure.[J].2004,27(1).
- [11]Daglioglu,M.C.,Coskun,M.,Ilhan,N.,etc.The effects of soft contact lens use on cornea and patient's recovery after autograft pterygium surgery[J].2014,37(3).
- [12]Vincent, Stephen J.,Collins, Michael J.,Alonso-Caneiro, David.Evidence on scleral contact lenses and intraocular pressure[J].2017,100(1).
- [13]Ida Dielemans,Johannes R. Vingerling,Albert Hofman,etc.Reliability of intraocular pressure measurement with the Goldmann applanation tonometer in epidemiological studies[J].1994,232(3).