Comparison of Biomechanically Corrected Intraocular Pressure Obtained by Corvis ST and Goldmann Applanation Tonometry in Patients With Open-angle Glaucoma and Ocular Hypertension
Comparison of Biomechanically Corrected Intraocular Pressure Obtained by Corvis ST and Goldmann Applanation Tonometry in Patients With Open-angle Glaucoma and Ocular Hypertension
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开角型青光眼和高眼压患者通过 Corvis ST 和 Goldmann 压平眼压计获得的生物力学校正眼压的比较
DOI：
10.1097/ijg.0000000000001348
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发表时间：
2019-08
影响因子：
2
通讯作者：
Yu Minbin
中科院分区：
文献类型：
--
作者：
Ye Yiming;Yang Yangfan;Fan Yanmei;Lan Min;Yu Keming;Yu Minbin
补充数字内容可在文本中找到。精确度：在高眼压（OHT）或开角型青光眼（OAG）患者中，新型Corvis ST（CST）提供的生物力学校正眼压（bIOP）测量值高于Goldman压平眼压计（GAT）获得的测量值。目的：在OAG和OHT患者中比较使用新版CST与GAT测量获得的bIOP，并确定影响这些方法之间IOP测量差异的因素。方法：对122例（122眼）OAG或OHT患者进行回顾性分析。其中60只眼用前列腺素类似物（PGA）治疗，62只眼用选择性激光小梁成形术（LASIK）治疗。用CST测量IOP，然后用GAT测量IOP。超声测厚法测量角膜中央厚度。比较了这两种方法获得的测量结果。结果：CST和GAT的平均眼压分别为15.2±3.0 mm Hg和14.1±3.2 mm Hg（r=0.74; P<0.0001）。眼压计之间的偏差为1.17 mm Hg，95%的一致性限值为-2.66至5.01 mm Hg。根据多变量回归分析，PGA组中bIOP和GAT-IOP之间的差异与CCT（P=0.001）和年龄（P=0.007）相关，但在PGA组中仅与CCT相关（P=0.002）。bIOP和GAT-IOP值分别受年龄（PGA：P=0.014; OCT：P=0.006）和CCT（PGA：P=0.007; OCT：P=0.032）的影响。结论：在OAG和OHT眼中，BIOP值高于GAT-IOP值，且受CCT影响较小。然而，这些测量值在临床中可能不可互换。
Supplemental Digital Content is available in the text. Precis: Biomechanically corrected intraocular pressure (bIOP) measurements provided by the new Corvis ST (CST) were higher than measurements obtained with Goldman applanation tonometry (GAT) in eyes with ocular hypertension (OHT) or open-angle glaucoma (OAG). Purpose: To compare bIOP obtained with a new version of CST with GAT measurements in patients with OAG and OHT, and to identify factors affecting IOP measurement differences between these methods. Methods: A total of 122 eyes with OAG or OHT were enrolled. Sixty eyes were treated with prostaglandin analogs (PGA) and 62 eyes with selective laser trabeculoplasty (SLT). IOP was measured with CST, followed by GAT. Central corneal thickness (CCT) was measured with ultrasound pachymetry. Measurements obtained with these 2 approaches were compared. Results: The overall mean IOP was 15.2±3.0 mm Hg and 14.1±3.2 mm Hg with the CST and GAT, respectively (r=0.74; P<0.0001). There was a 1.17 mm Hg bias between tonometers, with 95% limits of agreement of −2.66 to 5.01 mm Hg. According to multivariate regression analysis, differences between bIOP and GAT-IOP were associated with CCT (P=0.001) and age (P=0.007) in the PGA group, but only with CCT in the SLT group (P=0.002). bIOP and GAT-IOP values were influenced by age (PGA: P=0.014; SLT: P=0.006) and CCT (PGA: P=0.007; SLT: P=0.032), respectively. Conclusions: BIOP values were higher and less affected by CCT than GAT-IOP values in eyes with OAG and OHT. However, these measurements may not be interchangeable in the clinic.
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影响因子：
4.1
作者：
Reznicek, Lukas;Muth, Daniel;Hirneiss, Christoph
通讯作者：
Hirneiss, Christoph
影响因子：
4.4
作者：
Kaufmann, C;Bachmann, LM;Thiel, MA
通讯作者：
Thiel, MA
DOI：
10.1007/bf00176782
发表时间：
1994-03-01
影响因子：
2.7
作者：
DIELEMANS, I;VINGERLING, JR;DEJONG, PTVM
通讯作者：
DEJONG, PTVM
影响因子：
2.8
作者：
Fernandez, Joaquin;Rodriguez-Vallejo, Manuel;Pinero, David P.
通讯作者：
Pinero, David P.
影响因子：
4.4
作者：
Martinez-de-la-Casa, Jose M.;Garcia-Feijoo, Julian;Garcia-Sanchez, Julian
通讯作者：
Garcia-Sanchez, Julian