Ocular response analyzer and goldmann applanation tonometry: a comparative study of findings. 2010

Nader Hussien Lutfy Bayoumi, and Amr Saad Bessa, and Ahmed Abdel Karim El Massry
Department of Ophthalmology, Faculty of Medicine, Alexandria University, Egypt. naderbayoumi@yahoo.com

OBJECTIVE Correlation of findings of the Reichert Ocular Response Analyzer (ORA) with Goldmann applanation tonometry (GAT). METHODS Observational, cross-sectional study. METHODS The study was conducted on 103 eyes of 56 patients, aged 41 to 78 years; average (±SD) 58.9 (±9.8) years attending the outpatient clinic of the Department of Ophthalmology, Alexandria University, for a routine refraction. Full ophthalmic examination including slit lamp biomicroscopy and GAT, then Reichert ORA utilization to obtain the intraocular pressure cornea corrected (IOPcc), the IOP Goldmann (IOPg), the corneal resistance factor (CRF), the corneal hysteresis (CH), and the central corneal thickness (CCT). Exclusion criteria included previous ophthalmic surgery and any corneal pathology. RESULTS The mean (±SD) IOP GAT was 14.1 mm Hg (±3.0) (range: 8 to 22 mm Hg). The mean (±SD) IOPg, IOPcc, CRF, CH, and CCT was 15.5 (±4.0), 16.9 (±3.7), 9.6 (±2.0), 9.4 mm Hg (±1.7) and 540.8 (±32.6) μm, respectively. There was a significant correlation (P<0.0001) between IOP GAT and each of IOPg, IOPcc, and CRF; between IOPg and each of IOPcc, CRF, and CCT; between IOPcc and each of CRF and CH; and between CCT and each of CRF and CH at 0.01 level. The average (±SD) difference between IOP GAT and IOPg and IOPcc was -1.33 (±2.38) mm Hg and -2.81 (±2.66) mm Hg, respectively, and was statistically significant (paired t test in a 95% confidence interval). CONCLUSIONS The ORA is valuable for the evaluation of IOP and corneal biomechanics. However its results are not to be used interchangeably with the GAT findings.

UI MeSH Term Description Entries
D007429 Intraocular Pressure The pressure of the fluids in the eye. Ocular Tension,Intraocular Pressures,Ocular Tensions,Pressure, Intraocular,Pressures, Intraocular,Tension, Ocular,Tensions, Ocular
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D003315 Cornea The transparent anterior portion of the fibrous coat of the eye consisting of five layers: stratified squamous CORNEAL EPITHELIUM; BOWMAN MEMBRANE; CORNEAL STROMA; DESCEMET MEMBRANE; and mesenchymal CORNEAL ENDOTHELIUM. It serves as the first refracting medium of the eye. It is structurally continuous with the SCLERA, avascular, receiving its nourishment by permeation through spaces between the lamellae, and is innervated by the ophthalmic division of the TRIGEMINAL NERVE via the ciliary nerves and those of the surrounding conjunctiva which together form plexuses. (Cline et al., Dictionary of Visual Science, 4th ed) Corneas
D003430 Cross-Sectional Studies Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time. Disease Frequency Surveys,Prevalence Studies,Analysis, Cross-Sectional,Cross Sectional Analysis,Cross-Sectional Survey,Surveys, Disease Frequency,Analyses, Cross Sectional,Analyses, Cross-Sectional,Analysis, Cross Sectional,Cross Sectional Analyses,Cross Sectional Studies,Cross Sectional Survey,Cross-Sectional Analyses,Cross-Sectional Analysis,Cross-Sectional Study,Cross-Sectional Surveys,Disease Frequency Survey,Prevalence Study,Studies, Cross-Sectional,Studies, Prevalence,Study, Cross-Sectional,Study, Prevalence,Survey, Cross-Sectional,Survey, Disease Frequency,Surveys, Cross-Sectional
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D001696 Biomechanical Phenomena The properties, processes, and behavior of biological systems under the action of mechanical forces. Biomechanics,Kinematics,Biomechanic Phenomena,Mechanobiological Phenomena,Biomechanic,Biomechanic Phenomenas,Phenomena, Biomechanic,Phenomena, Biomechanical,Phenomena, Mechanobiological,Phenomenas, Biomechanic

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