Rebound tonometry with re-sterilised tips versus Goldmann applanation tonometry in children. 2020

S C Aceituno Paredes, and A L Asturias de León, and J Barnoya Pérez
Unidad Nacional de Oftalmología de Guatemala, Ciudad de Guatemala, Guatemala. Electronic address: silvia.aceituno.paredes@gmail.com.

BACKGROUND The Goldmann applanation tonometer (TAG) is the gold standard for the measurement of intraocular pressure (IOP). In paediatric patients this measurement is challenging. The rebound tonometer (TRB) is an easy to use instrument. In the National Ophthalmology Unit (UNO) the tips of the TRB are re-sterilised (TRB RE). OBJECTIVE To evaluate the correlation between TRB with new and re-sterilised tips compared to TAG. METHODS A cross-sectional study was conducted on 25 healthy patients between 8 and 12 years of age, chosen at random, and seen in the UNO outpatients department during 2019. IOPs were measured with TRB using re-sterilized tips and then with a new tip, and finally with TAG. RESULTS There was a correlation between IOP measured with TAG and IOP measured with TRB (P=.0011). No correlation was found between TAG and TRB RE, or TRB with TRB RE. CONCLUSIONS The TRB can be used in paediatric patients, taking into account that IOP usually overestimates with respect to TAG.

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
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
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
D012494 Sampling Studies Studies in which a number of subjects are selected from all subjects in a defined population. Conclusions based on sample results may be attributed only to the population sampled. Probability Sample,Probability Samples,Sample, Probability,Samples, Probability,Sampling Study,Studies, Sampling,Study, Sampling
D013242 Sterilization The destroying of all forms of life, especially microorganisms, by heat, chemical, or other means.
D014065 Tonometry, Ocular Measurement of ocular tension (INTRAOCULAR PRESSURE) with a tonometer. (Cline, et al., Dictionary of Visual Science, 4th ed) Ocular Tonometry
D017743 Equipment Reuse Further or repeated use of equipment, instruments, devices, or materials. It includes additional use regardless of the original intent of the producer as to disposability or durability. It does not include the repeated use of fluids or solutions. Product Recycling,Recycling, Equipment,Equipment Reusability,Equipment Recycling,Recycling, Product,Reusability, Equipment,Reuse, Equipment

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