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DOI: 10.1055/a-1641-4156
Tonometrie: Rückblick und Ausblick (Teil 1)
Tonometry: Review and Perspectives![](https://www.thieme-connect.de/media/augenheilkunde-u2d/202204/lookinside/thumbnails/10-1055-a-1641-4156_au_yaici_t1-1.jpg)
Zusammenfassung
Der intraokulare Druck (IOD) ist ein wichtiger physikalischer Parameter der Physiologie des Auges. Ein erhöhter IOD wurde früh als Ätiologie für Augenerkrankungen vermutet. In diesem 1. Teil des Beitrags wird neben den physiologischen Grundlagen die Kontakttonometrie vorgestellt, die sowohl die erste instrumentelle Methode mit den Indentationstonometern als auch den Goldstandard mit dem Goldmann-Applanationstonometer darstellt.
Abstract
Reliable and repeated IOP measurement are essential in the diagnosis and treatment of glaucoma. In this first part of this review, besides the physiological basics, contact tonometry will be presented, which is both the first instrumental method with the indentation tonometers and the gold standard with the Goldmann applanation tonometer. Both methods and subsequently developments will be discussed.
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In der Diagnose und Behandlung des Glaukoms ist eine zuverlässige und wiederholte IOD-Messung des Augeninnendrucks (intraokularer Druck; IOD) essenziell.
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Der IOD resultiert aus dem Gleichgewicht der Kammerwassersekretion und dem Kammerwasserabfluss. Ein erhöhter IOD kann das Ergebnis einer verstärkten Produktion (sehr selten) oder generell einer Behinderung des Abflusses sein.
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Die Entwicklung der Indentationstonometrie erlaubte die erste objektive reliable apparative Messung. Sie wurde durch die Applanationstonometrie und das Goldtonometer verbessert.
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Die Goldmann-Applanationstonometrie ermöglicht es, das durch die Indentationstonometrie verdrängte Kammerwasservolumen zu vernachlässigen, und stellt somit seit ihrer Entwicklung die robusteste Methode und den Goldstandard dar. Insbesondere bei Z. n. Vitrektomie ist das Goldmann-Tonometer anderen Tonometern eindeutig überlegen.
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Mobile Varianten wurden in der Folge entwickelt, um über die Möglichkeit zu verfügen, Messungen im Liegen durchzuführen. So ist das Perkins-Tonometer quasi ein mobiles Goldmann-Tonometer. Das Ocuton-Tonometer ermittelt den IOD elektronisch und wurde zur Selbsttonometrie entwickelt.
Schlüsselwörter
Goldmann-Tonometrie - Augeninnendruck - intraokularer Druck - IOD - Glaukom - ophthalmologische DiagnostikKey words
tonometry - Goldmann tonometry - non contact tonometry - telemetric sensors - intraocular pressure - IOPPublication History
Article published online:
17 November 2022
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Literatur
- 1 Gerabek WE, Haage BD, Keil G, Wegner W. Hrsg. Enzyklopädie Medizingeschichte. Berlin: De Gruyter; 2005
- 2 Smelser GK. Electron microscopy of a typical epithelial cell and of the normal human ciliary process. Trans Am Acad Ophthalmol Otolaryngol 1966; 70: 738-754 (PMID: 5970711)
- 3 Tamm ER, Lütjen-Drecoll E. Ciliary body. Microsc Res Tech 1996; 33: 390-439 (PMID: 8695897)DOI: 10.1002/(SICI)1097-0029(19960401)33:5<390::AID-JEMT2>3.0.CO;2-S.
- 4 Maren TH. The rates of movement of Na+, Cl-, and HCO-3 from plasma to posterior chamber: effect of acetazolamide and relation to the treatment of glaucoma. Invest Ophthalmol 1976; 15: 356-364 (PMID: 1262167)
- 5 Allingham RR, Damji KF, Freedman SF. et al. Section I. In: Allingham RR, Famji KF, Freedman SF, Moroi SE, Rhee DJ. Hrsg. Shieldsʼ Textbook of Glaucoma. 6. Aufl.. Philadelphia: Walters Kluwer Lippincott Williams and Wilkins; 2011: 250
- 6 Radenbaugh PA, Goyal A, McLaren NC. et al. Concordance of aqueous humor flow in the morning and at night in normal humans. Invest Ophthalmol Vis Sci 2006; 47: 4860-4864 DOI: 10.1167/IOVS.06-0154.
- 7 Brubaker RF. Determination of episcleral venous pressure in the eye. a comparison of three methods. Arch Ophthalmol 1967; 77: 110-114 DOI: 10.1001/ARCHOPHT.1967.00980020112024.
- 8 Coleman DJ, Trokel S. Direct-recorded intraocular pressure variations in a human subject. Arch Ophthalmol 1969; 82: 637-640 DOI: 10.1001/ARCHOPHT.1969.00990020633011.
- 9 Moses RA, Carniglia PE, Grodzki jr. WJ. et al. Proptosis and increase of intraocular pressure in voluntary lid fissure widening. Invest Ophthalmol Vis Sci 1984; 25: 989-992 (PMID: 6746239)
- 10 Sultan MB, Mansberger SL, Lee PP. Understanding the importance of IOP variables in glaucoma: a systematic review. Surv Ophthalmol 2009; 54: 643-662 DOI: 10.1016/J.SURVOPHTHAL.2009.05.001.
- 11 Collaborative Normal-Tension Glaucoma Study Group. The effectiveness of intraocular pressure reduction in the treatment of normal-tension glaucoma. Am J Ophthalmol 1998; 126: 498-505 DOI: 10.1016/S0002-9394(98)00272-4.
- 12 Lichter PR, Musch DC, Gillespie BW. et al. Interim clinical outcomes in the collaborative initial glaucoma treatment study comparing initial treatment randomized to medications or surgery. Ophthalmol 2001; 108: 1943-1953 (PMID: 6746239)DOI: 10.1016/s0161-6420(01)00873-9.
- 13 Kass MA, Heuer DK, Higginbotham EJ. et al. The Ocular Hypertension Treatment Study: a randomized trial determines that topical ocular hypotensive medication delays or prevents the onset of primary open-angle glaucoma. Arch Ophthalmol 2002; 120: 701-713 DOI: 10.1001/ARCHOPHT.120.6.701.
- 14 Leske MC, Heijl A, Hyman L, Bengtsson B. Early Manifest Glaucoma Trial: design and baseline data. Ophthalmology 1999; 106: 2144-2153 DOI: 10.1016/S0161-6420(99)90497-9.
- 15 Heijl A, Leske MC, Bengtsson B. et al. Reduction of intraocular pressure and glaucoma progression: results from the Early Manifest Glaucoma Trial. Arch Ophthalmol 2002; 120: 1268-1279 DOI: 10.1001/ARCHOPHT.120.10.1268.
- 16 Leydhecker W, Akiyama K, Neumann HG. Der intraokulare Druck gesunder menschlicher Augen. Klin Monatsbl Augenheilkd 1958; 133: 662-670
- 17 Klein BE, Klein R, Linton KL. Intraocular pressure in an American community. The Beaver Dam Eye Study. Invest Ophthalmol Vis Sci 1992; 33: 2224-2228 (PMID: 1607232)
- 18 Shiose Y, Kawase Y. A new approach to stratified normal intraocular pressure in a general population. Am J Ophthalmol 1986; 101: 714-721 DOI: 10.1016/0002-9394(86)90776-2.
- 19 Perkins ES. Glaucoma screening from a public health clinic. Br Med J 1965; 1: 417 DOI: 10.1136/BMJ.1.5432.417.
- 20 Armaly MF. On the distribution of applanation pressure. I. Statistical features and the effect of age, sex, and family history of glaucoma. Arch Ophthalmol 1965; 73: 11-18 DOI: 10.1001/ARCHOPHT.1965.00970030013005.
- 21 Segał P, Skwierczyńska J. Mass screening of adults for glaucoma. Ophthalmologica 1967; 153: 336-348 DOI: 10.1159/000305074.
- 22 Heale R, Twycross A. Validity and reliability in quantitative studies. Evid Based Nurs 2015; 18: 66-67 DOI: 10.1136/EB-2015-102129.
- 23 Robert YCA. What do we measure with various techniques when assessing IOP?. Surv Ophthalmol 2007; 52 (Suppl. 02) S105-S108 DOI: 10.1016/J.SURVOPHTHAL.2007.08.003.
- 24 Draeger J. Geschichte der Tonometrie. Basel: Karger; 1961
- 25 Peralta RJ, Miller A. Efficacy of finger palpation in the estimation of intraocular pressure. Invest Ophthalmol Vis Sci 2008; 49: 707-707
- 26 Baum J, Chaturvedi N, Netland PA. et al. Assessment of intraocular pressure by palpation. Am J Ophthalmol 1995; 119: 650-651 DOI: 10.1016/S0002-9394(14)70227-2.
- 27 Birnbach CD, Leen MM. Digital palpation of intraocular pressure. Ophthalmic Surg Lasers 1998; 29: 754-757 DOI: 10.3928/1542-8877-19980901-10.
- 28 Chew HF, Ayres BD, Hammersmith KM. et al. Boston keratoprosthesis outcomes and complications. Cornea 2009; 28: 989-996 DOI: 10.1097/ICO.0B013E3181A186DC.
- 29 Friedenwald JS. Standardization of tonometers. South Med J 1948; 41: 44-47 DOI: 10.1097/00007611-194801000-00011.
- 30 Friedenwald JS. Tonometer calibration; an attempt to remove discrepancies found in the 1954 calibration scale for Schiotz tonometers. Trans Am Acad Ophthalmol Otolaryngol 1957; 61: 108-122
- 31 Hetland-Eriksen J. On tonometry. 6. Comparative tonometry with the Goldmann applanation tonometer and the Schiötz tonometer in the lying position. Acta Ophthalmol 1966; 44: 522-538 DOI: 10.1111/J.1755-3768.1966.TB08068.X.
- 32 Krieglstein GK, Waller WK. Goldmann applanation versus hand-applanation and. schiötz indentation tonometry. Albrecht Von Graefes Arch Klin Exp Ophthalmol 1975; 194: 11-16 DOI: 10.1007/BF00408271.
- 33 Landenberger H. Evaluation eines transpalpebralen Indentationsmessverfahrens (TGDc-01pra) zur Bestimmung des Augeninnendruckes im Vergleich zur Applanationstonometrie nach Goldmann. Inauguraldissertation. Tübingen: Eberhard-Karls-Universität; 2004
- 34 Bali SJ, Bhartiya S, Sobti A. et al. Comparative evaluation of Diaton and Goldmann applanation tonometers. Ophthalmologica 2012; 228: 42-46 DOI: 10.1159/000336047.
- 35 Wisse RPL, Peeters N, Imhof SM. et al. Comparison of Diaton transpalpebral tonometer with applanation tonometry in keratoconus. Int J Ophthalmol 2016; 9: 395 DOI: 10.18240/IJO.2016.03.12.
- 36 Bright DC, Potter JW, Allen DC. et al. Goldmann applanation tonometry without fluorescein. Am J Optom Physiol Opt 1981; 58: 1120-1126 DOI: 10.1097/00006324-198112000-00008.
- 37 Goldmann H. Un nouveau tonomètre à aplanation. Bull Mem Soc Fr Ophtalmol 1954; 67: 474-477 discussion:477–478 (PMID: 13284610)
- 38 Whitacre MM, Stein R. Sources of error with use of Goldmann-type tonometers. Surv Ophthalmol 1993; 38: 1-30 DOI: 10.1016/0039-6257(93)90053-A.
- 39 Li X, Bai X, Liu Z. et al. The effect of inferior rectus muscle thickening on intraocular pressure in thyroid-associated ophthalmopathy. J Ophthalmol 2021; DOI: 10.1155/2021/9736247.
- 40 Kohlhaas M, Boehm AG, Spoerl E. et al. Effect of central corneal thickness, corneal curvature, and axial length on applanation tonometry. Arch Ophthalmol 2006; 124: 471-476 DOI: 10.1001/ARCHOPHT.124.4.471.
- 41 Oh JH, Yoo C, Kim YY. et al. The effect of contact lens-induced corneal edema on Goldmann applanation tonometry and dynamic contour tonometry. Albrecht Von Graefes Arch Klin Exp Ophthalmol 2009; 247: 371-375 DOI: 10.1007/S00417-008-0954-9.
- 42 Hamilton KE, Pye DC, Kao L. et al. The effect of corneal edema on dynamic contour and goldmann tonometry. Optom Vis Sci 2008; 85: 451-456 DOI: 10.1097/OPX.0B013E3181783A86.
- 43 Herr A, Remky A, Hirsch T. et al. Tonometry in corneal edema after cataract surgery: dynamic contour tonometry versus Goldmann applanation tonometry. Clin Ophthalmol 2013; 7: 815-819 DOI: 10.2147/OPTH.S44412.
- 44 Fuest M, Mamas N, Walter P. et al. Tonometry in corneal edema after cataract surgery: rebound versus goldmann applanation tonometry. Curr Eye Res 2014; 39: 902-907 DOI: 10.3109/02713683.2014.888451.
- 45 Simon G, Small RH, Ren Q. et al. Effect of corneal hydration on Goldmann applanation tonometry and corneal topography. Refract Corneal Surg 1993; 9: 110-117 (PMID: 8494810)
- 46 Cordero I. How to verify the calibration of Goldmann tonometers. Community Eye Health 2012; 25: 65
- 47 Bechrakis E. Über den spontanen Druckabfall bei Applanationstonometrie. Ophthalmologica 1966; 151: 604-614 DOI: 10.1159/000304918.
- 48 Sihota R, Dada T, Gupta V. et al. Narrowing of the anterior chamber angle during Valsalva maneuver: a possible mechanism for angle closure. Eur J Ophthalmol 2006; 16: 81-91 DOI: 10.1177/112067210601600114.
- 49 Fujikawa LS, Salahuddin SZ, Ablashi D. et al. HTLV-III in the Tears of AIDS Patients. Ophthalmology 1986; 93: 1479-1481 DOI: 10.1016/S0161-6420(86)33531-0.
- 50 Moniz E, Feldman F, Newkirk M. et al. Removal of hepatitis B surface antigen from a contaminated applanation tonometer. Am J Ophthalmol 1981; 91: 522-525 DOI: 10.1016/0002-9394(81)90243-9.
- 51 Rutala WA, Weber DJ. Guideline for Disinfection and Sterilization in Healthcare Facilities. An Overview and Current Issues. Infect Dis Clin North Am 2016; 30: 609-637 DOI: 10.1016/j.idc.2016.04.002. (PMID: 27515140)PMC7134755
- 52 Maino AP, Uddin HJ, Tullo AB. A comparison of clinical performance between disposable and Goldmann tonometers. Eye 2006; 20: 574-578 DOI: 10.1038/SJ.EYE.6701929.
- 53 Ragan A, Cote SL, Huang JT. Disinfection of the Goldman applanation tonometer: a systematic review. Can J Ophthalmol 2018; 53: 252-259 DOI: 10.1016/J.JCJO.2017.09.013.
- 54 Omar Akhtar A, Singh H, Si F. et al. A systematic review and cost-effectiveness analysis of tonometer disinfection methods. Can J Ophthalmol 2014; 49: 345-350 DOI: 10.1016/J.JCJO.2014.04.003.
- 55 Perkins ES. Hand-held applanation tonometer. Br J Ophthalmol 1965; 49: 591-593 DOI: 10.1136/BJO.49.11.591.
- 56 Krieglstein GK, Waller WK. Goldmann applanation versus hand-applanation and Schiötz indentation tonometry. Albrecht Von Graefes Arch Klin Exp Ophthalmol 1975; 194: 11-16 DOI: 10.1007/BF00408271.
- 57 Sacu S, Vass C, Schemper M. et al. Self-tonometry with the Ocuton S: evaluation of accuracy in glaucoma patients. Acta Ophthalmol Scand 2004; 82: 405-409 DOI: 10.1111/J.1600-0420.2004.00279.X.
- 58 Theofylaktopoulos I, Diestelhorst M, Krieglstein GK. Self-tonometry with the Ocuton S versus Goldmann tonometry. Albrecht Von Graefes Arch Klin Exp Ophthalmol 1999; 237: 720-724 DOI: 10.1007/S004170050302.
- 59 McCafferty S, Lim G, Duncan W. et al. Goldmann tonometer error correcting prism: clinical evaluation. Clin Ophthalmol 2017; 11: 835-840 DOI: 10.2147/OPTH.S135272.
- 60 McCafferty SJ, Enikov ET, Schwiegerling J. et al. Goldmann tonometry tear film error and partial correction with a shaped applanation surface. Clin Ophthalmol 2018; 12: 71-78 DOI: 10.2147/OPTH.S152492.
- 61 Francois J. Cortisone et tension oculaire. Ann Ocul (Paris) 1954; 187: 805-816
- 62 Gordon DM, McLean JM, Koteen H. et al. The use of ACTH and cortisone in ophthalmology. Am J Ophthalmol 1951; 34: 1675-1686 DOI: 10.1016/0002-9394(51)90032-3.
- 63 Lachkar Y, Bouassida W. Drug-induced acute angle closure glaucoma. Curr Opin Ophthalmol 2007; 18: 129-133 DOI: 10.1097/ICU.0B013E32808738D5.
- 64 Goethals M, Missotten L. Intraocular pressure in children up to five years of age. J Pediatr Ophthalmol Strabismus 1983; 20: 49-51
- 65 Coleman AL, Stone KL, Kodjebacheva G. et al. Glaucoma risk and the consumption of fruits and vegetables among older women in the study of osteoporotic fractures. Am J Ophthalmol 2008; 145: 1081-1089 DOI: 10.1016/J.AJO.2008.01.022.
- 66 Green K. Ocular effects of diacetyl morphine and lysergic acid diethylamide in rabbit. Invest Ophthalmol 1975; 14: 325-329 (PMID: 1123290)
- 67 Korczyn AD. The ocular effects of cannabinoids. Gen Pharmacol 1980; 11: 419-423 DOI: 10.1016/0306-3623(80)90026-9.
- 68 Shapiro A, Shoenfeld Y, Konikoff F. et al. The relationship between body temperature and intraocular pressure. Ann Ophthalmol 1981; 13: 159-161
- 69 Pederson JE. Ocular hypotony. Trans Ophthalmol Soc U K 1986; 105: 220-226
- 70 Sagara T, Gaton DD, Lindsey JD. et al. Reduction of collagen type I in the ciliary muscle of inflamed monkey eyes. Invest Ophthalmol Vis Sci 1999; 40: 2568-2576
- 71 Mehra KS, Roy PN, Khare BB. Tobacco smoking and glaucoma. Ann Ophthalmol 1976; 8: 462-464
- 72 Ortiz GJ, Cook DJ, Yablonski ME. et al. Effect of cold air on aqueous humor dynamics in humans. Invest Ophthalmol Vis Sci 1988; 29: 138-140
- 73 Yaïci R, Geerling G. Tonometrie: Rückblick und Ausblick (Teil 2). Augenheilkd up2date 2023; DOI: 10.1055/a-1948-5780. (im Druck)