Download PDF
Augenheilkunde up2date 2023; 13(01): 49-63
DOI: 10.1055/a-1948-5780
Glaukom

Tonometrie: Rückblick und Ausblick (Teil 2)

Tonometry: Review and Perspectives
Rémi Yaïci
,
Gerd Geerling
› Further Information
Also available at
    Permissions and Reprints All articles of this category

Zusammenfassung

In 2. Teil des Beitrags werden die sonstigen Kontakttonometer und die Nonkontakttonometrie präsentiert. Es wird anhand einer Revue der Literatur über den klinischen Wert der verschiedenen Methoden und den Wert der Multimodalität in der Tonometrie diskutiert; ferner werden die letzten Innovationen mit den telemetrischen IOD-Sensoren eingeführt.

Abstract

Reliable and repeated IOP measurement are essential in the diagnosis and treatment of glaucoma. In this second part, the other contact tonometry and non-contact tonometry are presented. The clinical value of the different methods and the value of multimodality in tonometry will be discussed based on a review of the literature, and the latest innovations with telemetric IOP sensors will be introduced.

Kernaussagen

  • Der Beitrag stellt die verschiedenen Methoden zur Tonometrie mit den entsprechenden spezifischen Vor- und Nachteilen gegenüber.

  • Nachdem im 1. Teil die physiologischen Voraussetzungen ebenso wie die physikalischen Grundlagen der Tonometrie dargestellt wurden, sind hier die kontakttonometrischen Verfahren der portablen Applanationstonometer, die dynamische Konturtonometrie und die ballistische (Rebound-)Tonometrie thematisiert.

  • Nonkontakttonometer umfassen die Luftstoß-Nonkontakttonometrie, eine auf dem Applanationsprinzip basierende Methode.

  • Die Messung der kornealen Biomechanik stellt ein zusätzliches Instrument zur Diagnose des Glaukoms dar.

  • Die von Goldmann Mitte des letzten Jahrhunderts etablierte Applanationstonometrie mit herkömmlichen Prismen gilt nach wie vor als absoluter Goldstandard bei der Bestimmung des intraokularen Druckes (IOD).

  • Bei Kindern ist zu beachten, dass möglichst ein kinderfreundliches Verfahren gewählt wird. Auch sollte Ketanest anstelle von Halotanen und Fluranen verwendet werden, sofern die Untersuchung doch in Narkose stattfindet.

  • Systeme zur Selbsttonometrie sind verfügbar, allerdings noch nicht hinreichend untersucht und nicht für alle Patienten geeignet. Telemetrische Messungen könnten die Nachteile ausgleichen.

Schlüsselwörter

Nonkontakttonometrie - Augeninnendruck - intraokularer Druck - IOD - Glaukom - ophthalmologische Diagnostik - portable Tonometrie - Selbsttonometrie - telemetrische Verfahren

Key words

tonometry - review - Goldmann Tonometry - non-contact tonometry - telemetric sensors


Publication History

Article published online:
22 February 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • Literatur

  • 1 Kao SF, Lichter PR, Bergstrom TJ. et al. Clinical comparison of the Oculab Tono-Pen to the Goldmann applanation tonometer. Ophthalmology 1987; 94: 1541-1544
    CrossrefPubMedSearch in Google Scholar
  • 2 Boothe WA, Lee DA, Panek WC. et al. The Tono-Pen: a manometric and clinical study. Arch Ophthalmol 1988; 106: 1214-1217
    CrossrefPubMedSearch in Google Scholar
  • 3 Kotecha A, Elsheikh A, Roberts CR. et al. Corneal thickness- and age-related biomechanical properties of the cornea measured with the ocular response analyzer. Invest Ophthalmol Vis Sci 2006; 47: 5337-5347
    CrossrefPubMedSearch in Google Scholar
  • 4 Yang CC, Wang IJ, Chang YC. et al. A predictive model for postoperative intraocular pressure among patients undergoing laser in situ keratomileusis (LASIK). Am J Ophthalmol 2006; 141: 530-536
    CrossrefPubMedSearch in Google Scholar
  • 5 Riva I, Quaranta L, Russo A. et al. Dynamic contour tonometry and goldman applanation tonometry: correlation with intracameral assessment of intraocular pressure. Eur J Ophthalmol 2012; 22: 55-62
    CrossrefPubMedSearch in Google Scholar
  • 6 Chatterjee A, Shah S, Bessant DA. et al. Reduction in intraocular pressure after excimer laser photorefractive keratectomy. Correlation with pretreatment myopia. Ophthalmology 1997; 104: 355-359
    CrossrefPubMedSearch in Google Scholar
  • 7 Levy Y, Zadok D, Glovinsky Y. et al. Tono-Pen versus Goldmann tonometry after excimer laser photorefractive keratectomy. J Cataract Refract Surg 1999; 25: 486-491
    CrossrefPubMedSearch in Google Scholar
  • 8 Gimeno JA, Muñoz LA, Valenzuela LA. et al. Influence of refraction on tonometric readings after photorefractive keratectomy and laser assisted in situ keratomileusis. Cornea 2000; 19: 512-516
    CrossrefPubMedSearch in Google Scholar
  • 9 Cennamo G, Rosa N, La Rana A. et al. Non-contact tonometry in patients that underwent photorefractive keratectomy. Ophthalmologica 1997; 211: 341-343
    CrossrefPubMedSearch in Google Scholar
  • 10 Abbasoglu ÖE, Bowman RW, Cavanagh HD. et al. Reliability of intraocular pressure measurements after myopic excimer photorefractive keratectomy. Ophthalmology 1998; 105: 2193-2196
    CrossrefPubMedSearch in Google Scholar
  • 11 Garzozi HJ, Chung HS, Lang Y. et al. Intraocular pressure and photorefractive keratectomy: a comparison of three different tonometers. Cornea 2001; 20: 33-36
    CrossrefPubMedSearch in Google Scholar
  • 12 Durham DG, Bigliano RP, Masino JA. Pneumatic applanation tonometer. Trans Am Acad Ophthalmol Otolaryngol 1965; 69: 1029-1047
    PubMedSearch in Google Scholar
  • 13 West CE, Capella JA, Kaufman HE. Measurement of intraocular pressure with a pneumatic applanation tonometer. Am J Ophthalmol 1972; 74: 505-509
    CrossrefPubMedSearch in Google Scholar
  • 14 Fogelman KL, Hines MW, Bradley FJ. Oculab Tono-Pen, Goldmann applanation tonometry, and pneumatic tonometry for intraocular pressure assessment in gas-filled eyes. Am J Ophthalmol 1988; 106: 174-179
    CrossrefPubMedSearch in Google Scholar
  • 15 Kanngiesser HE, Kniestedt C, Robert YCA. Dynamic contour tonometry: presentation of a new tonometer. J Glaucoma 2005; 14: 344-350
    CrossrefPubMedSearch in Google Scholar
  • 16 Fontana L, Poinoosawmy D, Bunce CV. et al. Pulsatile ocular blood flow investigation in asymmetric normal tension glaucoma and normal subjects. Br J Ophthalmol 1998; 82: 731-736
    CrossrefPubMedSearch in Google Scholar
  • 17 Vulsteke C, Stalmans I, Fieuws S. et al. Correlation between ocular pulse amplitude measured by dynamic contour tonometer and visual field defects. Graefes Arch Clin Exp Ophthalmol 2008; 246: 559-565
    CrossrefPubMedSearch in Google Scholar
  • 18 Stalmans I, Harris A, Vanbellinghen V. et al. Ocular pulse amplitude in normal tension and primary open angle glaucoma. J Glaucoma 2008; 17: 403-407
    CrossrefPubMedSearch in Google Scholar
  • 19 Romppainen T, Kniestedt C, Bachmann LM. et al. Okuläre Pulsamplitude als biometrischer Messwert in der Glaukomdiagnostik. Ophthalmologe 2007; 104: 230-235
    CrossrefPubMedSearch in Google Scholar
  • 20 Kniestedt C, Lin S, Choe J. et al. Correlation between intraocular pressure, central corneal thickness, stage of glaucoma, and demographic patient data: prospective analysis of biophysical parameters in tertiary glaucoma practice populations. J Glaucoma 2006; 15: 91-97
    CrossrefPubMedSearch in Google Scholar
  • 21 Schwenn O, Troost R, Vogel A. et al. Ocular pulse amplitude in patients with open angle glaucoma, normal tension glaucoma, and ocular hypertension. Br J Ophthalmol 2002; 86: 981-984
    CrossrefPubMedSearch in Google Scholar
  • 22 Duba I, Wirthlin AC. Dynamic contour tonometry for post-LASIK intraocular pressure measurements. Klin Monbl Augenheilkd 2004; 221: 347-350
    Thieme ConnectPubMedSearch in Google Scholar
  • 23 Siganos DS, Papastergiou GI, Moedas C. Assessment of the Pascal dynamic contour tonometer in monitoring intraocular pressure in unoperated eyes and eyes after LASIK. J Cataract Refract Surg 2004; 30: 746-751
    CrossrefPubMedSearch in Google Scholar
  • 24 Kniestedt C, Kanngiesser H, Stamper RL. Assessment of Pascal dynamic contour tonometer in monitoring IOP after LASIK. J Cataract Refract Surg 2005; 31: 458-459
    CrossrefPubMedSearch in Google Scholar
  • 25 Cervino A. Rebound tonometry: new opportunities and limitations of non-invasive determination of intraocular pressure. Br J Ophthalmol 2006; 90: 1444-1446
    CrossrefPubMedSearch in Google Scholar
  • 26 Liu J, De Francesco T, Schlenker M. et al. ICare home tonometer: a review of characteristics and clinical utility. Clin Ophthalmol 2020; 14: 4031-4045
    CrossrefPubMedSearch in Google Scholar
  • 27 Mudie LI, LaBarre S, Varadaraj V. et al. The ICare HOME (TA022) study: performance of an intraocular pressure measuring device for self-tonometry by glaucoma patients. Ophthalmology 2016; 123: 1675-1684
    CrossrefPubMedSearch in Google Scholar
  • 28 Forbes M, Pico G, Grolman B. A noncontact applanation tonometer: description and clinical evaluation. Arch Ophthalmol 1974; 91: 134-140
    CrossrefPubMedSearch in Google Scholar
  • 29 Salvetat ML, Zeppieri M, Tosoni C. et al. Corneal deformation parameters provided by the Corvis-ST pachy-tonometer in healthy subjects and glaucoma patients. J Glaucoma 2015; 24: 568-574
    CrossrefPubMedSearch in Google Scholar
  • 30 Wang W, Du S, Zhang X. Corneal deformation response in patients with primary open-angle glaucoma and in healthy subjects analyzed by Corvis ST. Invest Ophthalmol Vis Sci 2015; 56: 5557-5565
    CrossrefPubMedSearch in Google Scholar
  • 31 Lee R, Chang RT, Wong IY. et al. Novel parameter of corneal biomechanics that differentiate normals from glaucoma. J Glaucoma 2016; 25: e603-e609
    CrossrefPubMedSearch in Google Scholar
  • 32 Tian L, Wang D, Wu Y. et al. Corneal biomechanical characteristics measured by the CorVis Scheimpflug technology in eyes with primary open-angle glaucoma and normal eyes. Acta Ophthalmol 2016; 94: e317-e324
    CrossrefPubMedSearch in Google Scholar
  • 33 Jung Y, Park HL, Yang HJ. et al. Characteristics of corneal biomechanical responses detected by a non-contact scheimpflug-based tonometer in eyes with glaucoma. Acta Ophthalmol 2017; 95: e556-e563
    CrossrefPubMedSearch in Google Scholar
  • 34 Morita T, Shoji N, Kamiya K. et al. Intraocular pressure measured by dynamic contour tonometer and ocular response analyzer in normal tension glaucoma. Graefeʼs Arch Clin Exp Ophthalmol 2010; 248: 73-77
    CrossrefPubMedSearch in Google Scholar
  • 35 Koprowski R. Automatic method of analysis and measurement of additional parameters of corneal deformation in the Corvis tonometer. Biomed Eng Online 2014; 13: 150
    CrossrefPubMedSearch in Google Scholar
  • 36 Vinciguerra R, Rehman S, Vallabh NA. et al. Corneal biomechanics and biomechanically corrected intraocular pressure in primary open-angle glaucoma, ocular hypertension and controls. Br J Ophthalmol 2020; 104: 121-126
    CrossrefPubMedSearch in Google Scholar
  • 37 Elsheikh A, Geraghty B, Rama P. et al. Characterization of age-related variation in corneal biomechanical properties. J R Soc Interface 2010; 7: 1475-1485
    CrossrefPubMedSearch in Google Scholar
  • 38 Nakao Y, Kiuchi Y, Okumichi H. Evaluation of biomechanically corrected intraocular pressure using Corvis ST and comparison of the Corvis ST, noncontact tonometer, and Goldmann applanation tonometer in patients with glaucoma. PLoS One 2020; 15: e0238395
    CrossrefPubMedSearch in Google Scholar
  • 39 Eliasy A, Chen KJ, Vinciguerra R. et al. Ex-vivo experimental validation of biomechanically-corrected intraocular pressure measurements on human eyes using the CorVis ST. Exp Eye Res 2018; 175: 98-102
    CrossrefPubMedSearch in Google Scholar
  • 40 Pillunat KR, Hermann C, Spoerl E. et al. Analyzing biomechanical parameters of the cornea with glaucoma severity in open-angle glaucoma. Graefes Arch Clin Exp Ophthalmol 2016; 254: 1345-1351
    CrossrefPubMedSearch in Google Scholar
  • 41 Blumberg D, Congdon N, Jampel H. et al. The effects of sevoflurane and ketamine on intraocular pressure in children during examination under anesthesia. Am J Ophthalmol 2007; 143: 494-499
    CrossrefPubMedSearch in Google Scholar
  • 42 Jones L, Sung V, Lascaratos G. et al. Intraocular pressures after ketamine and sevoflurane in children with glaucoma undergoing examination under anaesthesia. Br J Ophthalmol 2010; 94: 33-35
    CrossrefPubMedSearch in Google Scholar
  • 43 Leonardi M, Pitchon EM, Bertsch A. et al. Wireless contact lens sensor for intraocular pressure monitoring: Assessment on enucleated pig eyes. Acta Ophthalmol 2009; 87: 433-437
    CrossrefPubMedSearch in Google Scholar
  • 44 Kouhani MHM, Wu J, Tavakoli A. et al. Wireless, passive strain sensor in a doughnut-shaped contact lens for continuous non-invasive self-monitoring of intraocular pressure. Lab Chip 2020; 20: 332-342
    CrossrefPubMedSearch in Google Scholar
  • 45 Sensimed S.A. Sensimed Triggerfish. Im Internet (Stand: 10.10.2022): https://www.sensimed.ch/de/sensimed-triggerfish/
  • 46 Choritz L, Mansouri K, van den Bosch J. et al. Telemetric measurement of intraocular pressure via an implantable pressure sensor–12-month results from the ARGOS-02 trial. Am J Ophthalmol 2020; 209: 187-196
    CrossrefPubMedSearch in Google Scholar
  • 47 Mariacher S, Ebner M, Januschowski K. et al. Investigation of a novel implantable suprachoroidal pressure transducer for telemetric intraocular pressure monitoring. Exp Eye Res 2016; 151: 54-60
    CrossrefPubMedSearch in Google Scholar
  • 48 Szurman P, Mansouri K, Dick HB. et al. Clinical science safety and performance of a suprachoroidal sensor for telemetric measurement of intraocular pressure in the EYEMATE-SC trial. Br J Ophthalmol 2021; 1-7
    CrossrefPubMedSearch in Google Scholar
  • 49 IOP. Die Lösung: EYEMATE. Im Internet (Stand: 10.10.2022): https://implandata.com/mobil/DE/m_loesung-eyemate.html
  • 50 [Anonymous] Shieldsʼ Textbook of Glaucoma. 6th edition. Clin Exp Optometry 2012; 95: 250
    CrossrefSearch in Google Scholar
  • 51 Friedenwald JS. Standardization of tonometers. South Med J 1948; 41: 44-47
    CrossrefPubMedSearch in Google Scholar
  • 52 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
    PubMedSearch in Google Scholar
  • 53 Goldmann H. Un nouveau tonomètre à aplanation. Bull Mem Soc Fr Ophtalmol 1954; 67: 474-477
    PubMedSearch in Google Scholar
  • 54 Cordero I. How to verify the calibration of Goldmann tonometers. Community Eye Health 2012; 25: 65
    PubMedSearch in Google Scholar
  • 55 McCafferty S, Lim G, Duncan W. et al. Goldmann tonometer error correcting prism: clinical evaluation. Clin Ophthalmol 2017; 11: 835-840
    CrossrefPubMedSearch in Google Scholar
  • 56 Enders P, Cursiefen C. Device profile of the EYEMATE-IO™ system for intraocular pressure monitoring: overview of its safety and efficacy. Expert Rev Med Devices 2020; 17: 491-497
    CrossrefPubMedSearch in Google Scholar