Goldmann压平眼压计与非接触式眼压计测量眼压的对比研究

摘要

AIM: To assess the relative agreement of GAT and NCT in IOP measurement by comparing the differences between Goldmann applanation tonometer (GAT) and non-contact tonometer (NCT) in intraocular pressure (IOP) detection.METHODS: IOP of 529 eyes of 265 volunteers were measured with both NCT and GAT, respectively.RESULTS: The measurement results of NCT were lower than that of GAT, there was significant difference between the IOP measured with NCT and GAT (19.13 vs23.43, t=22.644, P＜0.05). With the increasing of IOP values, the difference magnitude was greater, especially in IOP group that was more than 30mmHg, but the correlation coefficient became lower.CONCLUSION: The measurement results with NCT are lower than that of GAT. When the IOP with the NCT is in borderline value, it need be corrected with GAT, in order to discover the pathologically elevated IOP and avoid the misdiagnosis and mistreatment of glaucoma.%目的:比较Goldmann压平眼压计(Goldmann applanation tonometer,GAT)与非接触眼压计(non-contact tonometer,NCT)测量眼压的差异,以评价NCT与GAT测量的相关性.方法:对265例志愿者(529眼)分别采用Goldmann压平眼压计与非接触眼压计测量眼压.结果:非接触眼压计的测量结果低于Goldmann压平眼压计,且差异有显著性(19.1 3vs23.43,t=22.644,P＜0.01),随眼压值的升高,两者相差幅度增大,差异在眼压＞30mmHg时更为明显,但相关系数逐渐变小.结论:非接触眼压计眼压测量值较Goldmann眼压测量值偏低,非接触眼压计眼压值为临界眼压时,需应用Goldmann压平眼压计校正,以便及时发现病理性眼压升高,避免青光眼的漏诊和失治.