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Original Article



Rebound Tonometry over Soft Contact Lenses

Iva Krolo, Boze Mihaljevic, Aida Kasumovic, Freja Bagatin, Maja Malenica Ravlic, Jelena Skunca Herman.




Abstract

Introduction: Goldmann applanation tonometry (GAT) is named as a gold standard for intraocular pressure (IOP) measurement. Aim: To assess the accuracy of intraocular pressure (IOP) measurements using rebound tonometry over hydrogel and silicone hydrogel contact lenses (CLs) of different powers. Methods: This study included 117 eyes of 61 patients (12 male, 49 female), all habitual wearers of hydrogel and silicone hydrogel CLs, and none previously diagnosed with glaucoma, ocular hypertension or anterior surface disease. Five IOP measurements were taken over each eye using a rebound tonometer (Icare): with soft CLs in situ and then repeated without CLs. Lens power ranged from -9.50 to +10.00 spherical diopters and to a maximum of -0.75 cylinder diopters. Results: A significant positive correlation was found between IOP measurements with and without CLs. The difference between IOP measurements with (mean 20.74±5.19 mmHg) and without (mean 18.79±4.36 mmHg) CLs was found to be 1.95 mmHg (P

Key words: Contact Lens, Rebound Tonometry, Icare, Hydrogel, Silicone Hydrogel.






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