자세에 따른 리바운드 안압계의 안압측정치 비교

• 영문명: Comparison of Intraocular Pressures According to Position Using Icare Rebound Tonometer
• 발행기관: 대한안과학회
• 저자명: 김혜진 이가영,Hae Jin Kim, MD, Kayoung Yi, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume55,number7, 1049~1055쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2014.07.15

영문 초록

Purpose: To evaluate changes in intraocular pressure (IOP) according to position using a portable rebound tonometer. Methods: We measured the IOP values of 20 healthy volunteers (40 eyes) in the sitting, supine, right lateral decubitus and left decubitus positions with a portable rebound tonometer, and then analyzed using the Wilcoxon signed rank test. IOP in sitting position was also measured with a non-contact tonometer and a Goldmann applanation tonometer, and analyzed with Kruskal-Wallis test and Spearman correlation analysis. Agreement among the 3 tonometers was calculated using the Bland-Altman method. Results: The IOP measured with rebound tonometer in the supine position was significantly higher than in the sitting position (p = 0.002). However, there was no significant difference in IOP between the supine and decubitus positions. In the decubitus position, there was no significant difference in IOP between the dependent and non-dependent eyes. IOP measurement using the rebound tonometer showed positive correlation with that of the noncontact and Goldmann applanation tonometers. Conclusions: In normal subjects, IOP measurement obtained with a rebound tonometer in the supine position was significantly higher than in the sitting position, but there was no significant difference in IOP between the supine and decubitus positions. A rebound tonometer may be useful for patients whose intraocular pressure measurement with Goldmann applanation tonometer or non-contact tonometer is impossible. When using a portable rebound tonometer in bed-ridden or pediatric patients, we should pay attention to the interpretation of IOP in the supine position. J Korean Ophthalmol Soc 2014;55(7):1049-1055

키워드

Decubitus position, Icare PRO rebound tonometer, Supine position