Applanation resonance tonometry (ART) has been shown in a number of studies to be useful for measuring intraocular pressure (IOP). Data from in vitro laboratory bench testing, where the sensor was carefully centralised onto the cornea, has been very consistent with good precision in the determination of IOP. However, in a clinical study the unavoidable off-centre placement of the sensor against the cornea resulted in a reduced precision. The aim of this study was to evaluate a new design of the sensor with a symmetric sensor probe and a contact piece with a larger diameter. Two in vitro porcine eye experimental set-ups were used. One bench-based for examining position dependence and one biomicroscope-based set-up, simulating a clinical setting, for evaluating IOP(ART) precision at seven different pressure levels (1040 mmHg), set by connecting a saline column to the vitreous chamber. The reference IOP was recorded using a pressure transducer. There was no significant difference between four positions 1 mm off centre and the one centre position. The precision of the ART as compared with the reference pressure was +/- 1.03 mmHg (SD, n = 42). The design improvement has enhanced the precision of the ART in the biomicroscope set-up to be in parity with bench test results from a set-up using perfect positioning. This indicates that off-centre positioning was no longer a major contributor to the deviations in measured IOP. The precision was well within the limits set by ISO standard for eye tonometers. Therefore, a larger in vivo study on human eyes with the ART should be performed.

译文

压平共振眼压计 (ART) 已在许多研究中被证明可用于测量眼内压 (IOP)。来自体外实验室工作台测试的数据 (将传感器小心地集中在角膜上) 在确定IOP时非常吻合。然而,在临床研究中,不可避免地将传感器偏心放置在角膜上导致精度降低。这项研究的目的是评估具有对称传感器探头和直径较大的接触件的传感器的新设计。使用了两种体外猪眼实验装置。一个基于工作台的用于检查位置依赖性,一个基于生物显微镜的设置,模拟临床设置,用于评估在七个不同压力水平 (1040 mmHg) 下的IOP(ART) 精度,通过将盐水柱连接到玻璃体腔。使用压力传感器记录参考IOP。在偏离中心1毫米的四个位置与一个中心位置之间没有显着差异。与参考压力相比,现有技术的精度为 +/- 1.03 mmHg (SD,n = 42)。设计改进提高了生物显微镜设置中的技术精度,使其与使用完美定位的设置的台架测试结果保持一致。这表明偏心定位不再是测量IOP偏差的主要原因。精度完全在ISO眼压计标准设定的范围内。因此,应使用该技术对人眼进行更大的体内研究。

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