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

:平板共振眼压计(ART)已在许多研究中显示对测量眼内压(IOP)有用。体外实验室工作台测试中的数据已被非常一致地确定了IOP,在该测试中,传感器被仔细地集中在角膜上。但是,在临床研究中,传感器不可避免地偏心放置在角膜上会导致精度降低。这项研究的目的是评估带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。使用了两个体外猪眼实验装置。一个用于检查位置依赖性的工作台,一个用于模拟临床环境的生物显微镜设置,用于通过将盐水柱连接到玻璃体腔来设置在七个不同压力水平(1040 mmHg)下评估IOP(ART)精度。使用压力传感器记录参考IOP。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,ART的精度为±1.03 mmHg(SD,n = 42)。设计上的改进提高了生物显微镜设置中ART的精度,使其与使用完美定位的设置中的基准测试结果相当。这表明偏心定位不再是导致测得的IOP偏差的主要因素。精度完全在ISO标准为眼压计设定的范围内。因此,应使用ART对人眼进行更大的体内研究。

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