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OPHTHALMOLOGY
GLAUCOMA
http://www.healio.com/ophthalmology/glaucoma/news/print/ocular-surge...
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When corneal tonometry is challenging, measuring IOP through the upper eyelid at the limbus may be an
alternative.
There are certain conditions where you cannot achieve a reliable pressure through the cornea, Emil W.
Chynn, MD, FACS, MBA, of Park Avenue Laser Vision in New York, told Ocular Surgery News. Such
conditions include eyes with severe scarring, corneal edema, ocular trauma or a keratoprosthesis.
At my practice, this represents a small percentage of patients, between 5% and 10%, Chynn said. And for
general ophthalmologists, it might be only 1% to 2% of patients.
On the other hand, many children cannot tolerate anyone touching their eyes, so in the pediatric population,
perhaps 90% of patients would do better with the Diaton pen (BiCOM) than with Goldmann applanation
tonometry, Chynn said.
1/4/2016 11:36 PM
Diaton tonometer yields IOP readings without corneal contact | Ocular S...
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http://www.healio.com/ophthalmology/glaucoma/news/print/ocular-surge...
The Diaton is useful as a screening device for non-ophthalmologists such as general practitioners, internists or
emergency department physicians because there is no contact with the cornea, only the upper eyelid. There is
also no risk of infection or abrasion, Chynn said.
1/4/2016 11:36 PM