Dynamic Contour Tonometry: A Comparative Study on Human Cadaver Eyes | Glaucoma | JAMA Ophthalmology | JAMA Network
[Skip to Navigation]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
Clinical Sciences
September 2004

Dynamic Contour Tonometry: A Comparative Study on Human Cadaver Eyes

Author Affiliations

From the Department of Ophthalmology, University of California, SanFrancisco (Drs Kniestedt, Nee, and Stamper); and Department of Ophthalmology,University Hospital Zurich, Zurich, Switzerland (Dr Kniestedt). The authorshave no relevant financial interest in this article.

Arch Ophthalmol. 2004;122(9):1287-1293. doi:10.1001/archopht.122.9.1287

Objective  To compare intraocular pressure measurements obtained by recently introduceddynamic contour tonometry (DCT), Goldmann applanation tonometry (GAT), pneumatonometry(PTG), and intracameral manometry in human cadaver eyes.

Methods  Sixteen freshly enucleated human cadaver eyes were deepithelializedand dehydrated with dextran. A tube was placed in the anterior chamber andconnected to a transducer and to a bottle system filled with balanced saltsolution. The pressure in the eye was then altered between 5 mm Hg and 58mm Hg. Intraocular pressure measurements were obtained with DCT, GAT, andPTG at each manometric pressure reading.

Results  On average, DCT values measured 0.58 ± 0.70 mm Hg higher thanreal intracameral pressure. The GAT and PGT showed consistently lower values,−4.01 ± 1.76 mm Hg and −5.09 ± 2.61 mm Hg, respectively.At all bottle heights, DCT values were significantly closer to the referencepressure than GAT and PTG (P<.001).

Conclusions  Measurement with DCT provides IOP values significantly closer to truemanometric levels than either GAT or PTG. Further studies are warranted todetermine its reliability in patients and the effect of corneal thickness.