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H.Kangari O.D.
TONOMETRY/H.KangariO.D.
TONOMETRY/H.KangariO.D.
CONTRAINDICATIONS TO IOP
MEASUREMENT WITH GOLDMAN
TECHNIQUE
1)Active Infection
2)Patients with recurrent corneal erosions
3) Corneal abrasions that are not totally
healed
TONOMETRY/H.KangariO.D.
The Intraocular
Pressure is
determined by the
amount of force
required to flatten a
constant corneal
surface area
TONOMETRY/H.KangariO.D.
TONOMETRY/H.KangariO.D.
1)Contact Prism
2)Contact Probe
3)Housing
4)Calibrated
measuring drum
5)Tonometer Arm
TONOMETRY/H.KangariO.D.
TONOMETRY/H.KangariO.D.
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PROBE STERILAZATION
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PROBE STERILAZATION
OR insert the probe into Hydrogen
Peroxide 3% for 5 to 10 minutes.
Rinse the probe with Saline Solution and
blot dry with a tissue.
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(1) 3% H2O2 will ruin the probes in a short period of time and if not properly
dried can cause marked pain and a secondary anterior uveitis that is very
difficult to resolve. Minimum of 5 minutes maximum of 10 minutes.
(2) 70% Isopropyl alcohol will also destroy the probes and if not properly
dried can also cause marked pain and a secondary anterior uveitis that is
very difficult to resolve.
When Using Either Of The Above Recommended Procedures Make Sure
You Always Rinse The Probe Thoroughly With Saline Solution Then Dry It
Completely Before Using It On The Patient's Eye. Never Leave The Probe
In The Hydrogen Peroxide For Longer Than 10 Minutes.
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PATIENT PREPARATION
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APPLINATION
From the outside instrument get as close as
you can to the cornea and center the probe
on the cornea.
If you now look in through the microscope,
you will see two faint blue mires (semi circles)
If you dont see this, AGAIN center the probe
from the outside of the instrument.
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Correct position of
mires when
measuring the IOP
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Inappropriate contact
The instrument has been
moved too much toward
the patient.
The mires will not move
by changing the drum.
Move backward and
reapplinate.
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DIURNAL VARIATION
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Latest information:
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PERKINS TONOMETER
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DIGITAL INTRAOCULAR
PRESSURE ASSESSMENT
This technique is used in those individual,
where the slit-mounted instrument or the handheld tonometer cannot be used.
In very young children, extremely anxious
patient or developmentally delayed individuals.
The firmness of the globe is subjectively
evaluated as soft, meduim, or hard. The
harder the globe the higher the IOP.
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NON-CONTACT TONOMETER
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