Tonometry

Tonometry
Measure
IOP

Detect ocular
Normal
hypertension
IOP 10-21
and
mmhg
glaucoma

Detect
Measured
ocular
in mmHg
hypotony
Applanation Indentation
Measure the force Measure the
needed to flatten amount of
the cornea indentation of the
cornea produced
by a known height
 Applanation

GOLDMANN PERKINS PNEUMATIC TONOPEN NONCONTACT

Most common Handheld, Pressure-sensing Seated or supine (AIR-PUFF)
Mounted on slit portable device patient Measure the
lamp Need stadiness Portable,seated Medium time needed for
or supine accuracy a given force of
High accuracy Same accuracy air to flatten
with goldmann patient
cornea
Medium
accuracy No need
anesthetic
Indentation

SCHIOTZ TONOMETER

Supine patient

Accuracy :
•incorrect technique
•inadequate cleaning
•improper calibration
 Goldmann Applanation
• 4 principles
• Part which contact with patients cornea
Tonometer tip • Contain biprism converts a circular into two
semicircle

Metal rod • Connect tonometer into the instrument housing

• Mechanism that can deliver a measured force

Housing • Controlled by force adjustment knob

Force • Used to vary the amount foce needed to applanate

cornea
adjusment knob • Sclae reading; multiply by 10
 Schiotz Tonometry

Foot plate • Placement upon patients cornea

Plunger • Moves up and down inside a cylinder

• Rests upon patients cornea in the center foot plate

Frame • Held between examiner’s thumb and forefinger

Weights • Indentation force

• The 5.5 g weight is used first

Scale • Indicator needle

• Moved by hammer