Evidence map›Paper›PMID 35168601›Full record

ArticleBMC ophthalmology2022

Intraocular pressure after myopic laser refractive surgery measured with a new Goldmann convex prism: correlations with GAT and ORA.

María Iglesias, Bachar Kudsieh, Andrea Laiseca, Cristina Santos, Jeroni Nadal, Rafael Barraquer, Ricardo P Casaroli-Marano

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Article in BMC ophthalmology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

María IglesiasInstituto Universitario Barraquer, Barraquer Ophthalmology Centre, Laforja 88, 08012, Barcelona, Spain. mariaiglesiasalvarez@gmail.com.
Bachar KudsiehDepartment of Ophthalmology, Hospital Universitario Puerta De Hierro, 28222, Madrid, Spain.
Andrea LaisecaInstituto Universitario Barraquer, Barraquer Ophthalmology Centre, Laforja 88, 08012, Barcelona, Spain.
Cristina SantosUnitat Antropologia Biològica, Department Biologia Animal, Biologia Vegetal i Ecologia, Universitat Autònoma de Barcelona (UAB), 08193, Barcelona, Spain.
Jeroni NadalInstituto Universitario Barraquer, Barraquer Ophthalmology Centre, Laforja 88, 08012, Barcelona, Spain.
Rafael BarraquerInstituto Universitario Barraquer, Barraquer Ophthalmology Centre, Laforja 88, 08012, Barcelona, Spain.
Ricardo P Casaroli-MaranoDepartment of Surgery, School of Medicine and Hospital Clinic de Barcelona, University of Barcelona (UB), 08036, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study is to describe measurements using a newly developed modified Goldmann convex tonometer (CT) 1 year after myopic laser refractive surgery. Intraocular pressure (IOP) measurements were compared with IOP values obtained by Goldmann applanation tonometer (GAT), and Ocular Response Analyzer (ORA).

methodsProspective double-masked study performed on thirty eyes of thirty patients that underwent laser in situ keratomileusis (LASIK; n = 19) or photorefractive keratectomy (PRK; n = 11). IOP was measured before and 3 and 12 months after surgery. Intraclass correlation coefficient (ICC) and Bland-Altman plot were calculated to assess the agreement between GAT, CT, IOPg (Goldmann-correlated IOP) and IOPcc (corneal-compensated IOP) from ORA.

resultsTwelve months after LASIK, IOP measured with CT showed the best correlation with IOP measured with GAT before surgery (GATpre) (ICC = 0.886, 95% CI: 0.703-0.956) (15.60 ± 3.27 vs 15.80 ± 3.22; p < 0.000). However, a moderate correlation was found for IOP measured with IOPcc and CT 12 months after LASIK (ICC = 0.568, 95% CI: - 0.185 - 0.843) (15.80 ± 3.22 vs 12.87 ± 2.77; p < 0.004). Twelve months after PRK, CT showed a weak correlation (ICC = - 0.266, 95% CI: - 3.896 - 0.663), compared to GATpre (17.30 ± 3.47 vs 16.01 ± 1.45; p < 0.642), as well as poor correlation (ICC = 0.256, 95% CI: - 0.332 - 0.719) with IOPcc (17.30 ± 3.47 vs 13.38 ± 1.65; p < 0.182).

conclusionsTwelve months after LASIK, IOP measured with CT strongly correlated with GAT before surgery and could therefore provide an alternative method for measuring IOP after this surgery. More studies regarding this new convex prism are needed to assess its accuracy.

Indexed as

Intraocular PressureKeratomileusis, Laser In SituCorneaHumansLasers, ExcimerPolymersProspective StudiesTonometry, OcularGATPolymersCorneal biomechanicsGlaucomaIntraocular pressureLASIKMyopiaPRKTonometry

Identifiers

PMID35168601
PMCPMC8849021

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