Study of noncontact air-puff applanation tonometry IOP measurement on irregularly-shaped corneas

摘要

Abnormal corneas with corneal tissue defects like ulceration, melting, laceration, thinning scar, keratoconus etc., poses special challenges for ophthalmologist to measure intraocular pressure (IOP) correctly using air-puff noncontact applanation tonometry. Here, we propose an novel model, Abnormal Applanation IOP Model (AAIOP), to simulate IOP in these abnormal corneas on an air-puff noncontact applanation tonometry system, and the simulated IOP results are correctly fit in those of IOP measured database on human eyes of 91,024 patients (174,666 eyes). Our simulated IOP indicates that every 10 μm of central corneal thickness change results in 0.36 mmHg of IOP change. Using our simulation model, the IOP on abnormal eyes with irregularly-shaped corneas can be correctly expected and reported.