国产回弹式眼压计在儿童眼压测量中的应用

摘要

AlM:To evaluate the clinical application of the domestic rebound tonometer ( RBT ) in measuring intraocular pressure ( lOP) in healthy children. METHODS:lOP measurement was measured in bilateral eyes of 108 cases with domestic RBT. Then the lOP for the left eyes of the children older than 13 years was obtained with Goldmann applanation tonometry ( GAT) . RESULTS: Of the 108 children, 100 ( 92. 6%) had lOP measurement both eyes successfully. Of the 100 children, 24 were older than 13 years. The mean lOP values for the left eyes of the 24 children of RBT and GAT were (16. 0± 3. 0) mmHg (1kPa=7. 5mmHg) and (15. 7±2. 8) mmHg, respectively. There was no significant difference between the lOP of the two tonometers (P>0. 05). The lOP of RBT had a good liner relationship with that of GAT ( r=0. 849, P<0. 05). The lOP values were normally distributed for the both eyes. Mean lOP values were (16. 0±2. 8) mmHg and (16. 2 ± 2. 6 ) mmHg for the left eyes and right eyes, respectively. There was no statistically significant difference in mean lOP readings between them, which had a good liner relationship (r=0. 863, P<0. 05). CONCLUSlON: Domestic RBT is a good instrument in detecting lOP in children and it seems to be very comfortable and easy when performing lOP measurement in children without an anesthetic.%目的：观察国产回弹式眼压计在儿童眼压监测中的应用。方法：对本院眼视光门诊就诊的108例儿童进行两眼眼压测量,年龄大于13岁的儿童回弹式眼压计( rebound tonometer,RBT)测量完成后左眼进行Goldmann压平式眼压计( Goldmann applanation tonometry,GAT)眼压测量。　　结果：两眼均顺利完成RBT眼压测量的儿童100例,成功率92.6%(100/108),其中13岁以上24例。24例左眼RBT和GAT眼压平均值分别为16.0±3.0 mmHg (1 kPa=7.5mmHg)和15.7±2.8mmHg,两者差异无统计学意义(P>0.05),两者具有良好的相关性(r=0.849,P<0.05)。100例儿童的左右眼眼压均呈正态分布,平均值分别为16.0±2.8mmHg和16.2±2.6mmHg,两者差异无统计学意义(P>0.05),两者具有良好的相关性(r=0.863,P<0.05)。　　结论：国产回弹式眼压计在儿童眼压测量中简单易操作,无需麻醉,准确性较高,能够较好满足临床儿童眼压测量的需求。