Document Detail


Goldmann applanation tonometry - not as good as gold.
MedLine Citation:
PMID:  20882940     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A thesis that linear mechanics does not apply to the analysis of cornea load during Goldmann applanation tonometry measurement and that the concept of surface tension in the lacrimal fluid is an ineffective attempt at circumventing the associated problems is put forward. The fundamental problem emerging during numerically simulated measurement of pressure on the eyeball, whose dimensions are considered to be calibrated, stems from the fact that the flattening of the cornea at the nominal intraocular pressure leads to a critical state in which the shell loses stability. The consequences are far-reaching. The Goldmann tonometer performs well at low intraocular pressure, but above the nominal pressure its readings are always understated. The cause of the error is not the tonometer itself (its readings can be even very accurate). It is shell "solution" called Imbert-Fick law which is faulty.
Authors:
Wiesław Sródka
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta of bioengineering and biomechanics / Wrocław University of Technology     Volume:  12     ISSN:  1509-409X     ISO Abbreviation:  Acta Bioeng Biomech     Publication Date:  2010  
Date Detail:
Created Date:  2010-10-01     Completed Date:  2010-12-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101194794     Medline TA:  Acta Bioeng Biomech     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  39-47     Citation Subset:  IM    
Affiliation:
Deformable Body Mechanics Faculty Unit, Wrocław University of Technology, Poland. wieslaw.srodka@pwr.wroc.pl
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MeSH Terms
Descriptor/Qualifier:
Animals
Artifacts*
Computer Simulation
Cornea / physiology*
Diagnosis, Computer-Assisted / methods*
Humans
Intraocular Pressure / physiology*
Models, Biological*
Reproducibility of Results
Sensitivity and Specificity
Tonometry, Ocular / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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