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Tilvawala Gopesh, Andrew Camp, Michael Unanian, James Friend, Robert N. Weinreb; Rapid and Accurate Pressure Sensing Device for Direct Measurement of Intraocular Pressure. Trans. Vis. Sci. Tech. 2020;9(3):28. https://doi.org/10.1167/tvst.9.3.28.
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Intraocular pressure (IOP) is the primary modifiable risk factor for glaucoma. Current devices measure IOP via the dynamic response of the healthy cornea and do not provide the accurate IOP measurements for patients with altered corneal biomechanics. We seek to develop and test an accurate needle-based IOP measurement device that is not cornea dependent.
Our device combines a high-resolution pressure microsensor with 30- and 33-gauge Luer lock needles to provide IOP measurements via a microcontroller and USB interface to a computer. The device was calibrated in a membrane chamber and then tested and validated in the anterior chamber and post-vitrectomy vitreous chamber of rabbit eyes. The results were compared to Tonopen readings across a pressure range of 0 to 100 mm Hg, imposed in increments of 10 mm Hg.
Both the needle based sensor device and the Tonopen demonstrated a linear relationship with changes in imposed pressure. The Tonopen was found to consistently underestimate the IOP both in the anterior and vitreous chambers. The Tonopen exhibited a significantly greater error than our needle-based sensor device. With increased pressure (>30 mm Hg), the error of the Tonopen increased, whereas the error of our device did not. The 30-gauge needle produces an insignificant improvement in accuracy over the 33-gauge needle.
A needle-based sensor device enables accurate IOP measurements over a broad range of induced IOP.
Direct measurement of IOP in the anterior chamber circumvents the influence of corneal parameters on IOP measurement.
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