Volume 16, Numbers 4-5, 291-293, DOI: 10.1007/BF00917978

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Society for Ophthalmo-Immuno Infectiology in Europe

A clinical evaluation of XPERTtm NCTtm (Reichert) for glaucoma screening by optometrists

Gabor Hollo, Piroska Follmann and Gyõrgy Pap

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Abstract

XPERTtm NCTtm advanced logic pneumotonometer (Reichert) was studied for its reliability and use in glaucoma screening. The evaluated 2400 NCT measurements on 300 eyes were compared to the results of Goldmann applanation tonometry (GAT) from the same eyes. Repeated NCT tonometry had no significant effect on IOP. Local anesthesia reduced mean NCT-GAT difference and standard deviation significantly (p < 0.05),="" i.e.="" feeling="" due="" to="" the="" diminished="" air="" pulse="" force="" provided="" by="" the="" instrument="" had="" still="" considerable="" influence="" on="" iop.="" nct-gat="" regression="" was="" significant="" (p="">< 0.01).="" mean="" iop="" readings="" provided="" by="" nct="" were="" four="" mmhg="" higher="" than="" gat="" values.="" although="" accuracy="" was="" not="" satisfactory="" for="" exact="" measuring,="" it="" was="" satisfactory="" for="" screening.="" the="" results="" suggested="" that="" four="" mmhg="" less="" than="" the="" mean="" iop="" value="" seen="" on="" the="" display="" is="" acceptable="" for="" screening="" when="" the="" difference="" between="" the="" minimal="" and="" maximal="" individual="" readings="" on="" the="" display="" is="" less="" than="" 2sd="" i.e.="" six="" mmhg.="" in="" the="" case="" of="" a="" greater="" difference,="" the="" maximal="" value="" is="" to="" be="" replaced,="" as="" nct="" tends="" to="" read="" higher="" values="" than="">

Key words  XPERT NCT pneumotonometer - clinical evaluation - glaucoma screening

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