Intraocular pressure measurement in children

被引:11
作者
Bresson-Dumont, H. [1 ]
机构
[1] Clin Sourdille, Dept Glaucome, F-44000 Nantes, France
来源
JOURNAL FRANCAIS D OPHTALMOLOGIE | 2009年 / 32卷 / 03期
关键词
Intraocular pressure; Tonometry in children; Central corneal thickness; CENTRAL CORNEAL THICKNESS; TONO-PEN; PEDIATRIC POPULATION; REBOUND TONOMETER; REFRACTIVE-ERROR; SCHOOL-CHILDREN; AXIAL LENGTH; HYSTERESIS; CURVATURE; PERKINS;
D O I
10.1016/j.jfo.2009.03.008
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Intraocular pressure (IOP) measurement in children is often difficult to perform because younger children are non-compliant and resisting the examination. Normal IOP in children is not well established yet because in the studies reporting about IOP, the instruments used and clinical conditions have varied. Non contact tonometer often overestimates IOP in blinking children and is not always reliable. But all the others measurement techniques use contact (GAT, Perkins, Tono-Pen, ORA, RBT), and are not always suitable and easy-to-use. Under general anaesthesia, mean IOP measured with Perkins applanation tonometer is under 8 mmHg before age of 3 months and under 12 mmHg between ages of 6 and 9 months. After, IOP shows an increasing trend with age of 1 mmHg per year up to 12 years. Some studies have proposed as normal pediatric IOP : To = 0.71 x age (years) + 10, up to age 10. Then, IOP tends to approach adult levels by 12 years of age. However pediatric glaucoma is rare: congenital glaucoma, before age of 3 years, autosomal dominant juvenile glaucoma, with family history of glaucoma and elevated IOP, or secondary glaucoma with special context. Thus, hypertony has to be confirmed by another measurement technique, correlated to central corneal thickness, and clinical examination (optic nerve head and visual field). (C) 2009 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:176 / 181
页数:6
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