Abstract
Pr & eacute;cis:In a cross-sectional study comparing the novel Tono-Vera handheld rebound tonometer with the Ocular Response Analyzer, a strong agreement was found between the intraocular pressure measurements of the 2 devices.Purpose:To compare intraocular pressure (IOP) measurements obtained by the new Tono-Vera (Reichert Technologies), a novel handheld rebound tonometer with a proprietary camera-based positioning system, with those from the Ocular Response Analyzer (ORA, Reichert Technologies) non-contact tonometer.Patients:Fifty-four eyes of normal individuals and open angle glaucoma subjects.Methods:All subjects had at least 6 reliable measurements with the Tono-Vera and 3 with the ORA, acquired by the same technician in the same visit. The sample was randomly split into calibration and validation samples. An ordinary least squares linear regression model generated a calibration formula for Tono-Vera readings using ORA's Goldmann-correlated IOP (IOPg) as a target. Bland-Altman plots evaluated the agreement between Tono-Vera calibrated IOP (IOPtv) and ORA IOPg in the validation sample.Main Outcome Measures:Agreement between IOPtv and IOPg measurements.Results:Fifty glaucoma and 4 normal eyes were included, mean age 68.3 +/- 9.4 years, mean central corneal thickness 535.0 +/- 39.6 mu m. In the validation sample, mean IOPtv was 14.6 +/- 5.2 mmHg (range, 7.4-28.5 mmHg) versus 15.0 +/- 5.3 mmHg (range, 6.6-28.6 mmHg) for ORA IOPg (R-2 = 0.782). Bland-Altman plots showed a mean difference of -0.4 +/- 2.5 mmHg (95% limits of agreement: -5.4 to 4.5 mmHg). 58.6%, 79.3%, and 96.5% of IOPtv measurements fell within +/- 2, +/- 3, and +/- 5 mmHg of ORA measurements. No fixed or proportional biases were observed (P = 0.620).Conclusion:There was a strong correlation and agreement in IOP measurements between calibrated Tono-Vera IOP and ORA IOPg.