Possibilities of using transpalpebral tonometry for screening control of intraocular pressure in young children
https://doi.org/10.21516/2072-0076-2025-18-2-43-49
Abstract
Purpose of the work was to study the possibility of using transpalpebral tonometry (TPT) using the Tonotest device in younger children (up to and including 5 years old) for screening control of intraocular pressure (IOP). Material and methods. As part of the screening examination, IOP was determined in 46 children (92 eyes) aged 5 months to 5 years, divided into 2 groups. In the 1st group — 21 children (42 eyes) aged 5 months to 3 years (average 1.5 ± 1.0 years) — only Tonotest was used for tonometry, and in the 2nd group — 25 children (50 eyes) aged 3.5 to 5 years (average 4.5 ± 0.6 years) — IOP measurement was performed sequentially (in random order) by two methods — using Tonotest and a pneumotonometer (Reichert 7 AutoTonometer, USA). Results. In most cases, the children tolerated the TPT procedure well and did not complain of discomfort, pain, or any other unpleasant sensations. However, in 7 children (33 %) of the 1st group and in 5 children (20 %) of the 2nd group, behavioral characteristics did not allow measuring IOP. The IOP level according to TPT in the 1st group was 16.4 ± 2.9 mm Hg. In the 2nd group, the IOP value according to Tonotest was 15.1 ± 2.0 mm Hg, according to the pneumotonometer — 16.0 ± 2.1 mm Hg (p = 0.09). Conclusion. The possibility of using TPT for screening control of IOP in younger children (0–5 years old) is shown. Comparison of the results of IOP determination in the group of children aged 3.5–5.0 years using Tonotest and pneumotonometer showed no statistically significant differences between them. TPT using Tonotest allows to expand the possibilities of IOP monitoring in pediatric practice.
About the Authors
E. N. Iomdina
Helmholtz National Medical Research Center of Eye Diseases
Russian Federation
Russian Federation
Еlena N. Iomdina — Dr. of Biol. Sci., professor, principal researcher of the department of refractive pathology, binocular vision and ophthalmoergonomics.
14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062
N. Yu. Kushnarevich
Helmholtz National Medical Research Center of Eye Diseases
Russian Federation
Russian Federation
Nina Yu. Kushnarevich — Cand. of Med. Sci., senior researcher of the department of refractive pathology, binocular vision and ophthalmoergonomics.
14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062
T. Yu. Larina
Helmholtz National Medical Research Center of Eye Diseases
Russian Federation
Russian Federation
Tatiana Yu. Larina — Cand. of Med. Sci., researcher of the department of refractive pathology, binocular vision and ophthalmoergonomics.
14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062
A. Yu. Panova
Helmholtz National Medical Research Center of Eye Diseases
Russian Federation
Russian Federation
Anna Yu. Panova — Cand. of Med. Sci., researcher, department of pediatric eye pathology.
14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062
References
1. Filippova O.M. Transpalpebral tonometry: new possibilities of recording intraocular pressure. Glaucoma. 2004; 1: 54–6 (In Russ.).
2. Egorov E.A., Romanova T.B., Katz D.V., Baeva N.G., Alyabyeva Zh.Yu. Transpalpebral tonometry — the perspective method of the IOP control. Russian journal of clinical ophthalmology. 2016; 2: 75–8 (In Russ.). doi: 10.21689/2311-7729-2016-16-2-75-78
3. Dykin V.I., Ivanishchev K.V., Kornev N.P., Mikheev A.A., Solomakha V.N. Device for calibrating dynamic tonometer TVG-01. Meditsinskaya tekhnika. 2013; 3 (279): 18–20 (In Russ.). http://mtjournal.ru/upload/iblock/19f/19f866b102198dca2d05c1c9357e5279.pdf
4. Iomdina E.N., Klevtsov E.A., Ivanishchev K.V., et al. Experimental simulation for determining optimal design parameters of a transpalpebral tonometry sensor. Vestnik oftal’mologii. 2019; 135 (6): 27–32 (In Russ.). https://doi.org/10.17116/oftalma201913506127
5. Karlova E.V., Zolotarev A.V., Milyudin E.S., Pershakova A.E. Transpalpebral tonometry after penetrating keratoplasty. Russian journal of clinical ophthalmology. 2020; 20 (4): 175–9 (In Russ.). doi: 10.32364/2311-7729-2020-20-4-175-179
6. Filippova O.M., Bessmertny A.M., Kuzin M.N., Petrov S.Yu. Prospects of using the TVGD-02 tonometer for assisted monitoring of intraocular pressure at home. Russian ophthalmological journal. 2021; 14 (2): 27–35 (In Russ.). https://doi.org/10.21516/2072-0076-2021-14-2-27-35
7. Filippova O.M., Bessmertny A.M., Kuzin M.N., Petrov S.Yu. Prospects for monitoring intraocular pressure using transpalpebral tonometry. Medicine. 2022; 10 (2): 10–24 (In Russ.).
8. Kushnarevich N.Yu., Iomdina E.N., Bessmertny A.M., Kuzin M.N. Estimation of the accuracy and informativeness of measuring intraocular pressure in patients with their contact lenses on by transpalpebral scleral tonometry. Russian ophthalmological journal. 2020; 13 (2): 23-8 (In Russ.). https://doi.org/10.21516/2072-0076-2020-13-2-23-28
9. Salazar-Quiñones L, Fernández-Vigo JI, Pérez-Quiñones Y, et al. Comparison of intraocular pressure measurements between Easyton transpalpebral tonometry and Perkins, iCare iC100 and Corvis ST, and the influence of corneal and anterior scleral thickness. Int Ophthalmol. 2023 Nov; 43 (11): 4121–9. doi: 10.1007/s10792-023-02814-y
10. Shusterov Yu.A., Akhmadyarova B.S., Toksambaeva D.E., et al. A comparative analysis of intraocular pressure measurement results by the TVGD-02 tonometer (EASYTON) and the Goldman tonometer in ethnic Asians residing in Kazakhstan. Russian ophthalmological journal. 2022; 15 (2): 135–41 (In Russ.). https://doi.org/10.21516/2072-0076-2022-15-2-135-141
11. Tugeeva E.E., Brzheskiy V.V. Features of measurement of intraocular pressure in children. Ophthalmology Journal. 2016; 9 (3): 23–31 (In Russ.). doi: 10.17816/ov9323-31
12. Bresson-Dumont H. La mesure de la pression intra-oculaire chez l’enfant [Intraocular pressure measurement in children]. J Fr Ophtalmol. 2009 Mar; 32 (3): 176-81. French. doi: 10.1016/j.jfo.2009.03.008.
13. Tugeeva E.E., Vorontsova T.N., Brzheskiy V.V., Zaytseva M.V. The influence of the fibrous capsule main parameters on the results of different methods of ophthalmotonometry in children. Russian pediatric ophthalmology. 2015; 2: 38–40 (In Russ.).
14. Chan WH, Lloyd IC, Ashworth JL, et al. Measurement of intraocular pressure in children in the UK. Eye (Lond). 2011; 25 (1): 119–20. doi: 10.1038/eye.2010.159
15. Kageyama M, Hirooka K, Baba T, Shiraga F. Comparison of ICare rebound tonometer with noncontact tonometer in healthy children. J Glaucoma. 2011 Jan; 20 (1): 63–6. doi: 10.1097/IJG.0b013e3181d12dc4
16. Muir KW, Jin J, Freedman SF. Central corneal thickness and its relationship to intraocular pressure in children. Ophthalmology. 2004 Dec; 111 (12): 2220–3. doi: 10.1016/j.ophtha.2004.06.020
17. Doughty MJ, Laiquzzam M, Müller A, Oblak E, Button NF. Central corneal thickness in European (white) individuals, especially children and the elderly, and assessment of its possible importance in clinical measures of intraocular pressure. Ophthalmic & Physiological Optics. 2002; 22: 491–504. https://doi.org/10.1046/j.1475-1313.2002.00053.x
18. Krzyzanowska-Berkowska P, Asejczyk-Widlicka M, Pierscionek B. Intraocular pressure in a cohort of healthy easten European schoolchildren: variations in method and corneal thickness. BMC Ophthalmology. 2012; 12 (61): 280–9. https://doi.org/10.1186/1471-2415-12-61 8
19. Bradfield YS, Kaminski BM, Repka MX, et al. Comparison of Tono-Pen and Goldmann applanation tonometers for measurement of intraocular pressure in healthy children. J Am Association for Pediatric Ophthalmol and Strabismus. 2012;16 (3): 242–8. doi: 10.1016/j.jaapos.2011.12.150
20. Tonnu PA, Ho T, Newson T, El Sheikh A, et al. The influence of central corneal thickness and age on intraocular pressure measured by pneumotonometry, non-contact tonometry, the Tono-Pen XL, and Goldmann applanation tonometry. Br J of Ophthalmology. 2005; 89 (7): 851–4. doi: 10.1136/bjo.2004.056622
21. Flemmons MS, Hsiao YC, Dzau J, et al. Icare rebound tonometry in children with known and suspected glaucoma. J AAPOS. 2011 Apr; 15 (2): 153–7. doi: 10.1016/j.jaapos.2010.11.022
22. Wu J, Tzu-En, Chen-Chang Yang, Harn-Shen Chen. Does atropine use increase intraocular pressure in myopic children? Optometry and Vision Science. February 2012; 89 (2): 161–7. doi: 10.1097/OPX.0b013e31823ac4c1
23. Lachkar Y, Bouassida W. Drug-induced acute angle closure glaucoma. Curr Opin Ophthalmol. 2007; 18: 129–33. doi: 10.1097/ICU.0b013e32808738d5
24. Musleh MG, Bokre D, Dahlmann-Noor AH. Risk of intraocular pressure elevation after topical steroids in children and adults: A systematic review. Eur J Ophthalmol. 2020 Sep; 30 (5): 856–66. doi: 10.1177/1120672119885050
25. Hadjikoutis S, Morgan JE, Wild JM, Smith PE. Ocular complications of neurological therapy. Eur J Neurol. 2005 Jul; 12 (7): 499–507.
26. Lu CW, Liu XF, Jia ZF. 2019-nCoV transmission through the ocular surface must not be ignored. Lancet. 2020 Feb 22; 395 (10224): e39. doi: 10.1016/S0140-6736(20)30313-5
27. Yan T, Li Ch, Chen Y. et al. Effect of intraocular pressure on aerosol density generated by noncontact tonometer measurement. J Glaucoma. 2020 Sep 15. doi: 10.1097/IJG.0000000000001669
28. Britt JM, Clifton BC, Barnebey HS, et al. Microaerosol formation in noncontact “air-puff” tonometry [J]. Arch Ophthalmol. 1991. 109 (2): 225–8. doi:10.1001/archopht.1991.010800200710466
29. Iomdina EN, Kushnarevich NY. Possibilities of monitoring intraocular pressure in children using EASYTON transpalpebral tonometer. Int Ophthalmol. 2022 May; 42 (5): 1631–8. doi: 10.1007/s10792-021-02158-5
30. Weng J, Tsai IL, Kuo LL, et al. Intraocular pressure monitoring by rebound tonometry in children with myopia. Taiwan J Ophthalmol. 2017 Jul-Sep; 7 (3): 149–54. doi: 10.4103/tjo.tjo_45_17
31. Martinez-de-la Casa JM, Garcia-Feijoo J, Saenz-Frances F, et al. Comparison of rebound tonometer and Goldmann handheld applanation tonometer in congenital glaucoma. J Glaucoma. 2009; 18 (1): 49–52. https://doi.org/10.1097/IJG.0b013e31816f760c
32. Sidorenko E.I., Bondar N.O. Problems of tonometry in neonatal ophthalmology. Russian pediatric ophthalmology. 2009; 2: 46–9 (In Russ.).
33. Fayed MA, Chen TC. Pediatric intraocular pressure measurements: Tonometers, central corneal thickness, and anesthesia. Surv Ophthalmol. 2019 Nov-Dec; 64 (6): 810–5. doi: 10.1016/j.survophthal.2019.05.003
34. Strzalkowska A, Pirlich N, Stingl JV, et al. Intraocular pressure measurement in childhood glaucoma under standardized general anaesthesia: The prospective EyeBIS Study. J Clin Med. 2022 May 18; 11(10): 2846. doi: 10.3390/jcm11102846
35. Yulia DE, Tan S. Intraocular pressure measurements in paediatric glaucoma: A narrative review on accuracy, tolerability, and ease of use. Med J Malaysia. 2024 Mar; 79 (2): 206–11. PMID: 38553928.
36. Tugeeva E.E., Vorontsova T.N. Possibilities of transpalpebral tonometry by TVGD-1 in children. Russian Medical Journal. 2013; 2: 61–3 (In Russ.).
Review
For citations:
Iomdina E.N., Kushnarevich N.Yu., Larina T.Yu., Panova A.Yu. Possibilities of using transpalpebral tonometry for screening control of intraocular pressure in young children. Russian Ophthalmological Journal. 2025;18(2):43-49. (In Russ.) https://doi.org/10.21516/2072-0076-2025-18-2-43-49
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