Corneal hysteresis and intraocular pressure measurement in children using the reichert ocular response analyzer.
OBJECTIVE
To examine corneal hysteresis in children with normal eyes and congenital glaucoma and assess intraocular pressure (IOP) measurement with the Reichert Ocular Response Analyzer (RORA).


METHODS
Observational, cross-sectional study.


METHODS
setting: Clinical practice. patients: Corneal hysteresis and intraocular pressure (Goldmann correlated [IOPg] and corneal compensated [IOPcc]) were recorded with RORA. IOP was also measured by Goldmann applanation tonometry.


RESULTS
Mean corneal hysteresis of 12.5 mm Hg was recorded in 81 [corrected] normal eyes of 42 children. It was markedly lower (mean 6.3 mm Hg) in 11 eyes of eight children with congenital glaucoma. No correlation was found between age and corneal hysteresis (r = -0.08). IOPg did not differ significantly from Goldmann applanation tonometry (P = .27). IOPcc was statistically significantly greater than IOPg (P = .014). RORA measurement was not possible in the presence of nystagmus but was possible with applanation tonometry. Cooperation with IOP measurement was much higher with RORA (89.8%) compared with applanation tonometry (78.7%).


CONCLUSIONS
Corneal hysteresis in children is similar to that reported in adults. No correlation was found with age. In the presence of nystagmus, IOP measurement was possible with Goldmann applanation tonometry but not RORA. Cooperation with IOP measurement was better with RORA than with Goldmann applanation tonometry.
Kirwan
Caitriona
C
Childrens University Hospital, Dublin, Ireland.
O'Keefe
Michael
M
Lanigan
Bernadette
B
D000293:Adolescent; D001696:Biomechanical Phenomena; D002648:Child; D002675:Child, Preschool; D003315:Cornea / Q000502:physiology*; D003430:Cross-Sectional Studies; D003941:Diagnostic Techniques, Ophthalmological; D005260:Female; D005901:Glaucoma / Q000151:congenital / Q000503:physiopathology*; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology*; D008297:Male; D015203:Reproducibility of Results; D014065:Tonometry, Ocular