T. Desmettre et al., SHOULD TONOMETRY BE REPEATED - STATISTICA L-ANALYSIS OF 64 MEASUREMENTS FOR 25 PATIENTS, Journal francais d'ophtalmologie, 17(8-9), 1994, pp. 470-474
Purpose This study aimed to determine usefulness of repeating tonometr
y and averaging of the results in order to increase precision. Methods
Variance analysis was performed, the intra class correlation coeffici
ent was calculated to determine the confidence intervals (95 %) for av
eraging with two or more results. Results For one measurement the conf
idence interval was 7.07 mmHg, for 2 measurement, in order to increase
5.00 mmHg and for 3 measurement 4.08 mmHg. For more measurements, the
re was little more improvement in precision. Conclusion We therefore r
ecommend to perform the tonometry twice, averaging the 2 results, in o
rder to increase the precision of the final result. If more precision
is required a third measurement and averaging of the 3 results can be
made. Although it was proven that the influence of carefully repeated
aplanation tonometry is not significant on the resultats for 2 or 3 me
asurements, averaging could be done during a single consultation.