Intraocular pressure (IOP) is the fluid pressure inside the eye. Tonometry is the method eye care professionals use to determine this. IOP is an important aspect in the evaluation of patients at risk of glaucoma. Most tonometers are calibrated to measure pressure in millimeters of mercury (mmHg).
Intraocular pressure is determined by the production and drainage of aqueous humour by the ciliary body and its drainage via the trabecular meshwork and uveoscleral outflow. The reason for this is because the vitreous humour in the posterior segment has a relatively fixed volume and thus does not affect intraocular pressure regulation.
An important quantitative relationship (Goldmann's equation) is as follows:
Where:
is the IOP in millimeters of mercury (mmHg)
the rate of aqueous humour formation in microliters per minute (μL/min)
the resorption of aqueous humour through the uveoscleral route (μL/min)
is the facility of outflow in microliters per minute per millimeter of mercury (μL/min/mmHg)
the episcleral venous pressure in millimeters of mercury (mmHg).
The above factors are those that drive IOP.
Palpation is one of the oldest, simplest, and least expensive methods for approximate IOP measurement, however it is very inaccurate unless the pressure is very high. Intraocular pressure is measured with a tonometer as part of a comprehensive eye examination.
Measured values of intraocular pressure are influenced by corneal thickness and rigidity. As a result, some forms of refractive surgery (such as photorefractive keratectomy) can cause traditional intraocular pressure measurements to appear normal when in fact the pressure may be abnormally high. A newer transpalpebral and transscleral tonometry method is not influenced by corneal biomechanics and does not need to be adjusted for corneal irregularities as measurement is done over upper eyelid and sclera.
Current consensus among ophthalmologists and optometrists defines normal intraocular pressure as that between 10 mmHg and 20 mmHg. The average value of intraocular pressure is 15.
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An eye examination is a series of tests performed to assess vision and ability to focus on and discern objects. It also includes other tests and examinations pertaining to the eyes. Eye examinations are primarily performed by an optometrist, ophthalmologist, or an orthoptist. Health care professionals often recommend that all people should have periodic and thorough eye examinations as part of routine primary care, especially since many eye diseases are asymptomatic.
Glaucoma is a group of eye diseases that result in damage to the optic nerve (or retina) and cause vision loss. The most common type is open-angle (wide angle, chronic simple) glaucoma, in which the drainage angle for fluid within the eye remains open, with less common types including closed-angle (narrow angle, acute congestive) glaucoma and normal-tension glaucoma. Open-angle glaucoma develops slowly over time without pain. Peripheral vision may begin to decrease, followed by central vision, resulting in blindness if not treated.
The ciliary body is a part of the eye that includes the ciliary muscle, which controls the shape of the lens, and the ciliary epithelium, which produces the aqueous humor. The aqueous humor is produced in the non-pigmented portion of the ciliary body. The ciliary body is part of the uvea, the layer of tissue that delivers oxygen and nutrients to the eye tissues. The ciliary body joins the ora serrata of the choroid to the root of the iris. The ciliary body is a ring-shaped thickening of tissue inside the eye that divides the posterior chamber from the vitreous body.
Explores indirect arterial pressure measurement methods using sensors, including Korotkoff and oscillometry, as well as tonometry and intraocular pressure measurement techniques.
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