Compared with Perkins tonometry, the ICare tonometer allows clinicians to estimate IOP with a portable, rapid, and noninvasive method with similar reliability to that offered by Tono-Pen XL. Clinicians should be aware of the systematic overestimation of IOP with the ICare. Further research is needed to evaluate the performance of rebound tonometry in populations with higher IOP and assess the reliability of this technique in the early detection and follow up of glaucomatous patients.
The performance of the ICare tonometer in glaucomatous patients being treated with travaprost 0.004% to lower the IOP appears to be similar to that of young healthy patients. The tendency of ICare to overestimate the IOP readings should be considered when the instrument is used in the follow-up of glaucomatous patients.
The present paper aims to assess the effect of lotrafilcon A contact lenses (CL) <em>in situ</em> on intraocular pressure (IOP) measurement performed with three portable tonometers (ICare, Tonopen and Perkins). This cross-sectional study included thirty young healthy subjects. Intraocular pressure measurements without CL were performed first, followed by IOP measurements with CL for twenty minutes. ICare IOP measurements obtained with lotrafilcon A CL overestimated IOP values without CL by 1 mmHg (P<0.001). However, both techniques displayed close level of agreement (95% LoA, -4.17 to +1.63 mmHg). Also, differences between both methods tended not to increase (P=0.9). No significant differences were observed between IOP measurements without and with CL for Perkins (paired-t test, P=0.23) and Tonopen XL (pairedt test, P=0.17). In conclusion, adequate IOP measurements through zero power lotrafilcon A silicone hydrogel CL can be obtained with all three tonometers in healthy eyes, although, in case of ICare, the practitioner must be aware of the 1 mmHg overestimation with CL.
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