Comparison of three rebound tonometers in normal and glaucomatous dogs

Vet Ophthalmol. 2023 Jan;26(1):31-38. doi: 10.1111/vop.13043. Epub 2022 Nov 28.

Abstract

Objective: The objectives of the study were to compare intraocular pressure (IOP) readings across a wide range and obtained via three rebound tonometers in ADAMTS10-mutant Beagle-derived dogs with different stages of open-angle glaucoma (OAG) and normal control dogs and to investigate the effect of central corneal thickness (CCT).

Animals studied: Measurements were performed on 99 eyes from 50 Beagle-derived dogs with variable genetics-16 non-glaucomatous and 34 with ADAMTS10-OAG. Seventeen OAG eyes were measured twice-with and without the use of IOP-lowering medications.

Procedures: IOP was measured in each eye using three tonometers with their "dog" setting-ICare® Tonovet (TV), ICare® Tonovet Plus® (TVP), and the novel Reichert® Tono-Vera® Vet (TVA)-in randomized order. CCT was measured with the Accutome® PachPen. Statistical analyses included one-way ANOVA, Tukey pairwise comparisons, and regression analyses of tonometer readings and pairwise IOP-CCT Pearson correlations (MiniTab®).

Results: A total of 116 IOP measurements were taken with each of the three tonometers. When comparing readings over a range of ~7-77 mmHg, mean IOPs from the TV were significantly lower compared with TVP (-4.6 mmHg, p < .001) and TVA (-3.7 mmHg, p = .001). We found no significant differences between TVA and TVP measurements (p = .695). There was a moderate positive correlation between CCT and IOP for TVA (r = 0.53, p < .001), TVP (r = 0.48, p < .001), and TV (r = 0.47, p < .001).

Conclusions: Our data demonstrate strong agreement between TVP and TVA, suggesting that the TVA may similarly reflect true IOP values in canines. CCT influenced IOP measurements of all three tonometers.

Keywords: ADAMTS10; canine; central corneal thickness (CCT); glaucoma; intraocular pressure (IOP); rebound tonometry.

Publication types

  • Comparative Study

MeSH terms

  • Animals
  • Dog Diseases* / diagnosis
  • Dogs
  • Glaucoma* / veterinary
  • Glaucoma, Open-Angle* / veterinary
  • Intraocular Pressure
  • Manometry / veterinary
  • Reproducibility of Results
  • Tonometry, Ocular / veterinary