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The Maklakoff tonometer was an early example of this method, while the Goldmann tonometer is the most widely used version in current practice. [3] Because the probe makes contact with the cornea, a topical anesthetic , such as proxymetacaine , is introduced on to the surface of the eye in the form of an eye drop .
Goldmann Applanation Tonometer attached with Slit lamp biomicroscope Goldmann Applanation Tonometer is an instrument that is based on Imbert-Fick law . It is considered to be the gold standard instrument for measurement of Intraocular pressure (IOP).
Armand Imbert (1850-1922) and Adolf Fick (1829-1901) both demonstrated, independently of each other, that in ocular tonometry the tension of the wall can be neutralized when the application of the tonometer produces a flat surface instead of a convex one, and the reading of the tonometer (P) then equals (T) the IOP," whence all forces cancel each other.
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The Schiotz tonometer consists of a curved footplate which is placed on the cornea of a supine patient. A weighted plunger attached to the footplate sinks into the cornea. A scale then gives a reading depending on how much the plunger sinks into the cornea, and a conversion table converts the scale reading into IOP measured in mmHg.
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