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Goldmann applanation tonometer is based on the Imbert–Fick principle, which states that for a dry thin-walled sphere, the pressure (P) inside the sphere equals the force (F) necessary to flatten its surface divided by the area (A) of flattening (i.e. P = F/A).
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.
Goldmann applanation tonometry (GAT) is considered to be the gold standard IOP test and is the most widely accepted method. [4] [5] A special disinfected prism is mounted on the tonometer head and then placed against the cornea. The examiner then uses a cobalt blue filter to view two green semicircles.
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.
A patient in front of a tonometer. 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. [1] Most tonometers are calibrated to measure pressure in millimeters of mercury .
This is called a limited calibration. But if the final measurement requires 10% accuracy, then the 3% gauge never can be better than 3.3:1. Then perhaps adjusting the calibration tolerance for the gauge would be a better solution. If the calibration is performed at 100 units, the 1% standard would actually be anywhere between 99 and 101 units.
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To perform a full calibration by the Zhang method, at least three different images of the calibration target/gauge are required, either by moving the gauge or the camera itself. If some of the intrinsic parameters are given as data (orthogonality of the image or optical center coordinates), the number of images required can be reduced to two.