Increased Corneal Thickness Simulating Elevated Intraocular Pressure

Mark Johnson, Michael A. Kass, Robert A. Moses, Walter J. Grodzki

Research output: Contribution to journalArticlepeer-review

177 Scopus citations

Abstract

A 17-year-old girl had intraocular pressure readings of 30 to 40 mm Hg in both eyes, with normal visual fields and optic nerve heads. Medical treatment was unsuccessful in lowering the IOP measurements substantially. The central corneal thickness was 0.90 mm in each eye in the absence of corneal edema. Cannulation of the left anterior chamber revealed an IOP of 11 mm Hg, while the Perkins' and Schiötz' tonometers gave readings of 35 and 34 mm Hg, respectively. Previously, elevated tonometry readings had been obtained by Goldmann's, Perkins', Schiötz', MacKay and Marg's, pneumatic tonometer and air puff tonometer. This suggested that measurement of central corneal thickness be performed in cases in which IOP recordings do not correspond to other clinical findings.

Original languageEnglish
Pages (from-to)664-665
Number of pages2
JournalArchives of Ophthalmology
Volume96
Issue number4
DOIs
StatePublished - Apr 1978

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