Clinical Use of Transpalpebral Scleral DIATON

Tonometer in Pediatrics

Professor E.I. Sidorenko, E.Y. Markova, MD,

Russian State Medical University, Morozov Children’s

Clinical Hospital, Moscow
 Purpose
 Study of possibility of use and evaluation of transpalpebral scleral
DIATON tonometer clinical use effectiveness in pediatrics

 The following factors were exclusion criteria from the study

• Upper eyelid and sclera pathology, which are the contraindications for
transpalpebral diaton-tonometry

• Cornea pathology, influencing prognosticly the applanation tonometry results

 Patients and Methods

 The prospective comparative case series clinical study was done in 60

children (120 eyes), age distribution 7-16 years.
 During the study Goldmann tonometer and transpalpebral scleral DIATON
tonometer were used. Intraocular pressure measuring was realized with
three different DIATON devices at the same day time.
 • Researchers’ experience of DIATON tonometery application in
clinical practice was not less than 1 month

• IOP was measured with Goldmann applanation tonometer and transpalpebral

scleral Diaton tonometer using traditional methodology, all ophthalmotone
measurements were realized the patients being in the sitting position with time
interval being 2-3 minutes between two investigators

Picture 2 Picture 3
Transpalpebral scleral diaton tonometer Methodology of transpalpebral tonometry
 Results and discussion

For OD mean modified tonometry value with Golmann was 19,98±0,4

mmHg, mean IOP value measured with DIATON was 19,40±0,47 mmHg
(t=0,65, df = 117, p> 0.05), for OS mean modified tonometry value with
Golmann was 19,39±0,48 mmHg, mean IOP value with DIATON was
19,41±0,42 mmHg (t=0.99, df = 117, p> 0.05).
 Conclusion

 Clinical study of possibility of transpalpebral scleral DIATON

application in children tonometer demonstrated its high
accuracy. The recommended child’s age for IOP measuring
with this tonometer is 7-16 years. The advantages are:
simplicity of use without any additional medicines,
psychological acceptability by children, significant time saving
for ophthalmotonometry procedure