Design of automated digital eye palpation exam for intraocular pressure measurement

Alexander V. Luce, Eniko T Enikov, Bradley J. Nelson

Research output: Chapter in Book/Report/Conference proceedingConference contribution

4 Citations (Scopus)

Abstract

Elevated intraocular pressure (IOP) is a major risk factor for the degenerative eye disease glaucoma. Accurate indirect measurements of IOP are essential for glaucoma diagnosis and screening. This work presents an experiment developed to measure IOP in-vitro by simulating the technique of digital palpitation tonometry, a technique in which a trained examiner palpates the eyeball using the fingertips of both index fingers to "feel" the stiffness of the eye. The qualitative nature of this method and errors introduced by the subjectivity of the examiner mean that it is rarely used in comparison with other modern-day tonometry methods. However, this technique offers several potential advantages in that it can be performed outside of a clinical setting without the need for instrument sterilization or local anesthesia and may be less subject to measurement errors occurring in patients who have undergone refractive laser eye surgery. In order to quantify the mechanics of digital palpation tonometry, an automated experiment to measure the intraocular pressure of enucleated porcine eyeballs using mechanized digital palpation was designed and tested. This experiment has direct applications towards the development of a next-generation tonometer for glaucoma treatment.

Original languageEnglish (US)
Title of host publication2009 ICME International Conference on Complex Medical Engineering, CME 2009
DOIs
StatePublished - 2009
Event2009 ICME International Conference on Complex Medical Engineering, CME 2009 - Tempe, AZ, United States
Duration: Apr 9 2009Apr 11 2009

Other

Other2009 ICME International Conference on Complex Medical Engineering, CME 2009
CountryUnited States
CityTempe, AZ
Period4/9/094/11/09

Fingerprint

Palpation
Pressure measurement
Intraocular Pressure
Manometry
Glaucoma
Eye Diseases
Experiments
Laser Therapy
Local Anesthesia
Mechanics
Measurement errors
Surgery
Fingers
Screening
Swine
Stiffness
Lasers
Therapeutics

ASJC Scopus subject areas

  • Biomedical Engineering
  • Health Informatics

Cite this

Luce, A. V., Enikov, E. T., & Nelson, B. J. (2009). Design of automated digital eye palpation exam for intraocular pressure measurement. In 2009 ICME International Conference on Complex Medical Engineering, CME 2009 [4906663] https://doi.org/10.1109/ICCME.2009.4906663

Design of automated digital eye palpation exam for intraocular pressure measurement. / Luce, Alexander V.; Enikov, Eniko T; Nelson, Bradley J.

2009 ICME International Conference on Complex Medical Engineering, CME 2009. 2009. 4906663.

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Luce, AV, Enikov, ET & Nelson, BJ 2009, Design of automated digital eye palpation exam for intraocular pressure measurement. in 2009 ICME International Conference on Complex Medical Engineering, CME 2009., 4906663, 2009 ICME International Conference on Complex Medical Engineering, CME 2009, Tempe, AZ, United States, 4/9/09. https://doi.org/10.1109/ICCME.2009.4906663
Luce AV, Enikov ET, Nelson BJ. Design of automated digital eye palpation exam for intraocular pressure measurement. In 2009 ICME International Conference on Complex Medical Engineering, CME 2009. 2009. 4906663 https://doi.org/10.1109/ICCME.2009.4906663
Luce, Alexander V. ; Enikov, Eniko T ; Nelson, Bradley J. / Design of automated digital eye palpation exam for intraocular pressure measurement. 2009 ICME International Conference on Complex Medical Engineering, CME 2009. 2009.
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