Intraocular pressure measurement
Hello, Doctor Gao.
Every time I measure my intraocular pressure, I keep blinking or squinting, and it takes a long time to get the measurement! Later, I mentioned to the nurse that I see a red light (dot) flashing in the machine, which makes me blink involuntarily.
However, the nurse said I should be looking at the green light instead.
Is the light in the machine flashing red or green? Or does it only puff air when the green light is on? Also, are all the intraocular pressure measurement devices used in hospitals the same? Thank you!
Xiao Ke, 50~59 year old female. Ask Date: 2022/07/22
Dr. Gao Pilin reply Ophthalmology
Hello, Xiao Ke: Different brands of tonometers may have different flashing lights.
The flashing light is meant for you to focus on and is unrelated to the timing of the air puff.
If you are unsure about which color to look at, just keep your eyes looking straight ahead.
Some people have a very sensitive blink reflex, which can make measurements difficult.
You may need to practice more or take several measurements to become less apprehensive.
Reply Date: 2022/07/22
More Info
When it comes to measuring intraocular pressure (IOP), the process can sometimes be confusing, especially regarding the lights you see during the examination. The most common method for measuring eye pressure is called tonometry, and it can be performed using different types of devices, such as non-contact tonometers (often referred to as "air puff" tonometers) or applanation tonometers.
In non-contact tonometry, a puff of air is directed at the eye, and the device measures the eye's response to this air pressure. During this process, you may see a flashing light, which is typically green. The green light indicates that the device is ready to take a measurement, and it is essential to keep your eye open and focused on this light to ensure an accurate reading. If you see a red light, it may be a warning or an indication that the device is not aligned correctly, which could lead to inaccurate measurements. Therefore, if you are seeing a red light, it is crucial to communicate this to the technician or nurse, as it may require them to adjust the device or your positioning.
Regarding your question about whether all hospitals use the same type of tonometry equipment, the answer is no. Different hospitals and clinics may use various devices for measuring IOP, and each device may have its own specific features and indicators. However, most modern devices are designed to provide accurate measurements and are calibrated to ensure consistency in readings. It is always a good idea to ask the staff about the specific equipment being used and how it works if you have concerns or questions.
If you find that you are blinking excessively during the measurement, it may be helpful to practice relaxation techniques before your appointment. Anxiety can lead to increased blinking, which can interfere with the measurement process. You might also consider discussing your concerns with your eye care provider, as they may have suggestions for making the process more comfortable for you.
In summary, during an eye pressure measurement, you should primarily focus on the green light, as it indicates that the device is ready for an accurate reading. If you see a red light, it may signal a problem that needs to be addressed. Different facilities may use various types of tonometers, so it’s beneficial to inquire about the specific equipment used during your examination. If you continue to experience discomfort or anxiety during the procedure, don't hesitate to communicate this with your eye care team, as they can provide support and guidance to help ease your experience.
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