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Tonometry2012

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↓ Force<br />

↑ Force<br />

Schiøtz – Practical Use<br />

Gram weight<br />

Weight of plunger/instrument<br />

Tear film surface tension (pulls plunger towards eye)<br />

-----------------------------------------------------<br />

IOP<br />

Ocular (scleral) rigidity and corneal resistance to bending<br />

Steeper or thicker cornea<br />

Plunger/Tonometer sleeve friction (reduces effect of weight)<br />

Footplate/corneal friction (doesn’t let cornea relax to indent)<br />

Eyelid squeezing & / or Globe retraction<br />

Vascular congestion of the eye (jugular vein compression)<br />

Non-vertical placement - not all of weight applied to cornea

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