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Tonometry2012

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Clinical considerations for Mackay Mackay-Marg<br />

Mackay Mackay-Marg Marg<br />

type tonometers<br />

Mackay – Marg highly accurate in dogs and cats<br />

Tono-Pen varies by model<br />

Highly accurate and precise over normal physiological range<br />

Less so at extremes of IOP<br />

Overestimates low IOPs, underestimates high IOPs<br />

Less affected by corneal disease than other types<br />

Artefactual under-estimation of IOP unlikely – so take the lowest<br />

reliable reading<br />

Viscosity of tear film affects the readings (increasing them by about<br />

15% if methylcellulose)<br />

Off center application doesn’ t significantly affect readings

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