Tonometer validation and intraocular pressure reference values in the normal chinchilla (Chinchilla lanigera).

Abstract

OBJECTIVES: To determine accuracy and precision of three commonly used tonometers (TonoVetand TonoLab(ICare Oy, Finland)-rebound tonometers, and Tono-Pen VET&#x2122; (Reichert, NY)-applanation tonometer) in normal chinchillas, and to establish a normal intraocular pressure (IOP) reference range in this species. METHODS: The anterior chambers of three chinchilla eyes were cannulated ex vivo and readings obtained at manometric IOPs from 5 to 80 mmHg, using each of the three tonometers in random order. Data were analyzed by linear regression, ANOVA, and Bland-Altman plots. Tonometry was performed in both eyes of 60 chinchillas (age 8 weeks-16.2 years) using the TonoVetand relationship between age and IOP analyzed using linear regression. For all statistical tests, P < 0.05 was significant. RESULTS: Intraocular pressure values obtained using the Tono-Pen VET&#x2122; and TonoVet(in dog calibration mode;'d') showed strong linear correlation with manometry within the physiologic and clinically relevant range of IOP (0-50 mmHg). The TonoVet'd' setting displayed significantly greater precision over the full range of IOP evaluated than the Tono-Pen VET&#x2122;, and both TonoVet and Tono-Pen VET&#x2122; were significantly more accurate than the TonoLabtonometer. Mean &#xb1; SD IOP (TonoVet'd') in chinchillas was 9.7 &#xb1; 2.5 mmHg, and the 95% reference interval was 4.7-14.7 mmHg. CONCLUSIONS: Both the Tono-Pen VET&#x2122; and TonoVetprovided clinically acceptable estimates of IOP in chinchillas. The TonoVetprovides accurate and precise IOP values, while Tono-Pen VET&#x2122; derived measurements showed greater variability. Values obtained either with the TonoLabor TonoVetused in the 'unspecified' calibration setting were inaccurate in this species.