Intraocular Pressure Adjustment

Adjusting IOP Readings

Accurate measurement of intraocular pressure (IOP) is fundamental in diagnosing and managing glaucoma. However, the thickness of the cornea can significantly influence these measurements. Thicker corneas tend to yield higher IOP readings, potentially leading to an overestimation of glaucoma risk, while thinner corneas might result in underestimation. To address this variability, it is essential for optometrists to adjust IOP readings based on corneal thickness. Techniques such as pachymetry provide precise corneal thickness measurements, enabling more accurate IOP adjustments. Understanding the relationship between corneal thickness and IOP readings enhances the diagnostic accuracy, allowing optometrists to tailor their treatment strategies more effectively and ensure better patient outcomes in the management of ocular hypertension and glaucoma.

IOP Adjustment Table

CCTAdjustment
445+7
455+6
465+6
475+5
485+4
495+4
505+3
515+2
525+1
535+1
5450
555-1
565-1
575-2
585-3
595-4
605-4
615-5
625-6
635-6
645-7