[Possibilities of using of transpalpebral acoustic tonometry in pediatric ophthalmology]

A new approach to transpalpebral assessment of intraocular pressure (IOP) was developed, by using a model of its graded elevation, in which natural anatomic and topographic relationships were not impaired in the fundus of the eye and by studying the biomechanical regularities of tension distribution in the ocular accessory apparatus when IOP was altered. An objective biomechanical criterion was proposed for measuring IOP. The capacities of transpalpebral acoustic tonometry were assessed in children with ocular injuries and congenital glaucoma in the clinic. There is evidence for that it is expedient to use the developed criterion for estimating IOP when the latter cannot be measured by traditional methods and for evaluating the efficiency of the treatment performed. The advantages and disadvantages of transpalpebral acoustic tonometry are described.