Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2020, Vol. 34 ›› Issue (6): 108-111.doi: 10.6040/j.issn.1673-3770.0.2019.579

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Influence of breath holding on intraocular pressure measured by non-contact tonometry

SONG Lihua1, TAO Yuan2,CUI Fenghua2, GUO Yuanyuan2, WANG Hong3   

  1. 1. Department of Ophthalmology, People's Hospital of Dongying District, Dongying 257000, Shandong, China;
    2. Department of Ophthalmology, Second People's Hospital of Ji'nan, Jinan 250022, Shandong, China;
    3. Department of Ophthalmology, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
  • Published:2021-01-11

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Abstract: Objective To explore the effect of breath holding on intraocular pressure measured by non-contact tonometry. Methods The intraocular pressure of 60 eyes of 60 patients were measured by non-contact tonometry, in the breathing state and after breath holding for 10 and 30 s. Further, the difference and correlation of the measured intraocular pressure among different breathing states were analyzed. Results In the calm breathing state, the intraocular pressure of all 60 eyes was in the normal range. After breath holding for 10 and 30 s, the intraocular pressure of three 22 eyes exceeded the normal range, respectively. The intraocular pressure was significantly higher after breath holding for 10 s than that in the calm breathing state(P<0.05)and after breath holding for 30 s than that after breath holding for 10 s or in the calm breathing state(P<0.05). There was a correlation between the intraocular pressure measured by non-contact tonometry and the breath holding time and between changes in the intraocular pressure measured after breath holding and the breath holding time. The longer the breath holding time, the higher was the intraocular pressure. There was no correlation between changes in the intraocular pressure and the patients' age, sex, corneal thickness, or corneal curvature. Conclusion When measuring intraocular pressure by non-contact tonometry, patients should be advised to avoid breath holding and interferences. For patients with poor breath-hold performance due to stress or other factors, the intraocular pressure should be measured within 10 s of breath holding. The effect of breath-holding time of 10 s was significantly lower than that of longer breath-holding times on intraocular pressure measurements.

Key words: Intraocular pressure, Breath holding, Non-contact tonometer

CLC Number: 

  • R775.9
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