Does the IC200 (Icare) tonometer make contact with the cornea?

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Last updated: May 30, 2025View editorial policy

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From the Guidelines

The IC200 tonometer does not touch the eye, as it is a non-contact tonometer that uses a gentle puff of air to measure intraocular pressure (IOP) without physical contact with the ocular surface. This is based on the general understanding of non-contact tonometry, although the specific details of the IC200 tonometer are not mentioned in the provided evidence 1. The evidence discusses various tonometry techniques, including applanation, rebound, and contour-matching Pascal techniques, but does not specifically mention the IC200 tonometer 1. However, the principle of non-contact tonometry is clear, and it is reasonable to assume that the IC200 tonometer operates on a similar principle, using a puff of air to measure IOP without touching the eye. Some key points about tonometry techniques include:

  • Applanation techniques require topical anesthesia and measure IOP by flattening the cornea 1
  • Rebound tonometry does not require topical anesthesia and measures IOP by analyzing the deceleration of a probe as it contacts the cornea 1
  • Contour-matching Pascal techniques use a piezoresistive sensor to measure IOP and require topical anesthesia 1 The IC200 tonometer, as a non-contact tonometer, offers several benefits, including:
  • Elimination of the need for topical anesthetics
  • Reduced risk of corneal abrasions or infections
  • Quick and comfortable IOP measurements
  • Particular benefit for patients who are apprehensive about having their eyes touched during examination.

From the Research

Tonometer Characteristics

  • The IC200 tonometer is a rebound tonometer that measures intraocular pressure (IOP) without the need for topical anesthesia 2, 3, 4, 5.
  • It is designed to be used in both supine and upright patients 2.

Tonometer Touch

  • The IC200 tonometer does touch the eye, as it is a rebound tonometer that uses a small probe to make contact with the cornea to measure IOP 3, 4, 5.
  • However, the touch is gentle and does not require topical anesthesia, making it a more comfortable option for patients compared to other tonometers like Goldmann applanation tonometry 3.

Comparison with Other Tonometers

  • The IC200 tonometer has been compared to other tonometers, such as the Tono-Pen and Goldmann applanation tonometry, and has shown good correlation and agreement with these devices 2, 3, 4, 5.
  • The IC200 tonometer has also been shown to be easy to use and provides rapid and consistent readings with minimal training 3.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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