眼压校正

Intraocular Pressure (CCT) Correction

Correct intraocular pressure for corneal thickness.

校正眼压(线性校正法)= 实测 IOP −(CCT − 544)÷ 10 × 0.7 mmHg;以 544μm 为标准角膜厚度,每偏差 10μm 校正约 0.7mmHg,厚角膜实测值偏高需下调、薄角膜实测值偏低需上调。

Formula & Standard References

Item Formula / Rule Source / Standard
Correction direction Thin corneas make Goldmann readings underestimate true IOP; thick corneas overestimate Ehlers et al., Acta Ophthalmologica, 1975
Empirical slope Every 10 µm of central corneal thickness shifts the reading by about 0.3 to 0.5 mmHg Kohlhaas et al., Dresden correction, 2005
Target pressure Corrected values are indicative only; target IOP is set 20% to 30% below baseline AAO Glaucoma Preferred Practice Pattern, 2015

📚 深度解析:眼压校正(中央角膜厚度)

💡 常见使用场景

IOP=18、CCT=560μm
校正 = 18 − ((560−544)/10)×0.7 = 18 − 1.6×0.7 = 18 − 1.12 = 16.88 mmHg(厚角膜实测偏高,校正后下调)。
CCT=500μm
校正 = 18 − ((500−544)/10)×0.7 = 18 + 3.08 = 21.08 mmHg(薄角膜实测偏低,校正后上调)。

❓ 常见问题(FAQ)

为何以 544μm 为基准?
544μm 约为人群平均 CCT,Goldmann 眼压标定为该厚度下的读数。
只校正一项够吗?
本式为简化近似;iop-correction 工具另给 Ehlers/Doughty/Feltgen 多公式均值。