Applanation Tonometer

In applanation tonometry the intraocular pressure is inferred from the force required to flatten (applanate) a constant area of the applanationcornea.Goldmann tonometry is considered to be the gold standard test and is the most widely accepted method. A special disinfected prism is mounted on the tonometer head and then placed against the cornea.Dr Pratik then uses a cobalt blue filter to view two green semi circles. The force applied to the tonometer head is then adjusted using a dial connected to a variable tension spring until the inner edges of the green semicircles in the viewfinder meet. When an area of 3.06mm has been flattened, the opposing forces of corneal rigidity and the tear film are roughly approximate and cancel each other out allowing the pressure in the eye to be determined from the force applied.