Goldman Tonometry Step-By-Step


tonometry

Step 1: Fluorescein Instillation

Method 1: Instill one drop of Proparacaine with a moistened Fluorescein strip into each eye

Method 2: Instill one Drop of Fluress into the patient’s eyes

Step 2: Make sure the tonometer is bright blue

  • Turn up all the illumination knobs

Step 3: Position the patient comfortably 

  • Make sure the patient’s chin is on the chin rest and forehead is against the bar
  • Line up the lateral canthus with the line on the slitlamp

Step 4: Move the slit-lamp forward

  • Hold the joystick toward you while moving the slip lamp towards the patient. 
  • When close to the eye use the joystick to fine turn the placement of the tonometer

Step 5: Adjust the IOP dial to line up the Mires

Step 6: Read Dial 

  • The patient can sit back
  • Each notch on the dial represents a step of 2
  • The 1 equals an IOP of 10 and the 2 equals 20. 

Video on How to perform Goldman Tonometry

Dr. Stephanie Mulick

My name is Dr. Stephanie Mulick. I am an Optometrist at the Tayani Institute. I hope you have found this information helpful. Feel free to come back anytime for more ocular health information.

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