Symmetry of magnetic quantum tunneling in single molecule magnet Mn12-acetate.

The symmetry of magnetic quantum tunneling has been studied in the prototype single molecule magnet Mn12-acetate using a micro-Hall effect magnetometer and superconducting high field vector magnet system. An average crystal fourfold symmetry is shown to be due to local molecular environments of twofold symmetry that are rotated by 90 degrees with respect to one another, confirming that disorder which lowers the molecule symmetry is as important to magnetic quantum tunneling. We have studied a subset of these lower (twofold) site symmetry molecules and present evidence for a Berry phase effect consistent with a local twofold symmetry.

[Reproducibility of measuring retinal nerve fiber density. Comparison of optical coherence tomography with the nerve fiber analyzer and the Heidelberg retinal tomography device]. / Reproduzierbarkeit von Messungen der retinalen Nervenfaserschichtdicke. Vergleich von optischer Kohärenztomographie mit dem Nerve Fiber Analyzer und dem Heidelberg Retinatomographen.

BACKGROUND: Glaucoma is associated with a progressive loss of retinal ganglion cell axons and the evaluation of the thickness of the retinal nerve fibre layer (RNFL) is important for early diagnosis and follow-up. Results of RNFL thickness measurements may vary according to the devices used. Therefore, the present study has analysed and compared the reproducibility of data obtained with three different instruments. METHODS: RNFL thickness was determined using a circular identification line around the optic nerve head by optical coherence tomography (OCT), a Heidelberg Retina Tomograph (HRT) and a Nerve Fiber Analyser (NFA). Each eye was tested six times. The values for RNFL thickness were calculated for the superior, inferior, nasal and temporal areas. A one-way analysis of variance with random effects was chosen to estimate the variance components. The intraclass correlation coefficient (ICC) as a measure of reliability and the coefficient of variation (CV%) as a measure of precision were determined to estimate the reproducibility of RNFL thickness measurements. RESULTS: With all three instruments, the reproducibility of measurements between the superior, inferior, temporal and nasal areas did not differ significantly suggesting that reproducibility does not depend on the thickness of the RNFL. Data obtained by NFA showed the highest ICC values (0.9) and lowest CV% values (7.0), followed by those obtained by HRT (reliability ICC 0.8; precision CV% 12). A markedly lower degree of reproducibility was found for the OCT compared to NFA and HRT (reliability ICC 0.5; precision CV% 15). CONCLUSION: The comparison of RNFL thickness measurements with OCT, NFA, and HRT showed that the NFA yielded the most reliable results followed by HRT.

Distribution of tunnel splittings in Mn(12) acetate.

In magnetic fields applied parallel to the anisotropy axis, the relaxation of the magnetization of Mn(12)-acetate measured for different sweep rates collapses onto a single scaled curve. The form of the scaling implies that the dominant symmetry-breaking process responsible for tunneling is a locally varying second-order transverse anisotropy, forbidden by tetragonal symmetry in the perfect crystal, which gives rise to a broad distribution of tunnel splittings in a real crystal of Mn(12) acetate. Different forms applied to even- and odd-numbered steps provide a clear distinction between even resonances (associated with crystal anisotropy) and odd resonances (which require a transverse magnetic field).

[Quantification of retinal nerve fiber thickness. A comparison of laser scanning ophthalmoscopy, polarimetry and optical coherence tomography in healthy and glaucomatous eyes]. / Quantifizierung der retinalen Nervenfaserschichtdicke. Ein Vergleich von Laser-Scanning-Ophthalmoskopie, Polarimetrie und Optischer Kohärenztomographie bei gesunden und glaukomkranken Augen.

PURPOSE: To evaluate the thickness of the retinal nerve fiber layer (RNFL) in healthy eyes and in eyes of patients with primary open angle glaucoma using the Heidelberg retina tomograph (HRT), the nerve fibre analyser (NFA) and the optical coherence tomograph (OCT). METHODS: In this prospective cohort study, 40 normal eyes and 86 eyes of age-matched glaucoma patients were compared by confocal scanning laser tomography using the HRT, scanning laser polarimetry (NFA) and optical coherence tomography (OCT). The RNFL thickness was measured in the superior, inferior, nasal and temporal regions as well as the total circumference. RESULTS: All three methods revealed a statistically significant difference between normal and glaucomatous eyes with respect to the mean RNFL thickness in the inferior and superior regions (p < 0.001). The mean RNFL thickness in the superior region was 329 microns (HRT), 87 microns (NFA) and 94 microns (OCT) in healthy volunteers compared to 275 microns (HRT), 72 microns (NFA) and 82 microns (OCT) in the patient group. In the inferior region, it was 323 microns (HRT), 87 microns (NFA) and 93 microns (OCT) in healthy subjects versus 240 microns (HRT), 74 microns (NFA) and 83 microns (OCT) in glaucoma patients. Cut-off points to differentiate between normal and glaucomatous eyes could not be defined. There was no difference in the RNFL thickness of right and left eyes. CONCLUSIONS: In RNFL thickness measurements using HRT, NFA and OCT, glaucoma patients showed a significantly thinner RNFL in the superior and inferior areas compared to healthy volunteers. These results confirm the known histological and fundus photographic findings of RNFL thinning near the optic disc in glaucoma patients. Although RNFL thickness cannot be used to diagnose glaucoma in individual patients due to the high interindividual differences, the quantitative assessment of RNFL thickness may complement the diagnostic armamentarium as a sensitive parameter for diagnosing and monitoring glaucomas.

Single-molecule magnets: Jahn-Teller isomerism and the origin of two magnetization relaxation processes in Mn12 complexes.

Several single-molecule magnets with the composition [Mn12O12(O2CR)16(H2O)x] (x = 3 or 4) exhibit two out-of-phase ac magnetic susceptibility signals, one in the 4-7 K region and the other in the 2-3 K region. New Mn12 complexes were prepared and structurally characterized, and the origin of the two magnetization relaxation processes was systematically examined. Different crystallographic forms of a Mn12 complex with a given R substituent exist where the two forms have different compositions of solvent molecules of crystallization and this results in two different arrangements of bound H2O and carboxylate ligands for the two crystallographically different forms with the same R substituent. The X-ray structure of cubic crystals of [Mn12O12(O2CEt)16(H2O)3]. 4H2O (space group P1) (complex 2a) has been reported previously. The more prevalent needle-form of [Mn12O12(O2CEt)16(H2O)3] (complex 2b) crystallizes in the monoclinic space group P2(1)/c, which at -170 degrees C has a = 16.462(7) A, b = 22.401(9) A, c = 20.766(9) A, beta = 103.85(2) degrees, and Z = 4. The arrangements of H2O and carboxylate ligands on the Mn12 molecule are different in the two crystal forms. The complex [Mn12O12-(O2)CC6H4-p-Cl)16(H2O)4].8CH2Cl2 (5) crystallizes in the monoclinic space group C2/c, which at -172 degrees C has a = 29.697(9) A, b = 17.708(4) A, c = 30.204(8) A, beta = 102.12(2) degrees, and Z = 4. The ac susceptibility data for complex 5 show that it has out-of-phase signals in both the 2-3 K and the 4-7 K ranges. X-ray structures are also reported for two isomeric forms of the p-methylbenzoate complex. [Mn12O12(O2CC6H4-p-Me)16(H2O)4]. (HO2CC6H4-p-Me) (6) crystallizes in the monoclinic space group C2/c, which at 193 K has a = 40.4589(5) A, b = 18.2288(2) A, c = 26.5882(4) A, beta = 125.8359(2) degrees, and Z = 4. [Mn12O12(O2CC6H4-p-Me)16(H2O)4].3(H2O) (7) crystallizes in the monoclinic space group I2/a, which at 223 K has a = 29.2794(4) A, b = 32.2371(4) A, c = 29.8738(6) A, beta = 99.2650(10) degrees, and Z = 8. The Mn12 molecules in complexes 6 and 7 differ in their arrangements of the four bound H2O ligands. Complex 6 exhibits an out-of-phase ac peak (chi(M)' ') in the 2-3 K region, whereas the hydrate complex 7 has a chi(M)' ' signal in the 4-7 K region. In addition, however, in complex 6, one Mn(III) ion has an abnormal Jahn-Teller distortion axis oriented at an oxide ion, and thus 6 and 7 are Jahn-Teller isomers. This reduces the symmetry of the core of complex 6 compared with complex 7. Thus, complex 6 likely has a larger tunneling matrix element and this explains why this complex shows a chi(M)' ' signal in the 2-3 K region, whereas complex 7 has its chi(M)' ' peak in the 4-7 K region, i.e., the rate of tunneling of magnetization is greater in complex 6 than complex 7. Detailed 1H NMR experiments (2-D COSY and TOCSY) lead to the assignment of all proton resonances for the benzoate and p-methyl-benzoate Mn12 complexes and confirm the structural integrity of the (Mn12O12) complexes upon dissolution. In solution there is rapid ligand exchange and no evidence for the different isomeric forms of Mn12 complexes seen in the solid state.

[New diagnostic possibilities by a fully automatic applanation tonometer for the ophthalmologist. From the Goldmann principle to automated tonometry]. / Neue diagnostische Möglichkeiten durch ein vollautomatisches Applanationstonometer für den Augenarzt. Vom Goldmann-Prinzip zur automatischen Tonometrie.

Applanation tonometry, following Goldmann's hypothesis serves as the gold Standard in tonometry. However, even this approach principle does not always eliminate examiner's error, especially in defining the applanation surface. An automatic surface and force control system is used to increase measurement precision, thus increasing precision and speed of measurement. The instrument, already in use for the patient's self-tonometry, is now also available for the ophthalmologist. An additional coaxial observation system allows precise centering of the applanation surface onto the cornea. This allows new applications of applanation tonometry in daily routine.

Alterations in electromyograms due to inactivity-induced atrophy of the human muscle.

Regarding disuse atrophy, numerous investigations attempting to determine typical alterations of EMG measured with concentric needle electrodes have led to mutually inconsistent results concerning amplitude, duration, polyphasy, and number of spikes of motor unit action potentials. Our study comprises 21 patients with one-sided atrophy of m. quadriceps caused by immobilization and a control group of 19 healthy persons. Sufferers of myogenic, neurogenic or haemostasiological diseases as well as all persons on medication were excluded. Quantification of atrophy was performed by myosonography and measuring of circumferences. Both methods proved to be equivalent and more precise than computed tomography. Nearly all values of measurements in patients and in the control group remained within the normal range. But comparing EMG of atrophic m. vastus lateralis with the non-immobilized muscle of the other side revealed statistically significant differences in amplitude (14.1% higher in the atrophic muscle), duration (6.5% longer), number of phases (+13.2%) and spikes (+13.9%). In the healthy muscles of the control group we found no significant differences between dominant and non-dominant legs. Partly consistent and partly contradictory results in other studies may be explained by: a) too few cases examined, b) absence of control groups and/or c) omission of comparisons between right and left legs, but also d) by differences in applied normal values and e) by decreased innervation due to pain, swelling, contractures or arthrodeses. A very important factor was f) the duration of immobilization and g) the time elapsed between the end of immobilization and the examination.

Continuous assessment of intraocular pressure - telematic transmission, even under flight- or space mission conditions.

Fluid shift after entering into microgravity, but also under equivalent flight conditions leads to enormous increase of intraocular pressure. To assess this precisely position - and gravity independent, handsome, automatic tonometers have been developed (German-Spacelab D1-Mission, German-Spacelab D2-Mission, German-Russian-MIR-Mission) telemetric transmission of measuring results of course would find scientific but also functional interest. The same is true for recently designed automatic intraocular pressure sensors, registering intraocular pressure continuously, day and night. Also recently designed new automatic ophthalmodynamometer, allowing directly to assess the intracranial pressure, but also perfusion pressure within the eye also could benefit from a direct telemetric transmission. New technical solutions allowing for the first time even telematic data transmission, are reported.

Intracranial pressure in microgravity conditions: non-invasive assessment by ophthalmodynamometry.

BACKGROUND: As well known from former manned spaceflight experiments (German D2-Mission/German D1-Mission 1985/German-Russian MIR-Mission 1 992/German-D2-Mission 1993), fluid shift after entry into microgravity leads to a rapid increase in pressure and volume within the upper compartments of the human body. This has been proven by precise measurements with automatic selftonometers for intraocular pressure. HYPOTHESIS: There is little doubt, that a very similar--even more, marked--increase of intracranial pressure happens soon after entry into microgravity. This may be the cause for some of the reported hormonal and even neurological changes in metabolism. There is no non-invasive method to assess these important increases in pressure. METHODS: Ophthalmodynamometry in general allows for rather precise estimation of intracranial BP, but so far the method was too complicated for routine application, specifically in spaceflight conditions. Therefore, using the microprocessor controlled technology of our automatic selftonometer we have designed a very precise automatic instrument which can be applied by the astronaut/kosmonaut. The measurement takes only a few seconds. CONCLUSIONS: This easily applied, non-invasive method would allow for completely new insights into these important changes and explain some of the clinical consequences noted so far.

[Clinical calibration and in vitro evaluation of the validity of 2 microprocessor controlled tonometers]. / Klinische Kalibration und In-vitro-Validitätsprüfung 2er mikroprozessorgesteuerter Tonometer.

In a randomised clinical study two new microprocessor-controlled tonometers working according to the Mackay-Marg principle (Tono-Pen and ProTon, two samples of each) and two established applanation tonometers [hand-held applanation tonometer, Draeger (HAT) and Goldmann tonometer] were compared with respect to accuracy, precision, examiner dependence and internal measurement differences (Tono-Pen I vs II, ProTon I vs II). The four tonometers were used by two examiners six times on each of 193 eyes of 100 patients of the university eye department. The same measuring procedure was performed on four cadaver eyes in situ, using a manometer system. The correlation coefficient between Tono-Pen and HAT and between ProTon and HAT was 0.9, with a high standard deviation, about +/- 3.1 mmHg. HAT gave the best results in repetitive measurements in the same eye (precision: r = 0.92, SD = +/- 1.41 mmHg). In applanation tonometers but not in Mackay-Marg tonometers measurement values depended significantly on the physician. There was a significantly higher standard deviation between Tono-Pen I and II than between ProTon I and II. Concerning in vitro calibration series on human bulbs (manometry), accuracy was high with each tonometer. The regression line of HAT is similar to that of ProTon. Tono-Pen overestimates the manometrically determined intraocular pressure. Because of their lack of precision the two new tonometers are not suitable for clinical use.

[Effects of serotonin 2 receptor agonists on skeletal muscle preparations in patients with a disposition toward malignant hyperthermia]. / Effekte von Serotonin2-Rezeptoragonisten auf Skelett-muskelpräparate von Patienten mit Disposition zu maligner Hyperthermie.

In pigs genetically susceptible to malignant hyperthermia (MH), it has been shown that serotonin (5-HT2) receptor agonists can induce MH and "psychotic" behaviour. Both can be prevented by 5-HT2 receptor antagonists. Furthermore, free levels of serotonin in plasma increased concomitantly with clinical and laboratory parameters during halothane-induced MH in pigs. In this study the in vitro-effects of the 5-HT2 receptor agonist1-(2,5-dimethoxy-4-iodophenyl)-2-amino-propane (DOI) were investigated in muscle specimens of MH-susceptible (MHS) and normal (MHN) patients. METHODS. Muscle biopsies were obtained from 37 patients aged 5-69 years (23.6 +/- 5.3 years) with clinical suspicion for MH. The patients were first classified as MHS, MHN or MHE (MH equivocal) by the in vitro contracture test (IVCT) according to the European MH protocol. After MH classification, surplus muscle specimens were subjected to the DOI study. DOI was added to the organ bath in a concentration of 0.02 mmol/l. The in vitro effects on contracture development and muscle twitch were observed for 120 min. RESULTS. Muscle specimens of all patients developed contractures after administration of DOI. However, DOI produced an earlier development of contracture in MHS (17.0 +/- 1.8 min; n = 17) than in MHN (64.7 +/- 5.9 min; n = 15) muscles. In MHS muscles, contractures were more distinct than in MHN muscles; at the end of the experiment, contractures had reached a maximum of 12.5 +/- 0.9 mN in MHS and 5.1 +/- 0.7 mN in MHN muscles. Muscle twitch following DOI administration was reduced significantly in both MHS and MHN muscles. The results of four MHE muscles were comparable with MHS. CONCLUSION. The present study supports the assumption that an altered serotonin system might be involved in the development of MH. In further studies it should investigated whether 5-HT2 receptors of skeletal muscles from MHS subjects are disordered in function or structure. 5-HT2 receptor agonists should be considered as MH-triggering agents.

Abnormal action potential responses to halothane in heart muscle isolated from malignant hyperthermia-susceptible pigs.

BACKGROUND: During human and porcine malignant hyperthermia (MH), cardiac dysrhythmias and altered myocardial function can be observed. It is unknown whether a primary abnormality in cardiac muscle contributes to the cardiac symptoms during MH. An abnormal response to halothane has recently been demonstrated in action potentials (APs) from MH-susceptible (MHS) human skeletal muscles. We investigated the electrophysiologic properties in trabeculae isolated from the right ventricles of normal (MHN) and MHS pigs. METHODS: The experiments were performed on electrically stimulated (1 Hz) trabeculae isolated from the right ventricles of MHS and MHN pigs. Resting membrane potentials, APs, and tension were measured with and without the presence of 1% halothane. In addition, the halothane-equilibrated muscles were exposed to caffeine in increasing doses (1, 2, and 4 mM). RESULTS: In the absence of halothane, resting potential and AP characteristics in MHS and MHN muscles did not differ significantly. Halothane did not alter resting potentials but produced different alterations in the APs in MHS and MHN muscles, whereas the decrease in twitch tension was identical. In contrast to reductions in the AP amplitude and duration in MHN muscle, halothane produced an enlargement of the APs in MHS muscle. The addition of caffeine caused nearly identical prolongations of AP duration in MHS and MHN muscles. CONCLUSIONS: This in vitro study demonstrates that halothane produces abnormal alterations in the dynamic electric properties of the ventricular excitable membrane from MHS pigs. These results suggest a latent defect in the myocardium of MHS pigs that becomes apparent in the presence of MH-triggering agents.

Accelerated contractures after administration of ryanodine to skeletal muscle of malignant hyperthermia susceptible patients.

A genetic disorder of the calcium releasing ryanodine receptor has recently been postulated in malignant hyperthermia (MH) and ryanodine-induced contractures differ between subjects who are malignant hyperthermia susceptible (MHS) and non-susceptible (MHN). We tested 39 patients from 26 families for MH, using the procedure of the European Malignant Hyperthermia Group. A ryanodine contracture test was performed by both cumulative (0.4-10.0 mumol litre-1 every 3 min) and bolus (10.0 mumol litre-1) application. Contracture with cumulative ryanodine application started significantly earlier in MHS (9.6 (SEM 0.5) min) than in MHN patients (24.6 (1.3) min). A significant difference in start of contracture between MHS (4.8 (0.6) min) and MHN (14.5 (0.6) min) patients occurred also after bolus application of ryanodine. The ryanodine contracture test seems to be a potentially specific in vitro diagnostic test for MH.

[Ryanodine-induced contractures for the diagnosis of malignant hyperthermia susceptibility]. / Ryanodin-induzierte Kontrakturen zur Diagnose der Maligne-Hyperthermie-Veranlagung.

The halothane-caffeine contracture test is presently the most well-established method for identification of malignant hyperthermia susceptibility (MHS) or non-susceptibility (MHN). However, 10-20% of the patients tested are classified as equivocal (MHE), i.e. their susceptibility remains uncertain. A genetic disorder of the calcium releasing ryanodine receptor has been postulated recently. Therefore, 12 patients were tested in addition to the protocol of the European Malignant Hyperthermia Group (EMHG) for dose- and time-dependent contracture after ryanodine application. In this study, contracture of 0.2g appeared significantly earlier in MHS patients (17.5 +/- 1.7 min; n = 5) during cumulative ryanodine exposition (0.4-0.8-1.6-10.0 mumol/l) than in MHN (38.2 +/- 5.4 min; n = 5). A significant difference between MHS (10.0 +/- 1.7 min; n = 6) and MHN (19.8 +/- 0.6 min; n = 3) was also seen after bolus application of ryanodine (10.0 mumol/l). One patient classified as MHE according to the EMHG protocol, manifested as MHN after the ryanodine contracture test. This study supports previous work suggesting the ryanodine contracture test as an improvement in the in-vitro diagnosis of MH susceptibility.

[Clinical value of new tonometers]. / Untersuchungen zur klinischen Brauchbarkeit neuer Tonometer.

In a clinical study four different tonometers [a hand-held applanation tonometer (HAT), a tonometer that works according to the principle of Mackay-Marg and two noncontact tonometers (NCT A und NCT B)] were compared with respect to accuracy and precision. In a randomized sequence, two physicians took six measurements of both eyes of 99 patients using the four different instruments. The interval between the two measurements in one eye was 3 min. The correlations of repetitive measurements for one tonometer in one eye showed good results for HAT (r = 0.985, SD = 1.66 mmHg), but significantly worse values for the other three tonometers (Mackay-Marg type: r = 0.85, SD = 3.5 mmHg; NCT A and NCT B: r = 0.91, SD = 2.93 mmHg). To establish the accuracy, the pressure values of the Mackay-Marg type and NCT A and NCT B were compared with those of the well-established HAT. The results were as follows: Mackay-Marg type: r = 0.84, SD = 3.78 mmHg; NCT A: r = 0.86, SD = 4.55 mmHg; NCT B: r = 0.89, SD = 3.26 mmHg). We conclude that the three tonometers tested (one based on the Mackay-Marg principle and the other two on the non-contact principle) are not suitable for clinical and scientific use.

[Clinical and experimental evaluation of the so-called Tono-Pen tonometer]. / Klinische und experimentelle Prüfung des sogenannten Tono-Pen-Tonometers.

The measuring accuracy and reliability of the new Tono-Pen tonometer, which works on the Mackay-Marg principle, were tested on isolated human and pigs' bulbi and on 24 patients. On isolated pigs' bulbi the Tono-Pen indicated the true pressure, whereas the pressures measured on isolated human bulbi were too high and the range of scatter was wider. On patients' eyes the values obtained with the Tono-Pen correlated well with those measured with the hand applanation tonometer (r = 0.92), although the values measured with the Tono-Pen again higher (mean 4.5 mm Hg). As indicated by autocorrelation of repeated measurements, the Tono-Pen appears to be mainly responsible for the difference between the two instruments. The standard deviation of the autocorrelation of the Tono-Pen values was 4.5 mm Hg, that of the hand applanation tonometer only 1.2 mm Hg. The considerable standard deviation of the Tono-Pen measurements may be due to the structure of the human cornea, and in particular Bowman's membrane. The reproducibility of Tono-Pen measurements is too low for it to be recommended for ophthalmological diagnosis.

[Accommodation-convergence coupling using the stereomicroscope]. / Akkommodations-Konvergenz-Kopplung am Stereomikroskop.

The term "instrument myopia" means an accommodative effort caused by the view into the microscope. This accommodation may be connected with the convergence position of the eye. Heterophoria should be developed if accommodation-induced convergence of the eyes does not harmonize with convergence of the ocular axes of a stereomicroscope. In 16 probands, an accommodation of 1.1 +/- 0.72 dpt and esophoria of +11.1 +/- 8.5 pdpt were measured at parallel ocular axes. The accommodation increased by 0.12 dpt/degree convergence with increasing convergence angle of the ocular axes. When the visual field was unrestricted, this line intersected the accommodation convergence line at 6.7 degrees. The esophoria decreased with increasing convergence angle and passed over to exophoria. At 8 degrees convergence, heterophoria amounted to -0.2 +/- 2.9 pdpt, and at 16 degrees exophoria was -12 +/- 9.5 pdpt. The minor degree of heterophoria and especially the very minor heterophoria at 8 degrees convergence support the view that the optimum convergence of the ocular axes is near where both accommodation convergence lines intersect.

Microprocessor controlled tonometry.

Microprocessors have enabled new techniques to be applied to the design of tonometers. Three new microprocessor controlled tonometers, one operating to the principle of Mackay-Marg (Tono-Pen) and two non-contact airstream tonometers (Pulsair and CT-10) have been examined using as a reference Goldmann and the Hand Held Applanation Tonometers (Draeger-HAT) which used the Goldmann applanation principle. The non-contact tonometers produce a conically formed airstream with top speeds of 90 m/s (CT-10) and 70 m/s (Pulsair) which at the moment of pressure measurement applanates the cornea exactly with a diameter of 4 mm. The readings of the microprocessor controlled tonometers correlate well with the readings of HAT (Tono-Pen r = 0.8414 and s = 3.783, CT-10 r = 0.8606 and s = 4.5477, Pulsair r = 0.8968 and s = 3.2641, where r is the correlation coefficient and s is the standard deviation in mmHg). Repeated measurements with one tonometer give the following standard deviations (HAT 1.6617, Tono-Pen 3.4969, CT-10 2.9179, Pulsair 2.9434). Although the three new instruments are able to measure the intraocular pressure in a wide range they do not work with the same precision as the classical applanation tonometer.

[Comparative studies of the calibration of new electronic automatic tonometers]. / Vergleichende Untersuchungen zur Kalibrierung neuartiger elektronisch-automatischer Tonometer.

Over the last years the number of newly developed automatic microprocessor controlled tonometers has been increasing. These devices follow totally different measurement principles. Therefore the physical methods for calibration of these tonometers differ widely. Described is the possibility of calibration of new microprocessor-controlled tonometers. First the Tonopen, which follows the Mackay-Marg principle was tested. Its accuracy in measuring the intraocular pressure and its independency of position was examined. Moreover, the non-contact tonometers were tested. Especially the airstream of non-contact tonometers (CT 10, Pulsair) was measured with a Constant Temperature Anemometer (CTA). The topspeed of the airstream was 335 km/h for the CT 10 and 249 km/h for the Pulsair tonometer. The profile of the airstream was paraboloid. The base measured about 5 mm in diameter. For detection of the effect of the airstream to the cornea, a camera was connected over a special interface with the CT 10 and triggered with a flashlight generator. The airstream produced at the moment of pressure measurement an exact applanation of the cornea with a diameter of about 4 mm. The results demonstrate the possibility of physical calibration, but this does not substitute biometrical measurements.

[Possibility of surface-independent tonography and tonometry]. / Die Möglichkeit der flächenunabhängigen Tonografie und Tonometrie.

A method of simultaneous measurement of intraocular pressure and volume displacement is reported. An electronic pressure sensor (diameter 3 mm) was positioned in the centre of the base of a transparent applanation body (diameter 9 mm). The corneal applanation area could be changed by different applanation forces and was measured photographically. In isolated human and porcine eyes, sensor signal and intraocularly measured pressure were related linearly and independently of the applanation area. In human eyes in situ, the rigidity coefficient decreased with increasing pressure. Adhesive forces and stiffness of the cornea obviously only falsify tonometry at the margin of the applanation area.