Impact of self-tonometry on glaucoma treatment decision

被引:6
|
作者
Querat, Laurence [1 ,2 ]
Chen, Enping [1 ,2 ]
机构
[1] Karolinska Inst, Div Eye & Vis, Dept Clin Neurosci, Stockholm, Sweden
[2] St Erik Eye Hosp, Dept Anterior Segment Disorders Glaucoma Neurooph, Solna, Sweden
关键词
glaucoma treatment; Goldmann applanation tonometry; iCare (R) Home; intraocular pressure; self-tonometry; INDEPENDENT RISK-FACTOR; NORMAL OFFICE HOURS; INTRAOCULAR-PRESSURE; OCULAR HYPERTENSION; PROGRESSION; FLUCTUATIONS; MANAGEMENT; 24-HOUR;
D O I
10.1111/aos.15256
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose: The aim of this study was to examine the impact of self-tonometry on clinicians' decision in glaucoma treatment. Materials and Methods: Medical records of 133 patients who had performed self-tonometry using iCare (R) Home between January and December 2019 were retrospectively reviewed. Inclusion criteria were as follows: age over 18 years, all types of glaucoma, as well as ocular hypertension and glaucoma suspect, compliance with tonometer manufacturer's recommendations and monitoring over at least 2 days. The data consisted of age, gender, diagnosis, visual field index, rate of progression and type of treatment pre- and post-intraocular pressure (IOP) phasing. The following TOP measurements were used to calculate the mean and maximum IOP, and range over each day and consecutive days: Goldmann applanation tonometry (GAT) measurements from referral and training visits and iCare (R) Home measurements made by the trainers and the patients themselves. A total of 90 patients were included. Results: Clinicians were satisfied with the actual treatment in 54.4% of the cases. There was a statistically significant difference between the clinicians' decision to maintain same treatment or to escalate therapy for all the mean and maximum IOPs measured on each single day and over a 2- or 3-day period (p <0.002). Conclusion: Our results suggest that the presence of high IOP values obtained with self-tonometry supports an intensification of glaucoma treatment. Self-tonometry provides clinicians with an important complement for clinical decision-making, and under- or over-treatment may be avoided for the benefit of patients.
引用
收藏
页码:E246 / E251
页数:6
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