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    Involve patients in monitoring IOP

    Home tonometry may be key to establishing doctor-patient treatment partnership

    I do not own a smartwatch. However, I do understand the appeal of one. Along with checking your email and telling time simultaneously, smartwatches have the capacity to readily access health data.

    Everyone is counting his steps these days, and smart devices now typically come equipped with programs to log an individual’s health metrics.

    Where does eye health fit into this?

    It has been opined recently that glaucoma patients may want to measure their intraocular pressure (IOP) at home as do diabetic patients with blood glucose levels and hypertension patients with blood pressure.1 This concept of home tonometry has been discussed for several years and has several implications.

    Previously from Dr. Casella: How MIGS are changing glaucoma treatment

    Researchers recently compared self-monitoring of IOP with the Icare Home tonometer to in-office Goldmann applanation tonometry and rebound tonometry performed by an investigator.2

    Research methodology

    Eyes of 100 patients with glaucoma or ocular hypertension were included in the study. Patients underwent Goldmann applanation tonometry and rebound tonometry by a masked investigator. Patients were also instructed on performing rebound tonometry on themselves.

    Related: New technology helps IOP measurement

    Eye measurements were performed under the observation of the investigators. Using the same device, successful measurement was defined as being within 5 mm Hg of the investigator’s measurement. Patients completed a post-exam questionnaire about their experiences.

    Benjamin P. Casella, OD, FAAO
    Dr. Casella, a 2007 graduate of University of Alabama at Birmingham School of Optometry, practices in Augusta, GA, with his father in ...


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    Optometry Times A/V