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Impact of self-tonometry on glaucoma treatment decision.
- Source :
-
Acta ophthalmologica [Acta Ophthalmol] 2023 Mar; Vol. 101 (2), pp. e246-e251. Date of Electronic Publication: 2022 Sep 22. - Publication Year :
- 2023
-
Abstract
- Purpose: The aim of this study was to examine the impact of self-tonometry on clinicians' decision in glaucoma treatment.<br />Materials and Methods: Medical records of 133 patients who had performed self-tonometry using iCare <superscript>®</superscript> 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 IOP 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 <superscript>®</superscript> Home measurements made by the trainers and the patients themselves. A total of 90 patients were included.<br />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).<br />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.<br /> (© 2022 The Authors. Acta Ophthalmologica published by John Wiley & Sons Ltd on behalf of Acta Ophthalmologica Scandinavica Foundation.)
Details
- Language :
- English
- ISSN :
- 1755-3768
- Volume :
- 101
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Acta ophthalmologica
- Publication Type :
- Academic Journal
- Accession number :
- 36147012
- Full Text :
- https://doi.org/10.1111/aos.15256