Self-monitoring of intraocular pressure using Icare HOME tonometry in clinical practice

Barbara Cvenkel,1,2 Makedonka Atanasovska Velkovska11Department of Ophthalmology, University Medical Centre Ljubljana, Ljubljana, Slovenia; 2Medical Faculty, University of Ljubljana, Ljubljana, SloveniaPurpose: To determine the value of self-monitoring of diurnal intraocular pressure (IOP) by Icare...

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Autores principales:	Cvenkel B, Atanasovska Velkovska M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	glaucoma intraocular pressure progression self-tonometry Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/ae697e5fc88e4af58cfd39516a7e4bea
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spelling	oai:doaj.org-article:ae697e5fc88e4af58cfd39516a7e4bea2021-12-02T05:50:21ZSelf-monitoring of intraocular pressure using Icare HOME tonometry in clinical practice1177-5483https://doaj.org/article/ae697e5fc88e4af58cfd39516a7e4bea2019-05-01T00:00:00Zhttps://www.dovepress.com/self-monitoring-of-intraocular-pressure-using-icare-home-tonometry-in--peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Barbara Cvenkel,1,2 Makedonka Atanasovska Velkovska11Department of Ophthalmology, University Medical Centre Ljubljana, Ljubljana, Slovenia; 2Medical Faculty, University of Ljubljana, Ljubljana, SloveniaPurpose: To determine the value of self-monitoring of diurnal intraocular pressure (IOP) by Icare Home rebound tonometer in patients with glaucoma and ocular hypertension.Methods: Patients with open-angle glaucoma or ocular hypertension, controlled IOP at office visits, and at least 3 years of follow-up in the glaucoma clinic were included. Progression of glaucoma was based on medical records and defined by documented structural and/or visual field change. Patients were trained to correctly perform self-tonometry and instructed to measure diurnal IOP in a home setting for 3 days. IOP characteristics (mean, peak IOP, fluctuation of IOP as range, and SD of IOP) were documented and compared between the progressive and stable eyes.Results: Ninety-four patients (50 females) with a mean (SD) age of 57.1 (14.7) years were included. Among the 94 eyes from 94 subjects, 72 (76.6%) eyes had primary open-angle glaucoma, ten (10.6%) had pigmentary glaucoma, four (4.3%) had exfoliative glaucoma, and eight (8.5%) eyes had ocular hypertension. Thirty-six eyes showed progression and 58 eyes were stable. Patients with progression were older than those with stable disease (mean (SD) 65.8 (8.4) years vs 51.7 (15.3) years, P<0.001). The progression group had higher average IOP (mean (SD) 15.8 (4.0) mmHg vs 13.3 (3.7) mmHg, P=0.002), peak IOP (mean (SD) 21.8 (5.8) mmHg vs 18.6 (4.8) mmHg, P=0.01), and greater IOP fluctuation range (mean (SD) 11.6 (4.8) vs 9.1 (3.5) mmHg, P=0.011) compared to non-progression group.Conclusion: Self-monitoring of IOP using Icare Home tonometry provides more complete data on variability of IOP to assist in the management of glaucoma.Keywords: glaucoma, intraocular pressure, progression, self-tonometryCvenkel BAtanasovska Velkovska MDove Medical Pressarticleglaucomaintraocular pressureprogressionself-tonometryOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 13, Pp 841-847 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	glaucoma intraocular pressure progression self-tonometry Ophthalmology RE1-994
spellingShingle	glaucoma intraocular pressure progression self-tonometry Ophthalmology RE1-994 Cvenkel B Atanasovska Velkovska M Self-monitoring of intraocular pressure using Icare HOME tonometry in clinical practice
description	Barbara Cvenkel,1,2 Makedonka Atanasovska Velkovska11Department of Ophthalmology, University Medical Centre Ljubljana, Ljubljana, Slovenia; 2Medical Faculty, University of Ljubljana, Ljubljana, SloveniaPurpose: To determine the value of self-monitoring of diurnal intraocular pressure (IOP) by Icare Home rebound tonometer in patients with glaucoma and ocular hypertension.Methods: Patients with open-angle glaucoma or ocular hypertension, controlled IOP at office visits, and at least 3 years of follow-up in the glaucoma clinic were included. Progression of glaucoma was based on medical records and defined by documented structural and/or visual field change. Patients were trained to correctly perform self-tonometry and instructed to measure diurnal IOP in a home setting for 3 days. IOP characteristics (mean, peak IOP, fluctuation of IOP as range, and SD of IOP) were documented and compared between the progressive and stable eyes.Results: Ninety-four patients (50 females) with a mean (SD) age of 57.1 (14.7) years were included. Among the 94 eyes from 94 subjects, 72 (76.6%) eyes had primary open-angle glaucoma, ten (10.6%) had pigmentary glaucoma, four (4.3%) had exfoliative glaucoma, and eight (8.5%) eyes had ocular hypertension. Thirty-six eyes showed progression and 58 eyes were stable. Patients with progression were older than those with stable disease (mean (SD) 65.8 (8.4) years vs 51.7 (15.3) years, P<0.001). The progression group had higher average IOP (mean (SD) 15.8 (4.0) mmHg vs 13.3 (3.7) mmHg, P=0.002), peak IOP (mean (SD) 21.8 (5.8) mmHg vs 18.6 (4.8) mmHg, P=0.01), and greater IOP fluctuation range (mean (SD) 11.6 (4.8) vs 9.1 (3.5) mmHg, P=0.011) compared to non-progression group.Conclusion: Self-monitoring of IOP using Icare Home tonometry provides more complete data on variability of IOP to assist in the management of glaucoma.Keywords: glaucoma, intraocular pressure, progression, self-tonometry
format	article
author	Cvenkel B Atanasovska Velkovska M
author_facet	Cvenkel B Atanasovska Velkovska M
author_sort	Cvenkel B
title	Self-monitoring of intraocular pressure using Icare HOME tonometry in clinical practice
title_short	Self-monitoring of intraocular pressure using Icare HOME tonometry in clinical practice
title_full	Self-monitoring of intraocular pressure using Icare HOME tonometry in clinical practice
title_fullStr	Self-monitoring of intraocular pressure using Icare HOME tonometry in clinical practice
title_full_unstemmed	Self-monitoring of intraocular pressure using Icare HOME tonometry in clinical practice
title_sort	self-monitoring of intraocular pressure using icare home tonometry in clinical practice
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/ae697e5fc88e4af58cfd39516a7e4bea
work_keys_str_mv	AT cvenkelb selfmonitoringofintraocularpressureusingicarehometonometryinclinicalpractice AT atanasovskavelkovskam selfmonitoringofintraocularpressureusingicarehometonometryinclinicalpractice
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Self-monitoring of intraocular pressure using Icare HOME tonometry in clinical practice

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