Impact of Self-tonometry on Glaucoma Treatment Decision.
Study Details
Study Description
Brief Summary
Self-tonometry with iCare Home is performed by one hundred patients annually at Sankt Erik's Eye Hospital. The investigators want to evaluate the impact that self-tonometry results have on the clinician's choice of glaucoma treatment. The investigators also want to evaluate how often pressure peaks occur outside the clinic's opening hours.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Detailed Description
Since a few years back, self-tonometry has been available in glaucoma care. Self-tonometry allows patients to measure their eye pressure themselves using a portable tonometer. Sankt Erik's Eye Hospital was the first healthcare provider in Sweden to use this new technology. The investigators have previously conducted studies that have shown good agreement between the measurements made by patients and the gold standard method, e.g. Goldman applanation tonometry (GAT) (Chen, Querat et al. 2016, Querat and Chen 2017). About one hundred patients perform pressure curves with self-tonometry annually.
As the method is used regularly, the investigators want to evaluate the impact of self-tonometry results on the clinician's choice of glaucoma treatment. The investigators also want to evaluate how often pressure peaks occur outside the clinic's opening hours and how much they differ from GAT.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| GAT IOP below 15 mmHg Glaucoma patients with an IOP measured with GAT below 15 mmHg prior performance of self-tonometry with iCare Home |
Other: Unchanged treatment
Treatment is the same pre- and post self-tonometry
Other: Changed treatment
Treatment is changed post self-tonometry
|
| GAT IOP equal or above 15 mmHg Glaucoma patients with an IOP measured with GAT equal or above 15 mmHg prior performance of self-tonometry with iCare Home |
Other: Unchanged treatment
Treatment is the same pre- and post self-tonometry
Other: Changed treatment
Treatment is changed post self-tonometry
|
Outcome Measures
Primary Outcome Measures
- Clinician's choice of glaucoma treatment [One month]
Type of treatment received by patient after performance of self-tonometry with iCare Home
Secondary Outcome Measures
- Occurence of IOP peaks [Three days of self-tonometry]
Occurence of IOP peaks measured by self-tonometry
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Age ≥ 18 years
-
Diagnosed with POAG (primary open-angle glaucoma), PEX (pseudo-exfoliation glaucoma) or OHT (ocular hypertension)
-
Difference between patients' and staff's iCare Home® measurements less than 5 mmHg at Baseline
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Difference between Goldman Applanation tonometry (GAT) and patient's highest iCare Home® measurements less than 7 mmHg at baseline
-
Monitoring over at least two days
Exclusion Criteria:
-
More than one measurement with iCare Home® tonometer below 5 mmHg
-
Missing more than one daily measurement with iCare Home® tonometer
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | St Erik Eye Hospital | Stockholm | Sweden | 11282 |
Sponsors and Collaborators
- St. Erik Eye Hospital
Investigators
- Principal Investigator: Enping Chen, MD PhD, St. Erik Eye Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- iCare Home