Assessment of Home Tonometry in Glaucoma

NHS Lothian

Status: Unknown

Conditions: Glaucoma; Intraocular Pressure

Treatments: Device: iCare home tonometer

Study type: Observational

Funder types: Other

Identifiers

NCT03057301

AC16040

Details and patient eligibility

About

Worldwide, glaucoma is the most common cause of irreversible blindness. The major risk factor is raised pressure within the eye (intraocular pressure, IOP). IOP is typically measured using Goldman applanation tonometry (GAT). This involves instilling anaesthetic eye drops and using a probe to contact the cornea and obtain a pressure measurement. A major disadvantage of GAT is that only limited numbers of pressure measurements can be obtained, whereas IOP is known to vary throughout the day and in ¾ of people is highest during the night. The result is that clinicians have poor understanding of patient's 24 hour IOPs and the effect that this might have on their glaucoma. This is a serious limitation as the treatment of glaucoma depends on lowering IOP.

Recently a new device has become available, designed specifically for home IOP monitoring. The iCare HOME tonometer is a CE marked commercial device (http://www.icaretonometer.com/products/icare-home-tonometer/) that can be used to gain insight into 24-hour IOP fluctuations. We wish to determine the feasibility of home IOP monitoring using this device. The iCare HOME tonometer depends on the patient performing self-tonometry. Testing one's own IOP may be technically difficult and it is likely that large numbers of patients will struggle with this.

Enrollment: 100 estimated patients

Sex: All

Ages: 16 to 100 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Glaucoma
• At least 4 previous visual field tests (to enable rate of change to be calculated).
• Age 16 years and above
• Age less than 100

Exclusion criteria

• Corneal disease (potentially affects pressure measurements)
• Neovascular glaucoma
• Uveitis
• Secondary glaucomas
• Inability to give informed consent.
• Less than 16 years of age.
• Pregnancy.
• Unable to hold iCare HOME® tonometer due to upper limb weakness or disability.