Glaucoma, Intraocular Pressure
Conditions
Brief summary
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. The investigators 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.
Interventions
DEVICEiCare home tonometer
All subjects will be taught to use the home care tonometer.
Sponsors
NHS Lothian
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
16 Years to 100 Years
Healthy volunteers
No
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Whether or not the subject is deemed successful in using the home tonometer | On baseline visit | Strict success = intraocular pressure within 5mmHg of that obtained by technician |
Countries
United Kingdom
Outcome results
None listed