The role of self-dependent tonometry in improving diagnostics and treatment of patients with open angle glaucoma

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Abstract

Monitoring intraocular pressure in patients with open-angle glaucoma at different stages of the deve­lopment of the disease using self-measurement by a portable Icare® HOME tonometer. In study, patients were divided into 3 groups depending on the treatment prescribed. With the help of near-day monitoring, hidden IOP elevations that are not recorded during a single IOP measurement on an outpatient appointment with a doctor were detected. Perspective possibilities of prescribing drugs and regulating the mode of instillation on the basis of individual time periods of increasing intraocular pressure on the example of one of the patient. Assessment of the convenience of the method from the personal experience of using the device by patients.

About the authors

Sergey Yu. Astakhov

Pavlov First Saint Petersburg State Medical University

Author for correspondence.
Email: astakhov73@mail.ru

MD, PhD, DMedSc, Professor, Head of the Department. Department

Russian Federation, Saint Petersburg

Elmaz E. Farikova

Pavlov First Saint Petersburg State Medical University

Email: elmazfarikova@yandex.ru

MD, Ophthalmogist, Postgraduate Student, Ophthalmology Department

Russian Federation, Saint Petersburg

Kseniia A. Konoplianik

Pavlov First Saint Petersburg State Medical University

Email: kseniakonoplyanik@yandex.ru

6th-year Student of Medical Department

Russian Federation, Saint Petersburg

References

  1. Takagi D, Sawada A, Yamamoto TJ. Evaluation of a New Rebound Self-tonometer, Icare HOME: Comparison With Goldmann Applanation Tonometer. Glaucoma. 2017 Jul;26(7):613-618. https://doi.org/10.1097/IJG.0000000000000674. PMID: 28369004
  2. Брежнев А.Ю., Баранов В.И., Куроедов А.В., и др. Суточный мониторинг внутриглазного давления: возможности и перспективы // Национальный журнал глаукома. – 2018. – Т. 17. – № 3. – С. 77–85. [Brezhnev AY, Baranov VI, Kuroedov AV, Petrov S., Antonov AA. Daily monitoring of intraocular pressure: opportunities and prospects. National Journal of Glaucoma. 2018;17(3):77-85. (In Russ.)]. https://doi.org/10.25700/NJG.2018.03.09
  3. Garway-Heath DF, Lascaratos G, Bunce C, et al. The United Kingdom Glaucoma Treatment Study: a multicenter, randomized, placebo-controlled clinical trial: design and methodology. Ophthalmology. 2013; 120(1):68-76. https://doi.org/10.10.1016/j.ophtha.2012.07.028.
  4. Абышева Л.Д., Авдеев Р.В., Александров А.С., и др. Многоцентровое исследование по изучению показателей офтальмотонуса у пациентов с продвинутыми стадиями первичной открытоугольной глаукомы на фоне проводимого лечения // Офтальмологические ведомости. – 2015. – № 1. – С. 52–69. [Abysheva LD, Avdeev RV, Aleksandrov AS, et al. Multicenter study on the study of ophthalmotonus in patients with advanced stages of primary open-angle glaucoma on the background of the treatment. Ophthalmology Journal. 2015;1:52-69. (In Russ.)]
  5. Quaranta L, Katsanos A, Russo A, Riva I. 24-hour intraocular pressure and ocular perfusion pressure in glaucoma. Surv Ophthalmol. 2013;58(1):26-41. https://doi.org/10.1016/j.survophthal.2012.05.003.
  6. Астахов Ю. С., Устинова Е.И., Катинас Г.С., и др. О традиционных и современных способах исследования колебаний офтальмотонуса // Офтальмологические ведомости. – 2008. – № 2. – С. 7–12. [Astakhov YS, Ustinova EI Katinas GS, Ustinov SN, Baigusheva SS. On traditional and modern methods of studying oscillations of ophthalmolmotonus. Ophthalmology Journal. 2008;(2):7-12. (In Russ.)]
  7. Aptel F, Weinreb RN, Chiquet C, Mansouri K. 24-h monitoring devices and nyctohemeral rhythms of intraocular pressure. Progress in Retinal and Eye Research. 2016;(55):108-148. https://doi.org/10.1016/j.preteyeres.2016.07.002
  8. Kanza Aziz, David S. Friedman Tonometers – which one should I use? Received: 22 November 2017 / Revised: 22 January 2018 / Accepted: 25 January 2018© The Royal College of Ophthalmologists 2018.
  9. Kim SH, Lee EJ, Han JC, et al. The Effect of Diurnal Fluctuation in Intraocular Pressure on the Evaluation of Risk Factors of Progression in Normal Tension Glaucoma. PLoS ONE. 2016;(55):108-148: e0164876. https://doi.org/10.10.1371/journal.pone.0164876.
  10. Konstas AG, Kahook MY, Araie M, et al. Diurnal and 24-h Intraocular Pressures in Glaucoma: Monitoring Strategies and Impact on Prognosis and Treatment. Adv Ther. 2018;35(11):1775-1804. https://doi.org/10.10.1007/s12325-018-0812-z.
  11. Nakamoto K, Takeshi M, Hiraoka T, Eguchi M, et al. The 24-hour intraocular pressure control by tafluprost/timolol fixed combination after switching from the concomitant use of tafluprost and timolol gel-forming solution, in patients with primary open-angle glaucoma. Clinical ophthalmology. 2018;12:359-367. https://doi.org/10.10.2147/OPTH. S 152507.
  12. Cho SY, Kim YY, Yoo C, Lee T.E. Twenty-four-hour efficacy of preservative-free tafluprost for open-angle glaucoma patients, assessed by home intraocular pressure (Icare-ONE) and blood-pressure monitoring. Jpn J Ophthalmol. 2016;60(1):27-34. https://doi.org/10.10.1007/s10384-015-0413-1.
  13. Stewart WC, Konstas AG, Kruft B, et al. Metaanalysis of 24-h intraocular pressure fluctuation studies and the efficacy of glaucoma medicines. J Ocul Pharmacol Ther. 2010;26(2):175-180. https://doi.org/10.10.1089/jop.2009.0124.
  14. Asrani S, Zeimer R, Wilensky J, et al. Large diurnal fluctuations in intraocular pressure are an independent risk factor in patients with glaucoma. J Glaucoma. 2000;9(2):134-142.
  15. Li T, Lindsley K, Rouse B, Hong H, et al. Comparative effectiveness of first-line medications for primary open-angle glaucoma: a systematic review and network meta-analysis. Ophthalmology. 2016;123(1):129-140. https://doi.org/10.10.1016/j.ophtha.2015.09.005.
  16. Flaxman SR, Bourne RRA, Resnikoff S, Ackland P, et al. Global causes of blindness and distance vision impairment 1990-2020: a systematic review and meta-analysis. Lancet Glob Health. 2017;5(12):e1221-e1234. https://doi.org/10.10.1016/S 2214-109X(17)30393-5.

Supplementary files

Supplementary Files
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2. Fig. 1. Differences between the results of single measurements and near-day monitoring in different groups of patients, mm Hg

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3. Fig. 2. Average responses of patients to a survey regarding ease of use of the device on a 5-point scale

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4. Fig. 3. Achieving the target pressure by adjusting the instillation mode using the example of a patient B. (OD)

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5. Fig. 4. Achieving the target pressure by adjusting the instillation mode using the example of a patient B. (OS)

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Copyright (c) 2019 Astakhov S.Y., Farikova E.E., Konoplianik K.A.

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This work is licensed under a Creative Commons Attribution 4.0 International License.
 


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