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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| GAT IOP below 15 mmHg | Glaucoma patients with an IOP measured with GAT below 15 mmHg prior performance of self-tonometry with iCare Home |
| |
| 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 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Unchanged treatment | Other | Treatment is the same pre- and post self-tonometry |
|
| Measure | Description | Time Frame |
|---|---|---|
| Clinician's choice of glaucoma treatment | Type of treatment received by patient after performance of self-tonometry with iCare Home | One month |
| Measure | Description | Time Frame |
|---|---|---|
| Occurence of IOP peaks | Occurence of IOP peaks measured by self-tonometry | Three days of self-tonometry |
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Inclusion Criteria:
Exclusion Criteria:
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All glaucoma patients who obtained an IOP curve using an iCare Home® self-tonometer between January 2018 and December 2020 and who fulfill all the inclusion criteria and none of the exclusion criteria.
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| Name | Affiliation | Role |
|---|---|---|
| Enping Chen, MD PhD | St. Erik Eye Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St Erik Eye Hospital | Stockholm | 11282 | Sweden |
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| ID | Term |
|---|---|
| D005901 | Glaucoma |
| D005902 | Glaucoma, Open-Angle |
| D009798 | Ocular Hypertension |
| D017889 | Exfoliation Syndrome |
| ID | Term |
|---|---|
| D005128 | Eye Diseases |
| D007499 | Iris Diseases |
| D014603 | Uveal Diseases |
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| Changed treatment | Other | Treatment is changed post self-tonometry |
|