Self-tonometry in Glaucoma Management—Past, Present and Future

Abstract Glaucoma is the leading cause of irreversible blindness in the world. Diagnosis and management of glaucoma is significantly associated with intraocular pressure, but contemporary office-based measurements are not sufficient to discover diurnal changes and spikes, nor do they demonstrate the...

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Bibliographic Details
Published in:Survey of ophthalmology 2009-07, Vol.54 (4), p.450-462
Main Authors: Liang, Steve Y.-W., MBBS, Lee, Graham A., MD, MBBS, FRANZCO, Shields, David, BSc
Format: Article
Language:English
Subjects:
Biological and medical sciences
Circadian Rhythm - physiology
glaucoma
Glaucoma - diagnosis
Glaucoma and intraocular pressure
Humans
intraocular pressure
Intraocular Pressure - physiology
Medical sciences
Miscellaneous
Monitoring, Ambulatory - trends
Ophthalmology
Reproducibility of Results
Self Care - trends
self-tonometry
tonometer
Tonometry, Ocular - instrumentation
Tonometry, Ocular - trends
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Summary:Abstract Glaucoma is the leading cause of irreversible blindness in the world. Diagnosis and management of glaucoma is significantly associated with intraocular pressure, but contemporary office-based measurements are not sufficient to discover diurnal changes and spikes, nor do they demonstrate the effect of medication and compliance. Patient-directed self-tonometry can be taken throughout the day and is therefore the subject of much discussion and research. In this article we review the history of self-tonometry devices and present technologies for the future.
ISSN:0039-6257
1879-3304
DOI:10.1016/j.survophthal.2009.04.006