Clinical Scorecard: A New Standard in Handheld Tonometry

At a Glance

Key Highlights

• Tono-Vera Tonometer uses patented ActiView system providing live visual alignment cues and automatic measurement at corneal apex.
• FDA clinical trial showed Tono-Vera IOP measurements agree within 1 mmHg of Goldmann applanation tonometry (GAT).
• Device requires no topical anesthetic, uses single-use probes, and offers Bluetooth connectivity for seamless data transfer.

Guideline-Based Recommendations

Diagnosis

• Use Tono-Vera for accurate, reproducible IOP measurement with minimal operator technique variability.
• Employ in patients who have difficulty with GAT due to positioning or comfort issues.

Management

• Utilize handheld tonometry for routine clinical practice and portable settings including telemedicine and screening.
• Delegate measurement to trained technicians to improve workflow efficiency.

Monitoring & Follow-up

• Leverage Bluetooth connectivity for integration with electronic health records and remote monitoring systems.
• Perform three rapid measurements per eye to ensure consistent IOP readings.

Risks

• Minimal risk due to non-contact, nearly silent measurement without need for anesthetic drops.
• Single-use probes reduce infection risk and eliminate need for high-level disinfection.

Patient & Prescribing Data

Glaucoma patients and individuals requiring IOP monitoring including children and those with limited mobility

Tono-Vera offers a comfortable, quick, and reliable alternative to GAT, improving patient experience and supporting better disease management.

Clinical Best Practices

• Confirm proper alignment using ActiView system before automatic measurement to ensure accuracy.
• Use the adjustable FlexiSoft Forehead rest to optimize patient comfort and device positioning.
• Employ rechargeable or AA battery models interchangeably to maintain device readiness.
• Train technicians to perform measurements efficiently to delegate testing and reduce clinician workload.

References

• Evaluation of agreement of IOP measurements by Tono-Vera tonometer to Goldmann applanation tonometry