Objective:

To evaluate the clinical considerations, benefits, and limitations of incorporating home intraocular pressure (IOP) monitoring into glaucoma care.

Approach:

Key Findings:

• Home tonometry can reveal peak IOP measurements outside of clinic hours.
• iCare Home measurements correlate well with Goldmann applanation tonometry (GAT), though discrepancies may occur based on central corneal thickness.
• Home tonometry may enhance medication adherence and patient engagement.

Interpretation:

While home tonometry offers significant advantages in monitoring IOP and engaging patients, it may not be suitable for all due to cost, dexterity requirements, and potential anxiety from frequent measurements.

Limitations:

• Cost barriers exist as home tonometry devices are not covered by Medicare or most insurers.
• Some patients may struggle with device operation due to physical limitations.
• Frequent measurements may increase anxiety for some patients.

Conclusion:

Home tonometry presents a valuable tool in glaucoma management, but careful consideration of patient suitability and support is essential for effective use.

Attribution Notice

This content is an AI-generated, fully rewritten summary based on a published scholarly article. It does not reproduce the original text and is not a substitute for the original publication. Readers are encouraged to consult the source for full context, data, and methodology.