Abstract | IMPORTANCE: Monitoring the results of selective laser trabeculoplasty (SLT) on intraocular pressure (IOP) using a home rebound tonometry. BACKGROUND: To evaluate the role of Icare HOME tonometry in open-angle glaucoma patients being treated with SLT. DESIGN: A clinic-based prospective case study. PARTICIPANTS: METHODS: The trabecular meshwork of each eye was treated 360° with a frequency-doubled Q-switched Nd:YAG laser. IOP was measured four times a day for a week before and after SLT. On the day of SLT, the patients were required to measure the IOP in the evening to record any IOP spikes. MAIN OUTCOME MEASURES: The use of Icare HOME in following up patients post- laser trabeculoplasty without the need for clinic attendance. RESULTS: Icare HOME recorded a significant reduction of 5.12 mmHg in the mean IOP post-SLT (95% confidence interval [CI] 3.75-6.50 mmHg, P < .001). The maximum IOP was also reduced by 6.14 mmHg (95% CI 3.07-9.21, P < .001) with no IOP spikes recorded post-SLT. There was a reduction in IOP fluctuation post-SLT by 1.07 mmHg (95% CI 0.24-1.89 mmHg, P = .021). No adverse effects for using the Icare HOME were reported by the study participants. CONCLUSIONS AND RELEVANCE: This methodology could be highly useful for facilitating safe follow-up of patients residing in remote and rural areas, thus reducing healthcare cost with better information on IOP.
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Authors | Mona S Awadalla, Ayub Qassim, Mark Hassall, Thi T Nguyen, John Landers, Jamie E Craig |
Journal | Clinical & experimental ophthalmology
(Clin Exp Ophthalmol)
Vol. 48
Issue 3
Pg. 328-333
(04 2020)
ISSN: 1442-9071 [Electronic] Australia |
PMID | 31747104
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | © 2019 Royal Australian and New Zealand College of Ophthalmologists. |
Topics |
- Follow-Up Studies
- Glaucoma, Open-Angle
(surgery)
- Humans
- Intraocular Pressure
- Laser Therapy
- Lasers, Solid-State
- Manometry
- Prospective Studies
- Tonometry, Ocular
- Trabeculectomy
- Treatment Outcome
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