[Telematic-assisted self-tonometry (TAS)].
BACKGROUND
Close supervision of intraocular pressure (IOP) means monitoring an important risk factor for glaucoma.


METHODS
After instruction in its use, patients measure their own IOP several times a day with the Drager self-tonometer. The measurements are subsequently transmitted to a server via the telephone keypad and recorded separately for each patient. The software enables statistical evaluation of the pressure levels collected.


RESULTS
Up to now 30 of 35 patients transmit measurements or had done so for at least 6 months. Registration of measurement levels covering months and years provides the opportunity for optimizing treatment and hence can be considered a start toward quality assurance in the treatment of glaucoma patients.


CONCLUSIONS
TAS is a cost-efficient method for obtaining long-term profiles of eye pressure. Thus, the possibility exists for early therapeutic intervention in patients at risk. The compliance gained by the close relationship between the physician and the patient represents a positive prognostic factor.
Augenklinik mit Poliklinik, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen. robert.laemmer@augen.imed.uni-erlangen.de.
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Lämmer
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Groh
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Michelson
D004867:Equipment Design; D019544:Equipment Failure Analysis; D005260:Female; D005901:Glaucoma / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011785:Quality Assurance, Health Care / Q000379:methods; D015203:Reproducibility of Results; D018570:Risk Assessment / Q000379:methods*; D012648:Self Care / Q000295:instrumentation* / Q000379:methods; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D017216:Telemedicine / Q000295:instrumentation* / Q000379:methods; D014065:Tonometry, Ocular / Q000295:instrumentation* / Q000379:methods