Self-tonometry in glaucoma management--past, present and future.
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.
Liang
Steve Y-W
SY
City Eye Centre, Brisbane, Queensland, Australia.
Lee
Graham A
GA
Shields
David
D
D002940:Circadian Rhythm / Q000502:physiology; D005901:Glaucoma / Q000175:diagnosis*; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology*; D018670:Monitoring, Ambulatory / Q000639:trends*; D015203:Reproducibility of Results; D012648:Self Care / Q000639:trends*; D014065:Tonometry, Ocular / Q000295:instrumentation / Q000639:trends*