In patients with glaucoma, there is a possibility of their eye pressure either fluctuating significantly or being outside the target range (as determined by their doctor). Both these changes are associated with worsening of glaucoma. Monitoring for these changes between office visits can help reassure the doctor and the patient that the therapy is adequate and that the patient is compliant with treatment. If the eye pressure is not stable, then the doctor can recommend additional treatment or tailor the eye drop regimen to stabilize the pressure before permanent loss of tissue or visual field occurs.
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In patients with suspected glaucoma, daily intraocular pressure monitoring is also essential. In a high proportion of these patients, IOP elevations may be missed during regular scheduled examinations. Knowing these pres- sure peaks exist can help control the disease and person- alize and optimize the treatment regimen. Autotonometry is an efficient option for this purpose, as well as being comfortable for the patient.
iCare HOME is a game changer in the way we manage glaucoma.
The ability for patients to measure their own IOP has the potential to transform glaucoma care. By using home monitoring, we can obtain far more IOP measurements to more accurately identify peak IOP and gain greater appreciation of IOP fluctuations. Most patients find iCare HOME easy to use and as IOP measurements can be uploaded to the cloud, the clinician can view results remotely. In my practice, the introduction of iCare HOME has allowed us to move away from office-hour IOP phasing and has provided improved insight into IOP as a risk factor for glaucoma progression.