Science: Home monitoring of glaucoma using a home tonometer and a novel virtual reality visual field device: acceptability and feasibility
0
Entering edit mode
22 months ago
david 4.2k
@david_fe

The same Virtual Field (VF) device used in this study is now available to rent through Enlivened.com by special request. Ask for details on the FitEyes email list.

Abstract

Objective

Our aim is to assess acceptability and feasibility of iCare HOME (HT) and Virtual Field (VF) in the home monitoring of glaucoma.

Design

Prospective feasibility and acceptability study

Subjects

20 patients (39 eyes) with primary open angle glaucoma, open-angle glaucoma, ocular hypertension, or suspected glaucoma

Methods

Patients were trained and instructed to bring two devices home for 1 week and use the HT 4 times/day for 4 days and the VF 3 times total.

Main outcome measures

For acceptability, we conducted satisfaction surveys and semi-structured qualitative interviews with thematic analysis. Feasibility was assessed by device usage and quality of tests.

Results

73.7% felt that the HT was easy to use, and 100% found the HT useful. 100% felt that VF was easy to use, and 94.4% found the VF useful. 100% of patients obtained an acceptable IOP and completed a VF test at home. We identified 4 key themes with 33 subthemes. Key themes include 1) Advantages of home monitoring; 2) Difficulties with home monitoring; 3) Future considerations in home monitoring; and 4) The glaucoma patient experience.

Conclusion

HT and VF were acceptable and feasible in a small cohort of motivated subjects. Patients were able to perform these tests proficiently at home, and they were generally enthused to obtain more data about their intraocular health, as it allowed them a heightened sense of security and insight about their chronic disease, as well as a reduction in foreseeable barriers to care. Home monitoring may also improve upon glaucoma care by enhancing patient empowerment and fostering community bonds. VF should be further evaluated to ensure validity.

Key words

<h5>Publication Information:</h5>

References

  1. Quigley H.A. - Broman A.T.

    The number of people with glaucoma worldwide in 2010 and 2020.

    The British journal of ophthalmology. 2006; 90: 262-267

    View in Article - Scopus (0) - PubMed - Crossref - Google Scholar

  2. Gedde, S.J., et al., Primary Open-Angle Glaucoma Preferred Practice PatternĀ®. Ophthalmology, 2021. 128(1): p. P71-P150.

    View in Article - Google Scholar

  3. Kwon Y.H. - et al.

    Rate of optic disc cup progression in treated primary open-angle glaucoma.

    J Glaucoma. 2003; 12: 409-416

    View in Article - Scopus (0) - PubMed - Crossref - Google Scholar

  4. Chauhan B.C. - et al.

    Canadian Glaucoma Study: 2. risk factors for the progression of open-angle glaucoma.

    Arch Ophthalmol. 2008; 126: 1030-1036

    View in Article - Scopus (164) - PubMed - Crossref - Google Scholar

  5. Leske M.C. - et al.

    Factors for glaucoma progression and the effect of treatment: the early manifest glaucoma trial.

    Arch Ophthalmol. 2003; 121: 48-56

    View in Article - PubMed - Crossref - Google Scholar

  6. Jampel H.D.

    Target pressure in glaucoma therapy.

    J Glaucoma. 1997; 6: 133-138

    View in Article - PubMed - Crossref - Google Scholar

  7. Chauhan B.C. - et al.

    Practical recommendations for measuring rates of visual field change in glaucoma.

    Br J Ophthalmol. 2008; 92: 569-573

    View in Article - Scopus (320) - PubMed - Crossref - Google Scholar

  8. King A. - Azuara-Blanco A. - Tuulonen A.

    Glaucoma.

    BMJ : British Medical Journal. 2013; 346: f3518

    View in Article - Scopus (0) - PubMed - Crossref - Google Scholar

  9. Rein D.B. - et al.

    The Economic Burden of Major Adult Visual Disorders in the United States.

    Archives of Ophthalmology. 2006; 124: 1754-1760

    View in Article - Scopus (0) - PubMed - Crossref - Google Scholar

  10. Broadway D.C. - Tibbenham K.

    Tackling the NHS glaucoma clinic backlog issue.

    Eye (Lond). 2019; 33: 1715-1721

    View in Article - Scopus (7) - PubMed - Crossref - Google Scholar

  11. Rothman A.L. - et al.

    A Geodemographic Service Coverage Analysis of Travel Time to Glaucoma Specialists in Florida.

    J Glaucoma. 2020; 29: 1147-1151

    View in Article - Scopus (0) - PubMed - Crossref - Google Scholar

  12. Vu D.M. - et al.

    A Service Coverage Analysis of Primary Congenital Glaucoma Care Across the United States.

    American Journal of Ophthalmology. 2021; 224: 112-119

    View in Article - Scopus (0) - PubMed - Abstract - Full Text - Full Text PDF - Google Scholar

  13. Olivieri D.J. - et al.

    A Survey of Glaucoma Surgery Practice Patterns in the Veterans Health Administration.

    Military Medicine. 2020; 185: e972-e976

    View in Article - Scopus (0) - PubMed - Crossref - Google Scholar

  14. Foot B. - MacEwen C.

    Surveillance of sight loss due to delay in ophthalmic treatment or review: frequency, cause and outcome.

    Eye (London, England). 2017; 31: 771-775

    View in Article - Scopus (0) - PubMed - Crossref - Google Scholar

  15. Aspberg J. - Heijl A. - Bengtsson B.

    Screening for Open-Angle Glaucoma and Its Effect on Blindness.

    American Journal of Ophthalmology. 2021; 228: 106-116

    View in Article - Scopus (0) - PubMed - Abstract - Full Text - Full Text PDF - Google Scholar

  16. Do A.T. - et al.

    Effectiveness of Glaucoma Counseling on Rates of Follow-up and Glaucoma Knowledge in a South Indian Population.

    Am J Ophthalmol. 2016; 163: 180-189.e4

    View in Article - Scopus (0) - PubMed - Abstract - Full Text - Full Text PDF - Google Scholar

  17. Schwartz G.F. - Quigley H.A.

    Adherence and Persistence with Glaucoma Therapy.

    Survey of Ophthalmology. 2008; 53: S57-S68

    View in Article - Scopus (202) - PubMed - Abstract - Full Text - Full Text PDF - Google Scholar

  18. Varma R. - et al.

    An assessment of the health and economic burdens of glaucoma.

    American journal of ophthalmology. 2011; 152: 515-522

    View in Article - Scopus (0) - PubMed - Abstract - Full Text - Full Text PDF - Google Scholar

  19. Altangerel U. - et al.

    Knowledge about glaucoma and barriers to follow-up care in a community glaucoma screening program.

    Can J Ophthalmol. 2009; 44: 66-69

    View in Article - PubMed - Abstract - Full Text PDF - Google Scholar

  20. Che Hamzah J. - Daka Q. - Azuara-Blanco A.

    Home monitoring for glaucoma.

    Eye (Lond). 2020; 34: 155-160

    View in Article - Scopus (7) - PubMed - Crossref - Google Scholar

  21. Faes L. - Bachmann L.M. - Sim D.A.

    Home monitoring as a useful extension of modern tele-ophthalmology.

    Eye (Lond). 2020; 34: 1950-1953

    View in Article - Scopus (8) - PubMed - Crossref - Google Scholar

  22. Anderson A.J. - et al.

    Can Home Monitoring Allow Earlier Detection of Rapid Visual Field Progression in Glaucoma?.

    Ophthalmology. 2017; 124: 1735-1742

    View in Article - Scopus (31) - PubMed - Abstract - Full Text - Full Text PDF - Google Scholar

  23. Jones P.R. - et al.

    Glaucoma Home Monitoring Using a Tablet-Based Visual Field Test (Eyecatcher): An Assessment of Accuracy and Adherence Over 6 Months.

    American journal of ophthalmology. 2021; 223: 42-52

    View in Article - Scopus (0) - PubMed - Abstract - Full Text - Full Text PDF - Google Scholar

  24. Matsumoto C. - et al.

    Visual Field Testing with Head-Mounted Perimeter 'imo.

    PLoS One. 2016; 11 (p. e0161974)

    View in Article - Scopus (36) - Crossref - Google Scholar

  25. Wroblewski D. - et al.

    Testing of visual field with virtual reality goggles in manual and visual grasp modes.

    Biomed Res Int. 2014; 2014: 206082

    View in Article - Scopus (43) - PubMed - Crossref - Google Scholar

  26. Mees L. - et al.

    Validation of a Head-mounted Virtual Reality Visual Field Screening Device.

    J Glaucoma. 2020; 29: 86-91

    View in Article - Scopus (12) - PubMed - Crossref - Google Scholar

  27. Cvenkel B. - Velkovska M.A. - Jordanova V.D.

    Self-measurement with Icare HOME tonometer, patients' feasibility and acceptability.

    Eur J Ophthalmol. 2020; 30: 258-263

    View in Article - Scopus (0) - PubMed - Crossref - Google Scholar

  28. Dabasia P.L. - Lawrenson J.G. - Murdoch I.E.

    Evaluation of a new rebound tonometer for self-measurement of intraocular pressure.

    British Journal of Ophthalmology. 2016; 100: 1139

    View in Article - Scopus (0) - PubMed - Crossref - Google Scholar

  29. Virtual Reality Mobile Perimeter | Virtual Field. [Video] 2021 [cited 2022 01/02/2022]; Available from: https://home.virtualfield.io/.

    View in Article - Google Scholar

  30. Michie S. - van Stralen M.M. - West R.

    The behaviour change wheel: A new method for characterising and designing behaviour change interventions.

    Implementation Science. 2011; 6: 42

    View in Article - Scopus (3847) - PubMed - Crossref - Google Scholar

  31. Braun V., Clarke V.

    Using thematic analysis in psychology.

    Qualitative Research in Psychology. 2006; 3: 77-101

    View in Article - Scopus (60110) - Crossref - Google Scholar

  32. Birt C.M., et al.

    Analysis of Reliability Indices from Humphrey Visual Field Tests in an Urban Glaucoma Population.

    Ophthalmology. 1997; 104: 1126-1130

    View in Article - PubMed - Abstract - Full Text PDF - Google Scholar

  33. Bagga H. , Liu J.H. , Weinreb R.N.

    Intraocular pressure measurements throughout the 24 h.

    Curr Opin Ophthalmol. 2009; 20: 79-83

    View in Article - Scopus (57) - PubMed - Crossref - Google Scholar

  34. Liu J D.F.T., Schlenker M., Ahmed I.I.

    Icare Home Tonometer: A Review of Characteristics and Clinical Utility.

    Clin Ophthalmol. 2020; 14: 4031-4045

    View in Article - Scopus (6) - PubMed - Crossref - Google Scholar

self-tonometry vft:visual-field-test home-monitoring • 608 views
ADD COMMENTlink

Login before adding your answer.

Traffic: 14 users visited in the last hour

Use of this site constitutes acceptance of our User Agreement and Privacy Policy.