Home Monitoring for Glaucoma: Current Applications and Future Directions

Aboobakar, Inas F.; Friedman, David S.

doi:10.1080/08820538.2021.1896759

Cited by 20 publications

(22 citation statements)

References 56 publications

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“…Such an application would allow at-home monitoring, reducing a potential barrier to access glaucoma screening and monitoring. COVID-19 has taught us the importance of remote health evaluation and telemedicine [ 4 ]. Developing countries, or remote/disadvantaged communities within developed countries, may suffer from lack of access to expensive, dedicated machinery or specialised, highly trained eye health professionals [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Online circular contrast perimetry via a web-application: optimising parameters and establishing a normative database

Skalicky

Bigirimana

Busija³

2022

Eye

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Purpose To establish a normative database and optimise parameters for personal-computer based perimetry via a web-application using circular contrast targets. Methods Online 24-degree 52-loci perimetry was delivered through a web-application using circular flickering contrast targets. Embedding contrast differentials within targets allows calculation of relative decibel (rdB) per 256-bit greyscale level differential. Target light-band maximum brightness colour was fixed, while the dark-band varied to achieve the desired rdB level. A staircase system was used with two reversals ranging from 0 to 36 rdB levels. Blind spot localisation at the start of the test was used to optimise viewing distance and subsequently count fixation losses. Gaze was maintained on a spinning golden star which moves mid-test to maximise sampling area. Patients performed the test to each eye separately using a computer in a darkened room at 40–45 cm. Results 158 eyes of 101 patients completed the Online Circular Contrast Perimetry (OCCP) test. Mean age was 62.9 ± 14.3 years old. Mean sensitivity reduced with age, at 1.0 relative decibel per decade. Mean sensitivity per locus correlated with standard automated perimetry (SAP) in a physiological hill of vision, with an average difference of 4.02 decibels (95% confidence interval (CI) = 3.77–4.27, p < 0.001) and good agreement between tests. Conclusions Online circular contract perimetry provides accurate perimetric testing with comparable results to standard automated perimetry.

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Section: Introductionmentioning

confidence: 99%

Online circular contrast perimetry via a web-application: optimising parameters and establishing a normative database

Skalicky

Bigirimana

Busija³

2022

Eye

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“…With the help of smart phones, tablets, and computers, visual acuity can be tested by patients in their homes. Applications such as Peek Acuity, OdySight, Vision@Home, and Snellen mobile charts have demonstrated agreement with gold-standard measurements 17. Optic disc imaging can likewise be obtained at home with portable devices and smartphone adapters.…”

Section: Models Of Telehealth In Glaucomamentioning

confidence: 92%

Is Telehealth Here to Stay? The Role of Telehealth in the Screening, Diagnosis, and Management of Glaucoma

Gandy¹,

Petrakos²,

Tassel³

2022

International Ophthalmology Clinics

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“…Long-term glaucoma monitoring relies upon physical examination findings (e.g., IOP measurement, gonioscopy, optic nerve assessment) and extensive ancillary testing (e.g., CCT, perimetry, and imaging of the retinal nerve fiber layer and macula) [ 62 ▪ ]. Currently available tools for home-based glaucoma monitoring, including rebound tonometry and remote perimetry, are either inadequately validated or limited by expense [ 54 ▪ , 56 ▪ , 57 ▪ ]. Poor vision, lack of access to and familiarity with digital health platforms, and poor internet connectivity may also limit patients’ ability to utilize teleglaucoma.…”

Section: Improving Glaucoma Carementioning

confidence: 99%

How glaucoma care changed for the better after the pandemic

Vinod

Sidoti

2021

Current Opinion in Ophthalmology

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Purpose of review The current article reviews enhancements to the delivery of glaucoma care that developed in response to the coronavirus disease 19 (COVID-19) pandemic and are likely to persist beyond its resolution. Recent findings Literature from the review period (2020–2021) includes reports highlighting contributions of the ophthalmology community to global health during the pandemic. Glaucoma practices worldwide have instituted more robust infection control measures to mitigate severe acute respiratory syndrome coronavirus 2 transmission in the outpatient setting, and many of these modifications will endure in the post-COVID era. Operational adjustments have led to the provision of more efficient glaucoma care. A hybrid care model involving technician-based diagnostic testing and subsequent virtual consultation with a glaucoma specialist has evolved as a useful adjunct to traditional face-to-face encounters with patients. Summary Glaucoma specialists, patients, and staff have adapted to a ‘new normal’ of glaucoma care delivery during the COVID-19 pandemic. Although innovation has propelled several improvements to glaucoma care during this global health crisis, significant barriers to more widespread implementation of teleglaucoma still exist. Whether, and in what capacity, the pandemic has permanently altered glaucoma practice patterns remains to be seen.

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Home Monitoring for Glaucoma: Current Applications and Future Directions

Cited by 20 publications

References 56 publications

Online circular contrast perimetry via a web-application: optimising parameters and establishing a normative database

Online circular contrast perimetry via a web-application: optimising parameters and establishing a normative database

Is Telehealth Here to Stay? The Role of Telehealth in the Screening, Diagnosis, and Management of Glaucoma

How glaucoma care changed for the better after the pandemic

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