Draeger J, Groenhoff S
Universitäts-Augenklinik, Hamburg, Bundersrepublik Deutschland.
Fortschr Ophthalmol. 1990;87(6):688-91.
Since 1975, four selected glaucoma patients and their relatives have attended the Department of Ophthalmology at Hamburg University, for instruction in home tonometry using the Draeger motor-driven hand applanation tonometer. Two glaucoma patients whose intraocular pressure (IOP) was measured by their physicians were also included, in order to analyse long-term monitoring of the IOP by medical staff. Home tonometry has been performed over several years and has proved to be a reliable and precise diagnostic tool allowing valuable treatment and close follow-up of glaucoma, especially in severe forms of glaucoma. The benefits of patient's participation in their own disease monitoring, e.g., self-measurement of blood pressure in patients with arterial hypertension, show that such involvement can lead to more diagnostic security and better compliance. On the basis of applanation tonometry calibrated by Goldmann, new concepts of microprocessor-controlled assessment of the applanation area are outlined. These sensor tonometers will allow automatic, precise and fast self-measurement of the intraocular pressure, opening up new perspectives in the management of glaucoma.
自1975年以来，四名选定的青光眼患者及其亲属前往汉堡大学眼科，接受使用德尔格电动手持式压平眼压计进行家庭眼压测量的指导。还纳入了两名由医生测量眼压的青光眼患者，以便分析医务人员对眼压的长期监测情况。家庭眼压测量已经进行了数年，事实证明它是一种可靠且精确的诊断工具，有助于对青光眼进行有价值的治疗和密切随访，尤其是在严重的青光眼病例中。患者参与自身疾病监测的益处，例如动脉高血压患者自我测量血压，表明这种参与可以带来更高的诊断安全性和更好的依从性。基于戈德曼校准的压平眼压测量法，概述了微处理器控制的压平面积评估的新概念。这些传感器眼压计将能够自动、精确且快速地自我测量眼压，为青光眼的管理开辟新的前景。
