Mali Yasmin P, Rotruck Jill C, Bitner Derek P, Freedman Sharon F
Golisano Children's Hospital of Southwest Florida, Fort Myers, Florida.
Duke University Eye Center, Durham, North Carolina.
J AAPOS. 2018 Aug;22(4):319-321.e3. doi: 10.1016/j.jaapos.2018.01.004. Epub 2018 Mar 13.
Home rebound tonometry is a beneficial tool for the management of childhood glaucoma, yet is not commonly used. In this study, 29 childhood glaucoma patients were recruited for twice daily home intraocular pressure (IOP) monitoring using an Icare rebound tonometer. Home rebound tonometry data prompted and/or validated glaucoma-related surgery in 16 patients (55%) and medication change in 22 patients (76%). According to survey responses, 84% of parents or patients (n = 83) would be interested in home tonometry, and 80% of physicians (n = 48) agreed that home tonometry would improve their ability to manage patients; however, only 14% of physicians currently lend tonometers for this purpose, largely due to financial concerns.
家庭回弹式眼压测量法是管理儿童青光眼的一种有益工具，但并不常用。在本研究中，招募了29名儿童青光眼患者，使用Icare回弹式眼压计进行每日两次的家庭眼压监测。家庭回弹式眼压测量数据促使并/或验证了16例患者（55%）进行青光眼相关手术，22例患者（76%）进行药物调整。根据调查反馈，84%的父母或患者（n = 83）对家庭眼压测量感兴趣，80%的医生（n = 48）同意家庭眼压测量会提高他们管理患者的能力；然而，目前只有14%的医生为此目的出借眼压计，主要是出于经济方面的考虑。
