Thaprawat Pariyamon, Dugan Sarah P, Zhang Amy D
Department of Ophthalmology and Visual Sciences, W. K. Kellogg Eye Center, University of Michigan Medical School, Ann Arbor, MI, USA.
Department of Ophthalmology, Casey Eye Institute, Oregon Health and Science University, Portland, OR, USA.
Clin Ophthalmol. 2025 Jan 21;19:199-207. doi: 10.2147/OPTH.S501234. eCollection 2025.
To understand patient experiences using the iCare HOME tonometer through assessing ease of use, device usage patterns, proficiency, and patient comments.
We conducted a prospective survey-based cohort study of 19 patients (35 eyes) with glaucoma or glaucoma suspect diagnoses. Patients received training on home tonometer usage and were loaned the device for one week to measure intraocular pressure at home multiple times daily. Participants completed a journal and survey at the end of the study period.
On average, participants measured intraocular pressure ≥4 times per eye each day (4.19±1.54 OD and 4.06±1.41 OS). Most found the home tonometer moderately or very easy to use (75% total, 31% and 44% respectively) and would be happy to use the device in the future (94%). The home tonometer was deemed comfortable to use (94%). Most participants were able to use the device without assistance from another person (88%). Many felt that they became proficient at using the home tonometer (94%) and proficiency was achieved typically by day 3 of usage. Patient comments provided insight into sources of difficulty in usage and motivations for home tonometry.
Home tonometry was easy to use and comfortable for most patients with proficiency in usage quickly achieved by day 3. Surveying patient perspectives revealed sources of difficulties in home tonometer usage. Patients were eager to obtain home intraocular pressure measurements that could help with disease management.
通过评估易用性、设备使用模式、熟练程度和患者反馈，了解患者使用iCare HOME眼压计的体验。
我们对19例青光眼或疑似青光眼患者（35只眼）进行了一项基于前瞻性调查的队列研究。患者接受了家用眼压计使用培训，并被借出该设备一周，以便在家中每天多次测量眼压。参与者在研究期结束时完成了一本日志和一份调查问卷。
平均而言，参与者每只眼睛每天测量眼压≥4次（右眼4.19±1.54，左眼4.06±1.41）。大多数人认为家用眼压计使用起来中等容易或非常容易（总计75%，分别为31%和44%），并且愿意在未来使用该设备（94%）。家用眼压计被认为使用起来很舒适（94%）。大多数参与者能够在没有他人帮助的情况下使用该设备（88%）。许多人觉得他们在使用家用眼压计方面变得熟练（94%），并且通常在使用的第3天就达到了熟练程度。患者的反馈提供了对使用困难来源和家用眼压测量动机的见解。
家用眼压测量对大多数患者来说易于使用且舒适，到第3天即可快速达到使用熟练程度。调查患者的观点揭示了家用眼压计使用中的困难来源。患者渴望获得能够帮助疾病管理的家庭眼压测量值。
