Carolina N Susanna, Fernanda N Susanna, Laura Goldfarb Cyrino, Renato Antunes Schiave Germano, Remo Susanna, Pradeep Y Ramulu, Marcelo Hatanaka
{"title":"Icare HOME眼压计与Goldmann眼压计在饮水试验中评估眼压峰值的一致性。","authors":"Carolina N Susanna, Fernanda N Susanna, Laura Goldfarb Cyrino, Renato Antunes Schiave Germano, Remo Susanna, Pradeep Y Ramulu, Marcelo Hatanaka","doi":"10.1016/j.ogla.2024.11.008","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the agreement between the ICare HOME tonometer and the Goldmann Applanation Tonometer (GAT) in assessing the peak intraocular pressure (IOP) during the water-drinking test (WDT).</p><p><strong>Design: </strong>Prospective cross-sectional study.</p><p><strong>Subjects: </strong>Seventy-nine eyes of 41 open-angle glaucoma patients were included in the study.</p><p><strong>Methods: </strong>All of the included patients underwent a training session provided by ophthalmologist specialists to use the ICare HOME tonometer. Then the IOP was first measured with the GAT (AT900; Haag-Streit) by a trained physician, immediately followed by ICare HOME tonometer (TA022, ICare Oy) measurement by the patient. Four measurements were taken with each device with 15-minute differences as established by the WDT.</p><p><strong>Main outcome measures: </strong>The agreement and degree of correlation of the peak IOP by both tonometers were assessed.</p><p><strong>Results: </strong>The agreement between the ICare HOME and GAT was high during the WDT: the intraclass correlation coefficient (r) between the 2 methods from basal to 45 minutes: 0.94 (P < 0.001), at basal: 0.91 (P < 0.001), at 15 minutes: 0.94 (P < 0.001), at 30 minutes: 0.94 (P < 0.001), at 45 minutes: 0.95 (P < 0.001), and for peak IOP: 0.94 (P < 0.001). There was no significant difference between peak IOP with the GAT and ICare HOME (18.3 ± 4.6 [10-33] and 18.5 ± 5.0 [0-33], respectively, P = 0.533), nor between the delta of fluctuation between basal and peak IOP with the GAT and ICare HOME (3.96 ± 3.22 and 4.54 ± 3.92, P = 0.054).</p><p><strong>Conclusions: </strong>Our study demonstrated a high agreement between the ICare HOME and the GAT during the WDT in a clinical environment with supervision.</p><p><strong>Financial disclosure(s): </strong>The authors have no proprietary or commercial interest in any materials discussed in this article.</p>","PeriodicalId":56368,"journal":{"name":"Ophthalmology. Glaucoma","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Agreement between the ICare HOME Tonometer and the Goldmann Applanation Tonometer in the Assessment of the Peak Intraocular Pressure in the Water-Drinking Test.\",\"authors\":\"Carolina N Susanna, Fernanda N Susanna, Laura Goldfarb Cyrino, Renato Antunes Schiave Germano, Remo Susanna, Pradeep Y Ramulu, Marcelo Hatanaka\",\"doi\":\"10.1016/j.ogla.2024.11.008\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To investigate the agreement between the ICare HOME tonometer and the Goldmann Applanation Tonometer (GAT) in assessing the peak intraocular pressure (IOP) during the water-drinking test (WDT).</p><p><strong>Design: </strong>Prospective cross-sectional study.</p><p><strong>Subjects: </strong>Seventy-nine eyes of 41 open-angle glaucoma patients were included in the study.</p><p><strong>Methods: </strong>All of the included patients underwent a training session provided by ophthalmologist specialists to use the ICare HOME tonometer. Then the IOP was first measured with the GAT (AT900; Haag-Streit) by a trained physician, immediately followed by ICare HOME tonometer (TA022, ICare Oy) measurement by the patient. Four measurements were taken with each device with 15-minute differences as established by the WDT.</p><p><strong>Main outcome measures: </strong>The agreement and degree of correlation of the peak IOP by both tonometers were assessed.</p><p><strong>Results: </strong>The agreement between the ICare HOME and GAT was high during the WDT: the intraclass correlation coefficient (r) between the 2 methods from basal to 45 minutes: 0.94 (P < 0.001), at basal: 0.91 (P < 0.001), at 15 minutes: 0.94 (P < 0.001), at 30 minutes: 0.94 (P < 0.001), at 45 minutes: 0.95 (P < 0.001), and for peak IOP: 0.94 (P < 0.001). There was no significant difference between peak IOP with the GAT and ICare HOME (18.3 ± 4.6 [10-33] and 18.5 ± 5.0 [0-33], respectively, P = 0.533), nor between the delta of fluctuation between basal and peak IOP with the GAT and ICare HOME (3.96 ± 3.22 and 4.54 ± 3.92, P = 0.054).</p><p><strong>Conclusions: </strong>Our study demonstrated a high agreement between the ICare HOME and the GAT during the WDT in a clinical environment with supervision.</p><p><strong>Financial disclosure(s): </strong>The authors have no proprietary or commercial interest in any materials discussed in this article.</p>\",\"PeriodicalId\":56368,\"journal\":{\"name\":\"Ophthalmology. 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Agreement between the ICare HOME Tonometer and the Goldmann Applanation Tonometer in the Assessment of the Peak Intraocular Pressure in the Water-Drinking Test.
Purpose: To investigate the agreement between the ICare HOME tonometer and the Goldmann Applanation Tonometer (GAT) in assessing the peak intraocular pressure (IOP) during the water-drinking test (WDT).
Design: Prospective cross-sectional study.
Subjects: Seventy-nine eyes of 41 open-angle glaucoma patients were included in the study.
Methods: All of the included patients underwent a training session provided by ophthalmologist specialists to use the ICare HOME tonometer. Then the IOP was first measured with the GAT (AT900; Haag-Streit) by a trained physician, immediately followed by ICare HOME tonometer (TA022, ICare Oy) measurement by the patient. Four measurements were taken with each device with 15-minute differences as established by the WDT.
Main outcome measures: The agreement and degree of correlation of the peak IOP by both tonometers were assessed.
Results: The agreement between the ICare HOME and GAT was high during the WDT: the intraclass correlation coefficient (r) between the 2 methods from basal to 45 minutes: 0.94 (P < 0.001), at basal: 0.91 (P < 0.001), at 15 minutes: 0.94 (P < 0.001), at 30 minutes: 0.94 (P < 0.001), at 45 minutes: 0.95 (P < 0.001), and for peak IOP: 0.94 (P < 0.001). There was no significant difference between peak IOP with the GAT and ICare HOME (18.3 ± 4.6 [10-33] and 18.5 ± 5.0 [0-33], respectively, P = 0.533), nor between the delta of fluctuation between basal and peak IOP with the GAT and ICare HOME (3.96 ± 3.22 and 4.54 ± 3.92, P = 0.054).
Conclusions: Our study demonstrated a high agreement between the ICare HOME and the GAT during the WDT in a clinical environment with supervision.
Financial disclosure(s): The authors have no proprietary or commercial interest in any materials discussed in this article.
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