Eyeworld

26 | EYEWORLD BONUS ISSUE | FEBRUARY 2025 G UCOMA by Liz Hillman Editorial Co-Director About the physicians Thomas Johnson III, MD, PhD Associate Professor of Ophthalmology Wilmer Eye Institute Johns Hopkins University Baltimore, Maryland Barbara Wirostko, MD Adjunct Professor John A. Moran Eye Center University of Utah Salt Lake City, Utah Relevant disclosures Johnson: Alcon, iCare Wirostko: iCare, MyEyes, Qlaris snapshot of what their pressure is at that point in time, but it's likely to be different at different points of the day and on different days." Information from home tonometry, said Barbara Wirostko, MD, has allowed oph- thalmologists to go from reactionary to being proactive. "The key here is up until now, and I think this is a pivotal concept, we have been reactionary. If we have a patient, even if they have pressures in the normal range or teens, a lot of times we wait until we see damage," she said. "I think what these monitoring systems allow us to do … is if we know the pressure is fluctuating, … it now allows us to be proactive and preventative." Home IOP monitoring influences clinical care and glaucoma research G laucoma specialists have now had the opportunity to come into the 21st century alongside some of the physicians in other medical special- ties who have long used home mon- itoring devices to collect information on their patients' conditions to better inform treatment. For endocrinologists, it was home glucose monitoring, and for cardiologists, home blood pressure cuffs and Holter monitors. For the glau- coma specialist, the tech that is influencing both individual patient care and curating data for a growing body of research is home tonometry. "The most important thing we do as glauco- ma specialists is control the intraocular pressure because at the end of the day, that is the only modifiable risk factor for the disease. One of the key pieces of information to know whether the patient is being adequately treated or not is their intraocular pressure," said Thomas Johnson III, MD, PhD. "Standard of care right now is to measure their intraocular pressure in the office when they come in for visits, and generally, we know that varies from minute to minute, hour to hour, day to day. When we are seeing patients in clinic, we are getting a Read more! This story continues online with applications for home IOP monitoring in the clinic and in research, perspectives on implantables, and additional physicians sharing their thoughts. " When we are seeing patients in clinic, we are getting a snapshot of what their pressure is at that point in time, but it's likely to be different at different points of the day and on different days." —Thomas Johnson III, MD, PhD iCare HOME2 measuring IOP Source: Thomas Johnson III, MD, PhD Contact Johnson: johnson@jhmi.edu Wirostko: barbara.wirostko@hsc.utah.edu

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