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Abstract #46083 Published in IGR 13-2
The effect of introducing the Icare tonometer in a pediatric ophthalmology clinic
Grigorian F; Grigorian AP; Olitsky SEJournal of AAPOS 2011; 15: 20
Purpose: To demonstrate that the introduction of Icare rebound tonometry in a pediatric ophthalmology clinic resulted in less need for performing examinations under anesthesia to evaluate children with glaucoma. Methods: A retrospective, comparative study of the numbers of EUA's and office visits with IOP check was performed during 3 time periods: before introduction of the Icare rebound tonometer, during the learning period and after the use of the device was well established. The operative reports during each of these periods were reviewed. The number of EUA's done to evaluate the IOP for glaucoma management and the clinic visits when the IOP was checked were collected. Results: 87 patients were enrolled. 49 patients met criteria in the first period and 58 in the third period. The average age for the first period was 4.2 years, and for the third period was 4.9 years (p = 0.3). The numbers of EUA performed before and after the introduction of Icare was 58 and 19 respectively (p = 0.0002). The number of office visits when IOP was measured increased from 37 to 151. The middle period had intermediate data and suggested a trend and also a short learning period. Conclusions: The use of Icare tonometry decreased the need of EUA to evaluate children with glaucoma. This decrease not only limits the need for general anesthesia in young children but increases operating room efficiency for the surgeon and families.
F. Grigorian.
Classification:
9.1.2 Juvenile glaucoma (Part of: 9 Clinical forms of glaucomas > 9.1 Developmental glaucomas)
6.1.1 Devices, techniques (Part of: 6 Clinical examination methods > 6.1 Intraocular pressure measurement; factors affecting IOP)
