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Home assessment of diurnal intraocular pressure in healthy children using the Icare rebound tonometer.

Publication ,  Journal Article
Hsiao, Y-C; Dzau, JR; Flemmons, MS; Asrani, S; Jones, S; Freedman, SF
Published in: J AAPOS
February 2012

BACKGROUND: Although intraocular pressure (IOP) is known to vary with the circadian cycle in nonglaucomatous and glaucomatous eyes of adults, the clinical assessment of IOP often relies on periodic measurements obtained at office visits during daytime hours. Little has been reported on diurnal IOP patterns in healthy children. The purpose of this study was to evaluate diurnal IOP in normal eyes of healthy children with the Icare rebound tonometer and when recorded by a parent at home. METHODS: This was a prospective study of IOP in normal eyes of healthy children. Children were recruited from a pediatric eye clinic. A parent was instructed on the use of the Icare rebound tonometer by a study physician and demonstrated proficiency its use in the clinic, at which time a masked IOP reading was also made with Goldmann applanation by a different study clinician. Home IOPs were then obtained and recorded 6 times daily at 2- to 3-hours intervals during 2 consecutive days by a parent. RESULTS: A total of 22 normal eyes (of 11 children) were included. We found that children without glaucoma demonstrate mean diurnal IOP fluctuation of 4-6 mm Hg, with similar IOP between right and left eyes, fair repeatability between consecutive days, and a tendency for higher early morning and lower late evening IOP. CONCLUSIONS: Healthy children without glaucoma demonstrate some diurnal fluctuation in IOP, comparable with that reported in nonglaucomatous eyes of adults. This information should prove as comparative for assessment of IOP fluctuation in children with known or suspected glaucoma.

Duke Scholars

Published In

J AAPOS

DOI

EISSN

1528-3933

Publication Date

February 2012

Volume

16

Issue

1

Start / End Page

58 / 60

Location

United States

Related Subject Headings

  • Tonometry, Ocular
  • Reproducibility of Results
  • Prospective Studies
  • Ophthalmology & Optometry
  • Male
  • Intraocular Pressure
  • Humans
  • Home Care Services
  • Female
  • Circadian Rhythm
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Hsiao, Y.-C., Dzau, J. R., Flemmons, M. S., Asrani, S., Jones, S., & Freedman, S. F. (2012). Home assessment of diurnal intraocular pressure in healthy children using the Icare rebound tonometer. J AAPOS, 16(1), 58–60. https://doi.org/10.1016/j.jaapos.2011.10.005
Hsiao, Ya-Chuan, Jacqueline R. Dzau, Meghan S. Flemmons, Sanjay Asrani, Sarah Jones, and Sharon F. Freedman. “Home assessment of diurnal intraocular pressure in healthy children using the Icare rebound tonometer.J AAPOS 16, no. 1 (February 2012): 58–60. https://doi.org/10.1016/j.jaapos.2011.10.005.
Hsiao Y-C, Dzau JR, Flemmons MS, Asrani S, Jones S, Freedman SF. Home assessment of diurnal intraocular pressure in healthy children using the Icare rebound tonometer. J AAPOS. 2012 Feb;16(1):58–60.
Hsiao, Ya-Chuan, et al. “Home assessment of diurnal intraocular pressure in healthy children using the Icare rebound tonometer.J AAPOS, vol. 16, no. 1, Feb. 2012, pp. 58–60. Pubmed, doi:10.1016/j.jaapos.2011.10.005.
Hsiao Y-C, Dzau JR, Flemmons MS, Asrani S, Jones S, Freedman SF. Home assessment of diurnal intraocular pressure in healthy children using the Icare rebound tonometer. J AAPOS. 2012 Feb;16(1):58–60.
Journal cover image

Published In

J AAPOS

DOI

EISSN

1528-3933

Publication Date

February 2012

Volume

16

Issue

1

Start / End Page

58 / 60

Location

United States

Related Subject Headings

  • Tonometry, Ocular
  • Reproducibility of Results
  • Prospective Studies
  • Ophthalmology & Optometry
  • Male
  • Intraocular Pressure
  • Humans
  • Home Care Services
  • Female
  • Circadian Rhythm