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Updated: Jul 13, 2026
05:05
Ultrasound Cyclo Plasty in Eyes with Glaucoma
Published on: January 26, 2018
[Self-medication with local anaesthetics by glaucoma patients using teletonometry].
G Schäffner1, S Antal, C Jürgens
1Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Greifswald der Ernst-Moritz-Arndt-Universität, AöR, Greifswald.
Summary
Glaucoma patients can safely self-administer topical anesthetics for self-tonometry, with most experiencing only minor, temporary side effects. Regular ophthalmological check-ups are crucial for safe home use of these eye drops.
Area of Science:
- Ophthalmology
- Clinical Pharmacology
Background:
- Self-tonometry is increasingly important for glaucoma management.
- Home application of topical anesthetics is necessary for contact self-tonometry.
- Concerns exist regarding the safety of patient self-medication with local anesthetics.
Purpose of the Study:
- To evaluate the local tolerability of topical anesthetics used by glaucoma patients during self-tonometry.
- To assess the safety and side effect profile of proparacaine eyedrops in a home-use setting.
Main Methods:
- A prospective clinical study involving 100 glaucoma patients over 1 year.
- Patients performed self-tonometry for at least 6 months using a modified tonometer.
- Proparacaine-HCl 0.5% eyedrops were self-administered before each measurement, with tolerability assessed via a standardized questionnaire and visual analogue scales.
Main Results:
- Data from 83 patients showed good tolerability; only two experienced allergic reactions requiring a change in anesthetic.
- Most participants (91.5%) reported subjective symptoms of mild intensity.
- Minor conjunctival hyperemia was the most frequent side effect, typically resolving within 1 hour.
Conclusions:
- Self-medication with topical anesthetics for self-tonometry on undamaged ocular surfaces is generally safe for glaucoma patients.
- The practice requires adherence to routine ophthalmological examinations and recommendations.
- Integrating self-tonometry into modern glaucoma management requires comprehensive care concepts.
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