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Beyond the Clinic: Home-Based Monitoring Strategies in Glaucoma Care
Amey Kamdar1, Swarup S Swaminathan2
1Dr. Kamdar's Eye Clinic and Jashem Eye Institute, Mumbai, India.
International Ophthalmology Clinics
|June 18, 2026
Summary
Home monitoring for glaucoma using self-tonometry and visual field testing offers a feasible way to track disease progression. These digital health tools capture dynamic changes, aiding diagnosis and treatment decisions for better patient management.
Area of Science:
- Ophthalmology
- Digital Health
- Medical Technology
Background:
- Glaucoma is a chronic optic neuropathy requiring lifelong monitoring.
- Traditional in-office assessments offer limited snapshots of dynamic disease progression.
- Portable technologies enable new possibilities for home-based glaucoma surveillance.
Purpose of the Study:
- To review current evidence on home monitoring for glaucoma.
- To focus on self-tonometry and home-based visual field testing.
- To assess the feasibility and clinical relevance of these modalities.
Main Methods:
- Review of current literature on glaucoma home monitoring.
- Focus on handheld tonometers (e.g., iCare HOME) for intraocular pressure (IOP) measurement.
- Analysis of tablet-based and VR-based platforms for visual field testing.
Main Results:
- Home tonometry devices show good agreement with gold standard measurements.
- Self-tonometry captures diurnal IOP variations, informing clinical decisions.
- Home visual field testing demonstrates comparable repeatability and sensitivity to standard perimetry.
- Frequent home testing may enable earlier detection of glaucoma progression.
Conclusions:
- Home monitoring of glaucoma via self-tonometry and visual field testing is feasible and clinically relevant.
- These technologies provide valuable insights into disease dynamics.
- Challenges include patient compliance and cost-effectiveness.
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