Clinical Scorecard: Glaucoma: Diagnostic Device Homeruns

At a Glance

Key Highlights

• Corneal hysteresis is a key biomarker for glaucoma risk assessment.
• Electroretinography (ERG) is valuable in advanced glaucoma for functional testing.
• OCT-A provides insights into disease activity through vessel density changes.
• Anterior segment-OCT aids in evaluating angle dynamics in glaucoma suspects.
• Home tonometry may uncover IOP spikes not detected in the clinic.

Guideline-Based Recommendations

Diagnosis

• Use corneal hysteresis measurements for glaucoma risk assessment.
• Incorporate ERG for functional evaluation in advanced glaucoma.

Management

• Utilize OCT-A for monitoring disease progression.
• Consider anterior segment-OCT for surgical evaluations.

Monitoring & Follow-up

• Implement home tonometry for continuous IOP monitoring.
• Explore contact lens-based IOP monitors for circadian pressure mapping.

Risks

• Lower corneal hysteresis is associated with faster progression of glaucoma.

Patient & Prescribing Data

Patients with glaucoma or suspected glaucoma.

Technology application is crucial for personalized glaucoma management.

Clinical Best Practices

• Leverage multiple diagnostic tools to assess and monitor glaucoma effectively.
• Stay updated on emerging technologies like Doppler OCT for assessing blood flow.

References

• Corneal Hysteresis as a Biomarker of Glaucoma
• Evaluation of Inner Retinal Function in Glaucoma
• Measurement Floors and Dynamic Ranges of OCT
• Anterior Chamber Angle Features in Glaucoma
• Retinal Blood Flow Reduction in Normal-Tension Glaucoma
• Home Self-tonometry Trials in Glaucoma Patients
• Hydrogel-Based Smart Contact Lens for IOP Monitoring