A study indicated that 24-hour IOP recordings via a contact lens sensor may be associated with prior rates of visual field progression of glaucoma.
Researchers used 24-hour recordings of IOP-related patterns collected via a contact lens sensor (CLS) system. Patients who underwent at least three prior reliable visual field tests were examined.
Participants included 445 patients (445 eyes) with treated, manifest open-angle glaucoma. Of those, 238 were women (53.5%) and 394 were white (88.5%). Mean age at the time of CLS recordings was 68.9 years.
The mean rate of mean deviation change was -0.46 (0.5) dB/y in 5.2 (3) years of follow-up.
The following CLS variables were associated with fast visual field progression: mean peak ratio while awake, number of long peaks during sleep, night bursts ocular pulse frequency SD and night bursts ocular pulse amplitude.
The researchers also noted that these variables performed better than the Goldmann IOP readings taken during follow-up.
“It is ... possible that CLS-derived signals reflect not only the pressure-related component of glaucomatous damage, but also the susceptibility of ocular tissues to pressure,” researchers wrote.
They concluded that, “the CLS may be useful to assess the risk of future functional loss, even in situations when insufficient historical visual field information is available.” – by Abigail Sutton
Disclosures: De Moraes has received research support from Heidelberg Engineering GmBH, Carl Zeiss Meditec Inc. and Topcon Inc. Please see the full study for all remaining authors’ financial disclosures.