Rohit Sharma
Burton Hospitals NHS Foundation Trust, England
Title: 24 hour IOP monitoring –concepts & an overview including Triggerfish
Biography
Biography: Rohit Sharma
Abstract
Intraocular pressure (IOP) is still one of the most important modifiable risk factors for glaucoma progression. Hence naturally,
the measurement, monitoring of IOP & its lowering by various methods (surgical, medical, laser) remains the mainstay
of effective management of this potentially blinding chronic condition. Goldmann applanation tonometry remains the gold
standard but a single IOP measurement in the clinic during office hours cannot account for the diurnal variation, nocturnal
IOP profile & postural variations which have all been found to be important. Though many of these need development, the
developments are exciting. Triggerfish (Sensimed), a contact lens sensor (CLS) is an exciting & innovative device to monitor
the 24-hour IOP. Though there are some inherent assumptions and limitations of this technology, the potential, safety and
reproducibility profile is very good. I have led the successful setting up of the first triggerfish centre in NHS England along
with my team. The potential advantages as well as the limitations of this triggerfish technology & the other methods/attempts
to address this unmet of 24 hour IOP monitoring will be discussed.