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Adapting to Coronavirus Disease 2019 With Point-of-Care Outdoor Intraocular Pressure Monitoring

Educational Objective
To identify the key insights or developments described in this article
1 Credit CME

Ophthalmology has experienced the largest percentage decrease in visits of all ambulatory subspecialties during the coronavirus disease 2019 (COVID-19) pandemic.1 Intraocular pressure (IOP) levels are difficult to measure in the telehealth setting. However, these data are critical in guiding the care of patients with glaucoma, patients receiving long-term steroid therapy, patients with chronic ocular inflammatory disease, and those in an ophthalmologic postoperative period. In these instances, determination of IOP alone might allow for the assessment of appropriateness of a telehealth visit. In our opinion, this may be especially beneficial for the most vulnerable populations, including those with advanced age and comorbidities.

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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Accepted for Publication: November 12, 2020.

Published Online: January 7, 2021. doi:10.1001/jamaophthalmol.2020.6073

Corresponding Author: Miel Sundararajan, MD, Francis I. Proctor Foundation, Department of Ophthalmology, University of California, San Francisco, 490 Illinois St, Floor 2, San Francisco, CA 94158 (miel.sundararajan@ucsf.edu).

Author Contributions: Drs Sundararajan and Seitzman had full access to all the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

Concept and design: Sundararajan, Lopez, Redd, Seitzman.

Acquisition, analysis, or interpretation of data: Sundararajan, Nguyen, Lopez, Moussa, Seitzman.

Drafting of the manuscript: Sundararajan, Lopez, Moussa, Redd, Seitzman.

Critical revision of the manuscript for important intellectual content: Sundararajan, Nguyen, Lopez, Redd, Seitzman.

Statistical analysis: Sundararajan, Seitzman.

Administrative, technical, or material support: All authors.

Supervision: Lopez, Seitzman.

Conflict of Interest Disclosures: Dr Seitzman reported personal fees from Dompé US outside the submitted work. No other disclosures were reported.

Funding/Support: This work was made possible by the National Eye Institute (grant P30 EY002162; Core Grant for Vision Research) and an unrestricted grant from Research to Prevent Blindness.

Role of the Funder/Sponsor: Core Grant for Vision Research and Research to Prevent Blindness contributed to the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.

References
1.
Strata Decision Technology. National patient and procedure volume tracker. Published May 11, 2020. Accessed November 8, 2020. https://www.stratadecision.com/wp-content/uploads/2020/05/National-Patient-and-Procedure-Volume-Tracker-and-Report_May2020.pdf
2.
Fernandes  P , Díaz-Rey  JA , Queirós  A , Gonzalez-Meijome  JM , Jorge  J .  Comparison of the ICare rebound tonometer with the Goldmann tonometer in a normal population.   Ophthalmic Physiol Opt. 2005;25(5):436-440. doi:10.1111/j.1475-1313.2005.00327.xPubMedGoogle ScholarCrossref
3.
Munkwitz  S , Elkarmouty  A , Hoffmann  EM , Pfeiffer  N , Thieme  H .  Comparison of the iCare rebound tonometer and the Goldmann applanation tonometer over a wide IOP range.   Graefes Arch Clin Exp Ophthalmol. 2008;246(6):875-879. doi:10.1007/s00417-007-0758-3PubMedGoogle ScholarCrossref
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