Intraocular Pressure Monitoring Using an Intraocular Sensor Before and After Glaucoma Surgery

Saxby, Edward; Mansouri, Kaweh; Tatham, Andrew J

PURPOSE: Intraocular pressure (IOP) is the only modifiable risk factor for glaucoma, with evidence from landmark randomized controlled trials demonstrating visual field preservation with IOP reduction. Over recent years, the use of remote sensors has formed an increasingly important component of the management of chronic diseases. During the COVID-19 pandemic, the ability to remotely monitor IOP proved particularly useful when public stay at home orders have been in place. PATIENTS AND METHODS: This report describes the first case of glaucoma surgery in a patient who had previously received an eyemate-IO implant. The eyemate-IO (Implandata Ophthalmic Products) is an implant for intraocular pressure (IOP) monitoring placed in the ciliary sulcus during cataract surgery. RESULTS: Remote IOP monitoring enabled the clinician to identify sustained high IOP readings and the need for glaucoma surgery. Post-operatively, response to treatment could be monitored to ensure sufficient long-term IOP control. CONCLUSIONS: The eyemate-IO implanted during cataract surgery in this patient provided valuable remote continuous IOP information that guided timely glaucoma surgical interventions for poorly controlled IOP.