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    Glaucoma

    Review of: Telemetric Measurement of Intraocular Pressure via an Implantable Pressure Sensor—12-Month Results from the ARGOS-02 Trial

    Choritz L, Mansouri K, van den Bosch J, et al. American Journal of Ophthalmology, January 2020

    Investigators tested the performance of a second generation implantable IOP sensor (Eyemate-IO; Implandata) in patients with primary open-angle glaucoma (POAG).

    Study design

    This European multicentered, prospective, noncomparative, open-label study investigated the safety and performance of the Eyemate-IO in 22 patients with POAG who were undergoing cataract surgery.

    The device consists of an integrated circuit bonded to a gold microcoil sealed in a silicon ring that is implanted in the sulcus. It requires an external handheld reader to be placed within 5 cm of the eye to power the sensor, enable the IOP measurement and transfer the data to the reader. Patients were trained to gather at least 4 readings/day. The data was compared to follow-up visits with Goldmann applanation tonometry. Surgery complications and postoperative adverse events were recorded through 12 months.

    Outcomes

    Surgical complications included 5 patients with iris prolapse, 5 with pigment dispersion and 2 with a flat anterior chamber. Postoperatively, there were 2 cases of fibrinous inflammation, 1 corneal decompensation and 1 intractable IOP requiring additional glaucoma surgery.

    The Eyemate measured, on average, 3.2 mm Hg higher than the Goldmann. There were 2 instances that required recalibration of the sensor: 1 after YAG laser and the other after ultrasound biomicroscopy.

    Limitations

    The study comprised a small sample size. There is a learning curve associated with the implantation and each surgeon only had 1 or 2 patients included in the study. Follow-up time was relatively short; longer follow-ups are necessary to make sure the device remains safe and accurate.

    Clinical significance

    The Eyemate-IO can provide continual diurnal and nocturnal IOP measurements. Since it is not affected by corneal factors such as thickness or hysteresis, it may provide better accuracy than Goldmann applanation tonometry. This device has received regulatory approval in the European Union, but is not currently approved in the United States.