Experience of application of “Tangent

Screen Examination” inspection system and

transpalpebral scleral tonometry at home
(pilot study)

A.P. Nesterov, E.A. Egorov, T.B. Romanova, Z.Y. Aliabieva*, A.R. Illarionova*,
B.V. Obruch*, T.V. Cherniakova, I.A. Romanenko, E.V. Smirnova, A.V. Laktionov

Russian State Medical University, Ophthalmology Department of Medical Faculty

*Academic
Academic Group of A.P. Nesterov, academician of the Russian Academy of Medical Sciences, Scientific Center
of Cardiovascular Surgery of the Russian Academy of Medical Sciences Moscow
Purpose

Designing and practical application in ophthalmology of the

improved method of glaucoma patients’ medical examination
with three level control system - outpatient, stationary and
home
Patients and Methods

Inspection System «Tangent Screen Examination», assigned for

field of view examination using PC display; for installation you need
IBM-compatible PC and LCD display to cover central field of view in
the range of 23-25°.
Several tests are used for threshold sensitivity study and screening –
test of field of view evaluation using over threshold strategy.
Results can be presented – in grey scale shades, quantitatively – in
Humphrey decibels, conventionally – in scotomas of three levels
depth.
In our study to realize tonometry by patients’ relatives
transpalpebral scleral DIATON tonometer is assigned, allowing
IOP measuring at home safely and reliably. Measurement is realized
according to standard methodology with regularity depending on the
patient’s condition
Inspection System «Tangent
Screen Examination»

IOP was measured with transpalpebral scleral Diaton tonometer using

traditional methodology, all ophthalmotone measurements were realized
the patients being in the sitting position

Transpalpebral scleral Diaton

tonometer
 Results and discussion

We are observing a stable group of 22 persons, controlling the field of view at home
during the period from half a year to a year and a half using home version of
«Tangent Screen Examination» program. The patients examine the field of view
1-2 times a month. Periodicity of IOP control is the same. During observations we
registered IOP increasing in 4 patients which required treatment correction. At
that we did not register deterioration of the field of view characteristics in these
patients, which is connected with the regular IOP measuring and timely assuming
the adequate medical measures. In other 18 persons during observations we
registered stable parameters of Tangent Screen Examination and IOP
Conclusion

Patients participating in active monitoring of their state using

«home» methods of the field of view and IOP control provides
comprehensive understanding of medical recommendations
fulfillment necessity, which allows controlling the glaucoma
process completely and sufficiently