Objective:

To assess the feasibility and reliability of measuring intraocular pressure (IOP) during natural sleep in pediatric glaucoma patients under 3 years, and to compare these measurements with those obtained under general anesthesia.

Approach:

Key Findings:

• Reliable IOP measurements can be obtained during natural sleep in pediatric glaucoma patients, which may enhance clinical practice.
• Natural sleep IOP measurements correlate well with those obtained under anesthesia.
• The use of iCare IC200 tonometer may reduce the frequency of examinations under anesthesia.

Interpretation:

The study suggests that measuring IOP during natural sleep is a feasible and reliable alternative to traditional methods, potentially minimizing the need for anesthesia in young children.

Limitations:

• Small sample size of 27 patients may limit generalizability and the robustness of the findings.
• No formal matching or covariate adjustment was performed for historical comparisons.

Conclusion:

Integrating natural sleep-based IOP assessments into routine pediatric glaucoma surveillance could enhance patient care by reducing anesthesia exposure, and further research is needed to validate these findings.

Source

Based on findings from:

Assessment of iCare IC200 Tonometry for Measuring Intraocular Pressure During Natural Sleep in Pediatric Glaucoma Patients Under 3 Years: Minimizing Anesthesia Requirements in Clinical Assessments

Cansu Yüksel Elgin, Ahmet Fırat Atseven, Gürcan Güngör, Özcan Ocakoğlu. Bmc Ophthalmology, 2025.

https://link.springer.com/article/10.1186/s12886-025-04549-z

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