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Leading Medical Specialists From Around the World Coalesce Around Home Monitoring For Glaucoma Patients

Submitted by dave on Fri, 07/11/2014 - 9:32pm

Leading Medical Specialists Support Self-Monitoring of Eye Pressure by Glaucoma Patients;

Home Monitoring has Potential to Transform Glaucoma Treatment, Says Co-Author of Recent Journal Article

self-tonometry eye pressure monitoringGrowing recognition among leading ophthalmologists and glaucoma specialists of an alternative option for measuring pressure in the eye may offer new hope for four million Americans – and millions more people worldwide – who risk permanent blindness, says a co-author of a recent article in the Survey of Ophthalmology.

Are we stuck where we were ten years ago, or is a revolution under way?

Submitted by dave on Tue, 05/21/2013 - 9:12pm

Is this true?

[The review of glaucoma by the The U.S. Preventive Services Task Force concludes] pretty much what we have been saying here for a looooong time...!

Or this?

The message on the confusion about glaucoma and its treatment has not changed in more than ten years.  The knowledge base about glaucoma has barely moved the needle in decades.  Everything developed to date has been a band aid, while the root causes of the disease remain unknown.

Your doctor's intraocular pressure measurements are "very sketchy evidence"

Submitted by dave on Sun, 05/13/2012 - 11:54am

From "Review of Ophthalmology":

most human IOP measurements are “snapshot” measurements—a single reading taken periodically in a doctor’s office. Any conclusions about the nature and impact of fluctuation have therefore been largely based on very sketchy evidence.

That statement, from a 2011 article by the Senior Editor of  "Review of Ophthalmology," captures the motivation that lead to the creation of FitEyes six years ago and that has continued to motivate our engagement with high frequency home eye pressure monitoring (where we recommend multiple measurements per day).

The article can be found here:

The two most important facts you should know about glaucoma

Submitted by dave on Mon, 08/29/2011 - 4:28pm

Trabecular Meshwork Cell (detail)

Trabecular Meshwork Cell (detail)

This is the winning image for North America -- IN Cell Image Competition. It shows the internal structure of a single trabecular meshwork cell.

In this image, DNA has been stained blue, so the large clumps of blue just above centre are the cell's nucleus. Red lines are filaments of actin spread throughout the cell, while the green patches at their tips are the focal adhesions.

How to become a self tonometry participant?

Submitted by pflugrath on Thu, 05/19/2011 - 11:38am

If I can secure a prescription from my doctor I would like to join with other self-tonometry participants.

I think I understand the information that participants are responsible to gather and submit.

What are the steps I need to take to become involved?  Assuming I can get a prescription.

Thank you,


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How to place glaucoma drops in your eyes

Submitted by Bailey on Sat, 05/14/2011 - 5:42am

Here is a video presentation by Doctor Ritch explaining how to properly place glaucoma drops into one's eyes. This is particularly helpful for patients with low vision. Also, the technique of punctal occlusion is addressed, and this helps to deliver the maximum amount of medication to the eyes while meanwhile reducing systemic absorption.

Some of my favorite articles on

Submitted by dave on Tue, 12/07/2010 - 3:03pm

FitEyes favorite articlesI think the following list represents some of the most informative and useful articles on There are thousands of articles on, so many good ones will not be on this list. But this list is a good place to start reading if you are new to If you are not new to our site, please make sure you have seen these articles.

Please feel welcome to add comments to this post to mention your own favorite articles on

First set of results after some changes

Submitted by cormos on Sun, 10/17/2010 - 7:29am

After obtaining the Reichert 7CR and understand my eyes response to different situations, times of day and other stimuli, this first set of result is very encouraging for me after this small changes I have made.

Since I am the type of person using the left-brain, as is described in this post, as part of several tests performed simultaneously I eliminate caffeine from my diet in all its forms.

Mental, emotional and lifestyle factors are the powerful IOP influencers

Submitted by bstruss on Fri, 08/13/2010 - 10:15pm

I am learning so much more about these patterns and their effect on my IOP all the time. Recently, I had a major emotional crises with my family concerning a simple misunderstanding and lack of communication. Interestingly, my eye pressures did not rise in the first couple of days (though the stress was off the charts). However, after a couple of days, my eye pressures went crazy, and even with lumigan, I could hardly get them below 20s.

Why guess about your eye pressure when you can know?

Submitted by belann on Fri, 08/13/2010 - 3:05pm

I have had my tonometer for almost 6 months.  It has answered a multitude of questions about how my daily routine affects my health.  I didn't know, for example, that just taking a walk outside for a half hour or so would reduce my eye pressure, sometimes by as much as 50%.  I also didn't know that I wasn't one of the people whose pressures are higher at night--in fact my lowest pressures are at night.  (That was good news.  I was tired of sleeping with my head elevated).  

I have found no supplements that had any effect on lowering my IOP, but I have found that some supplements will raise my IOP quite significantly.  I know that out of control thoughts and periods of stress significantly raise my IOP in spite of the two drops I am using or any other healthy lifestyle choices I am making. 



My experiences with self-tonometry

Submitted by Anonymous (not verified) on Tue, 05/04/2010 - 3:00pm

I have been part of FitEyes since 2006 and I bought my tonometer in late 2006. I've been using it almost every day since then. I am very calm about measuring my IOP perhaps 2 or 4 times a day (or sometimes not at all if away from home).

While away from home I use drops 'just in case'; at home I might go for several days with no drops while I monitor my IOP with my tonometer .

I love my new tonometer

Submitted by Maurice Dubois on Mon, 04/26/2010 - 11:38pm

First of all, from the bottom of my heart, I have to thank Dave for leading me to my purchase of my tonometer; what a fantastic instrument!

Several years ago, my ophthalmologist said that I probably had what is called "normal pressure" glaucoma; my pressure was usually 15-16 whenever he checked me, and the highest he ever recorded was 19 on my right eye. He told me to find a glaucoma specialist, so I did.

I went to the specialist for a couple of years, but several things discouraged me from continuing to see him. I found another ophthalmologist; she was somewhat younger and, I thought, perhaps less apt to be running a Speede Oil Change type of service, to see how many people she could get through her clinic in a day. She was a bit better at the latter, but she refused to give me a prescription for a tonometer. I left her and quickly acquired a tonometer prescription; and by the way, the requirement for a prescription for a non-contact tonometer is as silly as the need for me to have a real estate broker's license to sell real estate, or for a city to have building inspectors.

Complementary Therapy for the Treatment of Glaucoma by Robert Ritch

rritch's picture
Submitted by rritch on Sat, 02/13/2010 - 11:02am

by Robert Ritch, MD

From the Departments of Ophthalmology, The New York Eye and Ear Infirmary, New York, NY, and The New York Medical College, Valhalla, NY Supported in part by the Joseph and Marilyn Rosen Research Fund of the New York Glaucoma Research Institute Corresponding author: Robert Ritch, MD, Glaucoma Associates of New York, The New York Eye and Ear Infirmary, 310 East 14th Street suite 304, New York, NY, 10003

Glaucoma is a progressive optic neuropathy characterized by a specific pattern of optic nerve head and visual field damage. Damage to the visual system in glaucoma is due to the death of the retinal ganglion cells, the axons of which comprise the optic nerve and carry the visual impulses from the eye to the brain. Glaucoma represents a final common pathway resulting from a number of different conditions that can affect the eye, many of which are associated with elevated intraocular pressure (IOP). It is important to realize that elevated IOP is not synonymous with glaucoma, but rather is the most important risk factor we know of for the development and/or progression of glaucomatous damage.

Home Eye Pressure Monitoring Recommended

Submitted by FitEyesAdmin on Sat, 09/12/2009 - 3:38pm

Millions of people around the world should be monitoring their eye pressure (intraocular pressure) at home, according to health organizations (such as  International Society for Self-Tonometry (ISST)) that are issuing recommendations on what to do and how to do it. Many experts, such as Dr.

Can't see all content here?

Submitted by Anonymous (not verified) on Wed, 08/26/2009 - 9:45pm

If you register and login, you should have access to all the content on We also make some content available to users who are not logged in (and may not have registered).

All the content related to self-tonometry is restricted to users who have registered and who have agreed to our disclaimer. Some other content is restricted too. However, if you see a restricted article that you think should not be restricted, please let us know. (And if you see any unrestricted content that should be restricted, absolutely notify us right away!)

We restrict access to the content on because there is some powerful information here and we have to be careful that it is not misused or misunderstood. There are regulations concerning medical advice and we want to make sure that all content on adheres to those regulations.

This site is intended only for people who are under the care of an ophthalmologist and who are not relying on this site as medical advice.

Access the private FitEyes email discussion archive

Submitted by terry on Mon, 08/02/2021 - 2:01pm

Here are the instructions to access the private FitEyes email discussion archive:

Browse to to create a new user account. Fill in the fields and click the "Sign Up" button. Look for the confirmation email and click the link it contains.

Once you are signed up and confirmed, you will see this page:

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Goldman Applanation Tonometer Calibration

Submitted by terry on Sat, 08/01/2020 - 5:21pm

A study by Kumar and Hillier published in Eye in 2009 published a clinical study on this very topic. The purpose of the study was to evaluate the current practice regarding calibration error checks in the United Kingdom and assess the views of senior nursing staff in charge of outpatient clinics as to whom they believe to be responsible for calibration error checks in their department.

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Welcome to the FitEyes Email Discussion Group

Submitted by terry on Thu, 11/07/2019 - 12:39pm

You should be pleased with the breadth and depth of discussion with this group. All posts will come to your email in-box so you can reply to posts by simply replying to the email. Start a new topic by sending an email to . All of our discussion posts are moderated to filter out inappropriate content, but opinions from all are welcome.


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