EYEMATE-SC Trial: Twelve-Month Safety, Performance, and Accuracy of a Suprachoroidal Sensor for Telemetric Measurement of Intraocular Pressure.


Journal

Ophthalmology
ISSN: 1549-4713
Titre abrégé: Ophthalmology
Pays: United States
ID NLM: 7802443

Informations de publication

Date de publication:
03 2023
Historique:
received: 07 05 2022
revised: 19 09 2022
accepted: 20 09 2022
pubmed: 7 10 2022
medline: 3 3 2023
entrez: 6 10 2022
Statut: ppublish

Résumé

Measuring and controlling intraocular pressure (IOP) provide the foundation for glaucoma treatment. Self-tonometry has been proposed as an alternative to measure IOP throughout the entire day better. The novel EYEMATE-SC sensor (Implandata) is implanted in the suprachoroidal space to enable contactless continual IOP monitoring. The aim of the present study was to investigate the 1-year safety, performance, and accuracy of the EYEMATE-SC in patients with primary open-angle glaucoma undergoing simultaneous nonpenetrating glaucoma surgery (NPGS). Prospective, multicenter, open-label, single-arm, interventional clinical trial. Twenty-four eyes of 24 patients with primary open-angle glaucoma who were due to undergo NPGS (canaloplasty or deep sclerectomy). An EYEMATE-SC sensor was implanted during NPGS. Goldmann applanation tonometry (GAT) measurements were compared with the sensors' IOP measurements at all postoperative visits through 12 months. Device position and adverse events. Fifteen eyes underwent canaloplasty, and 9 underwent deep sclerectomy. Successful implantation of the sensor was achieved in all eyes with no reported intraoperative difficulties. Through the 12-month follow-up, no device migration, dislocation, or serious device-related complications were recorded. A total of 536 EYEMATE-SC measurements were pairwise included in the IOP agreement analysis. The overall mean difference between GAT and EYEMATE-SC measurements was 0.8 mmHg (95% confidence interval [CI] of the limits of agreement [LoA], -5.1 to 6.7 mmHg). The agreement gradually improved, and from 3 months after surgery until the end of the follow-up, the mean difference was -0.2 mmHg (95% CI of LoA, -4.6 to 4.2 mmHg) over a total of 264 EYEMATE-SC measurements, and 100% of measurements were within ±5 mmHg of GAT. The EYEMATE-SC sensor was safe and well tolerated through 12 months. Moreover, it allowed accurate, continuous IOP monitoring. Proprietary or commercial disclosure may be found after the references.

Identifiants

pubmed: 36202141
pii: S0161-6420(22)00760-6
doi: 10.1016/j.ophtha.2022.09.021
pii:
doi:

Substances chimiques

N-palmitoylgalactosylsphingosine 34324-89-5

Types de publication

Multicenter Study Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

304-312

Investigateurs

Peter Szurman (P)
H Burkhard Dick (HB)
Kaweh Mansouri (K)
Esther M Hoffmann (EM)
Marc Mackert (M)
Arno Haus (A)
Anna-Maria Seuthe (AM)
Eugen Reifschneider (E)
Annekatrin Rickmann (A)
Philip Wakili (P)
Caroline Emmerich (C)
Caroline Hoogmartens (C)
Kristina Lambert (K)
Kai Januschowski (K)
Matthias Elling (M)
Tim Schultz (T)
Inga Kersten-Gomez (I)
Katrin Lorenz (K)
Bert Giers (B)
Anna Beck (A)
Matthias Nobl (M)
Sigrid Freissinger (S)

Informations de copyright

Copyright © 2022. Published by Elsevier Inc.

Auteurs

Peter Szurman (P)

Eye Clinic Sulzbach, Knappschaft Hospital Saar, Sulzbach, Germany; Klaus Heimann Eye Research Institute, Sulzbach, Germany.

Kevin Gillmann (K)

Glaucoma Research Center, Montchoisi Clinic, Swiss Visio, Lausanne, Switzerland; Glaucoma Services, Moorfields Eye Hospital, London, United Kingdom; Department of Ophthalmology, Byers Eye Institute, Stanford University, Palo Alto, California.

Anna-Maria Seuthe (AM)

Eye Clinic Sulzbach, Knappschaft Hospital Saar, Sulzbach, Germany.

H Burkhard Dick (HB)

University Eye Clinic Bochum, Bochum, Germany.

Esther M Hoffmann (EM)

Department of Ophthalmology, University Medical Center, Mainz, Germany.

Andre Mermoud (A)

Glaucoma Research Center, Montchoisi Clinic, Swiss Visio, Lausanne, Switzerland.

Marc J Mackert (MJ)

Department of Ophthalmology, Ludwig-Maximilians-University, Munich, Germany.

Robert N Weinreb (RN)

Hamilton Glaucoma Center, Shiley Eye Institute, and the Viterbi Department of Ophthalmology, University of California, San Diego, La Jolla, California.

Harsha L Rao (HL)

Narayana Nethralaya, Bangalore, India; University Eye Clinic Maastricht, University Medical Center, Maastricht, the Netherlands.

Kaweh Mansouri (K)

Glaucoma Research Center, Montchoisi Clinic, Swiss Visio, Lausanne, Switzerland. Electronic address: kwmansouri@gmail.com.

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Classifications MeSH