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Taking normal icare measurements is very straight-forward – I can train novice technicians in 15 minutes. Teaching patients to take their own measurements takes a little longer but is time well spent (around 20 minutes to set-up the device to fit their face and train). The effort is worthwhile because when the patient returns you have a set of IOP measurements for both eyes taken at different times day.
In patients with suspected glaucoma, daily intraocular pressure monitoring is also essential. In a high proportion of these patients, IOP elevations may be missed during regular scheduled examinations. Knowing these pres- sure peaks exist can help control the disease and person- alize and optimize the treatment regimen. Autotonometry is an efficient option for this purpose, as well as being comfortable for the patient.
In patients with glaucoma, there is a possibility of their eye pressure either fluctuating significantly or being outside the target range (as determined by their doctor). Both these changes are associated with worsening of glaucoma. Monitoring for these changes between office visits can help reassure the doctor and the patient that the therapy is adequate and that the patient is compliant with treatment. If the eye pressure is not stable, then the doctor can recommend additional treatment or tailor the eye drop regimen to stabilize the pressure before permanent loss of tissue or visual field occurs.
We purchased our TONOVET several years ago primarily for equine work. I’ts easy, accurate, fast and not probe to artifact. We then started to use it on cats. They are a species that don’t tolerate exam room insults. The greatest insult to a cat is topical anesthesia. It stings when it goes in and the exam is over! Cats tolerate pressure checks with the TONOVET. Birds, reptiles, tortoises and other exotics are the same. Our technicians perform most of the tonometery and much prefer the TONOVET rebound tonometry on all species because of the reliability and lack of artifact. We will be moving to rebound tonometry as a sole means of pressure assessments. I am a convert.
The TONOVET is unreservedly the best tonometer I have used. It is so easy to use and the animals hardly even notice the tonometry. No topical anaesthetic is required, head positioning is not critical and restraint required is minimal. It can be used on patients post surgery when the eye is very tender, and even in the waiting room. Results are consistent and reliable. It is easy to use the TONOVET on almost every patient, even aggressive ones, and because it is so easy to use we use it on nearly all our patients, with the result that we are now diagnosing glaucomas in patients with normal looking eyes that we would not have bothered to performed tonometry on in the past. I can highly recommend the TONOVET.
I have been using the TONOVET for several years after switching from using a tono-pen. I find the TONOVET to be much easier to use and feel that it gives much more consistent results. It is particularly useful in cooperative patients as it requires minimal restraint to use. TONOVET is ideal for general practice use as it is so user friendly and do not require very frequent use to be able to use accurately.
TONOVET is easy to use, it is good value for the money.
Have used the TONOVET many times and it is very user friendly and find that the animals are less agitated with the use as well. Very fast to use and easy to learn how to use. I recommed this product to everyone!
In our equine practice, the Tonovet has been very helpful with the ‘abnormal’ eye. I do not have to do nerveblocks or topical numbing to get an accurate reading, and I rearely need to tranqualize a patient. Easy to use and consistent results once you are comfortable using it.
Since purchasing the Tonovet we use it on every exam whether it is a routine exam or not. We feel it creates value and impresses the client. I would say 95% of both dogs and cats tolerate it very well. We have diagnosed borderline glaucoma several times without clinical signs.