Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Home IOP telemonitoring with smartphone support for open-angle glaucoma

Official title: Impact of Home Intraocular Pressure Telemonitoring on Intraocular Pressure Control and Glaucoma Progression - A Randomized Control Trial

Run by The University of Hong Kong · NCT05940623 · Data updated 2026-11-12

This trial tests whether home intraocular pressure monitoring plus a smartphone-based management plan helps people with newly diagnosed open-angle glaucoma control eye pressure better than a smartphone-based plan alone.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment142 (estimated)
SponsorThe University of Hong Kong
Academic / other
Locations1 site (Wong Chuk Hang)
StatusRecruiting
StartedSeptember 18, 2025
Main results expectedJune 30, 2028
Study endsJune 30, 2028
Registry record updatedSeptember 3, 2026
Trial IDNCT05940623 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with newly diagnosed primary open-angle glaucoma and adequate vision in the included eye(s).

Probably not a fit

Patients with very high baseline IOP, significant ocular comorbidities, or inability to perform reliable home measurements may derive less benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

In this 30-month, multicenter study, 142 adults with newly diagnosed primary open-angle glaucoma are randomized to either home IOP telemonitoring with a smartphone intervention or standard smartphone-based care. Primary outcome is clinic-based Goldmann applanation tonometry IOP measurements collected every 3 months; secondary outcomes include rates of retinal nerve fiber layer thinning. The two groups receive similar targets for lowering IOP based on disease severity, with intent-to-treat analysis and consideration of both eyes when eligible. Participants must meet inclusion criteria such as adequate visual acuity and absence of major exclusion factors like very high IOP or prior complicated eye surgery. The study is led by The University of Hong Kong with Icare Finland Oy as a collaborator at the HKU Eye Centre.

Why it matters

Potential benefit: If successful, home telemonitoring could enable tighter IOP control and slower glaucoma progression.

How similar studies have gone: Previous research in glaucoma shows promise for telemonitoring and smartphone-based management, but results vary by setting and device; this trial adds rigorous randomization and objective IOP measurements.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Newly diagnosed primary open-angle glaucoma (POAG)
* Best corrected visual acuity (VA) ≥20/40 for the included eye(s)

Exclusion Criteria:

* IOP \>35 millimeters of mercury (mmHg)
* Dry eye syndrome
* Central corneal thickness \<500μm or \>600μm
* Failure to complete the iCare Home certification procedure at the baseline visits
* Only one eye with functional vision
* Inability to perform reliable visual field (VF)
* Pathological myopia (eyes with axial length≥26mm with lacquer cracks and chorioretinal atrophy)
* Suboptimal quality of optical coherence tomography (OCT) images (described below in RNFL imaging)
* Previous intraocular surgery or corneal refractive surgery other than uncomplicated cataract extraction
* Diabetic retinopathy/maculopathy

Where it's running

  • HKU Eye Centre
    Wong Chuk Hang, Hong Kong
    Recruiting

Study contacts

  • Principal investigator: Christopher Leung — The University of Hong Kong
  • Study coordinator: Christopher Leung
  • Email: cleung21@hku.hk
  • Phone: 39102673

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.