Modern monitoring intraocular pressure sensing devices based on application specific integrated circuits
Open accessAbstract
Glaucoma is a neurodegenerative condition that is the leading cause of irreversible blindness worldwide. Elevated intraocular pressure (IOP) is the main risk factor for the development and progression of the disease. Methods to lower IOP remain the first line treatments for the condition. Current methods of IOP measurement do not permit temporary noninvasive monitoring 24-hour IOP on a periodic basis. Ongoing research will in time provide a means of developing a device that will enable continuous or temporary monitoring of IOP. At present a device suitable for clinical use is not yet available.This review contains a description of different devices currently in development for measuring IOP: soft contact lens, LC resonant circuits and on-chip sensing devices. All of them use application-specific integrated circuits (ASICS) to process the measured signals and send them to recording devices. Soft contact lens devices are based on an embedded strain gauge, LC circuits vary their resonance frequency depending on the intraocular pressure (IOP) and, finally, on-chip sensing devices include an integrated microelectromechanical sensor (MEMS). MEMS are capacitors whose capacity varies with IOP. These devices allow for an accurate IOP measurement (up to +/– 0.2 mm Hg) with high sampling rates (up to 1 sample/min) and storing 1 week of raw data. All of them operate in an autonomous way and even some of them are energetically independent.
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Brittle and rigid materials of the integrated electronic system, such as surface-mounted IC chips and rigid interconnects, could damage the cornea or the eyelid.
“(iii) the brittle and rigid materials of the integrated electronic system, such as surface-mounted IC chips and rigid interconnects, which could damage the cornea or the eyelid (20–22);”
From Soft, smart contact lenses with integrations of wireless circuits, glucose sensors, and displays (2018) · cites this paper as [21]
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Cites
The number of people with glaucoma worldwide in 2010 and 2020
Quigley, H. A. (2006) · British Journal of Ophthalmology · doi:10.1136/bjo.2005.081224 · Cited by 7,417 · cited 1× · see citing works
“It affected to approximately 60 million people worldwide in 2010 and there are predictions of noticeable increases within the next decade [1].”
BackgroundElectrical stimulation of excitable tissue: design of efficacious and safe protocols
Merrill, D. R., Bikson, M., & Jefferys, J. G. R. (2005) · Journal of Neuroscience Methods · doi:10.1016/j.jneumeth.2004.10.020 · Cited by 2,078 · see citing works
Sources of error with use of Goldmann-type tonometers
Whitacre, M. M., & Stein, R. (1993) · Survey of Ophthalmology · doi:10.1016/0039-6257(93)90053-a · Cited by 747 · cited 1× · see citing works
“So the thickness and the resistance offered by the cornea when is pressed are sources of error [17].”
BackgroundCapacitive sensors: When and how to use them
Puers, R. (1993) · Sensors and Actuators A Physical · doi:10.1016/0924-4247(93)80019-d · Cited by 334 · cited 1× · see citing works
“Almost all of them use capacitive transducers for pressure sensing [25].”
Wireless contact lens sensor for intraocular pressure monitoring: assessment on enucleated pig eyes
Leonardi, M., Pitchon, E. M., Bertsch, A., Renaud, P., & Mermoud, A. (2009) · Acta Ophthalmologica · doi:10.1111/j.1755-3768.2008.01404.x · Cited by 300 · cited 2× · see citing works
“In [24], the design of a dedicated application-specific integrated circuit (ASIC) for wireless communication is described.”
BackgroundMethodA wireless batch sealed absolute capacitive pressure sensor
Akar, O. S., Akın, T., & Najafi, K. (2001) · Sensors and Actuators A Physical · doi:10.1016/s0924-4247(01)00753-1 · Cited by 259 · cited 1× · see citing works
“The most common system is a passive LC resonance whose resonance frequency changes with pressure [26-28].”
BackgroundMicrofabricated Implantable Parylene-Based Wireless Passive Intraocular Pressure Sensors
Chen, P., Rodger, D. C., Saati, S., Humayun, M. S., & Tai, Y. (2008) · Journal of Microelectromechanical Systems · doi:10.1109/jmems.2008.2004945 · Cited by 252 · cited 1× · see citing works
“They are based on LC resonant systems [9].”
BackgroundFirst steps toward noninvasive intraocular pressure monitoring with a sensing contact lens
Leonardi, M., Leuenberger, P., Bertrand, D., Bertsch, A., & Renaud, P. (2004) · Investigative Opthalmology & Visual Science · doi:10.1167/iovs.04-0015 · Cited by 244 · cited 1× · see citing works
“The sclera is the preferable site for the sensor because of lower sensitivity and less susceptibility to injury than cornea [22].”
BackgroundDynamic contour tonometry: presentation of a new tonometer.
Kanngiesser, H. E., Kniestedt, C., & Robert, Y. C. A. (2005) · PubMed · doi:10.1097/01.ijg.0000176936.16015.4e · Cited by 218 · cited 1× · see citing works
“This technology has been proposed to continuously and accurately measure the IOP of structural characteristics of the cornea and sclera [18].”
MethodA cubic-millimeter energy-autonomous wireless intraocular pressure monitor
Chen, G., Ghaed, M. H., Haque, R., Wieckowski, M., Kim, Y., Kim, G., Fick, D., Kim, D. Y., Seok, M., Wise, K. D., et al. (2011) · Digest of technical papers/Digest of technical papers - IEEE International Solid-State Circuits Conference · doi:10.1109/isscc.2011.5746332 · Cited by 210 · see citing works
Intraocular and Episcleral Venous Pressure Increase During Inverted Posture
Friberg, T. R., Sanborn, G. E., & Weinreb, R. N. (1987) · American Journal of Ophthalmology · doi:10.1016/s0002-9394(14)74275-8 · Cited by 205 · see citing works
A new electromechanical method for measuring intraocular pressure
Kontiola, A. (1997) · Documenta Ophthalmologica · doi:10.1007/bf02569066 · Cited by 142 · cited 1× · see citing works
“The iCare tonometer was introduced in 1997 [21].”
A programmable intraocular CMOS pressure sensor system implant
Stangel, K., Kolnsberg, S., Hammerschmidt, D., Hosticka, B. J., Trieu, H. K., & Mokwa, W. (2001) · IEEE Journal of Solid-State Circuits · doi:10.1109/4.933466 · Cited by 139 · cited 1× · see citing works
“RF fields are usually used to activate and power sensor chips without using a battery [29].”
MethodA Miniature-Implantable RF-Wireless Active Glaucoma Intraocular Pressure Monitor
Chow, E. Y., Chlebowski, A. L., & Irazoqui, P. P. (2010) · IEEE Transactions on Biomedical Circuits and Systems · doi:10.1109/tbcas.2010.2081364 · Cited by 138 · cited 3× · see citing works
“This information is processed by the ASIC and then, modulated into a highfrequency carrier for wireless transmission [10,11].”
BackgroundMethodInfluentialIntraocular Pressure Monitoring Sensors
Katuri, K. C., Asrani, S., & Ramasubramanian, M. K. (2007) · IEEE Sensors Journal · doi:10.1109/jsen.2007.912539 · Cited by 108 · cited 1× · see citing works
“traocular pressure (IOP) [7].”
Kniestedt, C., Punjabi, O. S., Lin, S. C., et al. (2008) · Survey of Ophthalmology · doi:10.1016/j.survophthal.2008.08.024 · Cited by 100 · cited 1× · see citing works
“agement of glaucoma Classically, the two most widely employed devices to measure IOP were the Goldmann tonometer and the Tono-Pen, which is a microprocessor-controlled portable version of the Goldman tonometer [5].”
MethodA soft contact lens with a MEMS strain gage embedded for intraocular pressure monitoring
Leonardi, M., Leuenberger, P., Bertrand, D., Bertsch, A., & Renaud, P. (2004) · International Conference on Solid-State Sensors, Actuators and Microsystems · doi:10.1109/sensor.2003.1216947 · Cited by 81 · cited 3× · see citing works
“The primary designs of this technique used wire lead from the strain gauge [23].”
MethodInfluentialUveoscleral Outflow: The Other Outflow Pathway
Weinreb, R. N. (2000) · Journal of Glaucoma · doi:10.1097/00061198-200010000-00001 · Cited by 64 · cited 1× · see citing works
“escleras venous pressure [3] or an increase in trabecular resistance outflow [4].”
BackgroundMixed-signal integrated circuits for self-contained sub-cubic millimeter biomedical implants
Chow, E. Y., Chakraborty, S., Chappell, W. J., & Irazoqui, P. P. (2010) · Digest of technical papers/Digest of technical papers - IEEE International Solid-State Circuits Conference · doi:10.1109/isscc.2010.5433933 · Cited by 63 · see citing works
Influence of intraocular pressure and trabeculotomy on aqueous outflow in enucleated monkey eyes.
Ellingsen, B. A., & Grant, W. M. (1971) · PubMed · Cited by 59 · see citing works
Passive silicon transensor intended for biomedical, remote pressure monitoring
Bäcklund, Y., Rosengren, L., Hök, B., et al. (1990) · Sensors and Actuators A Physical · doi:10.1016/0924-4247(90)85011-r · Cited by 53 · cited 1× · see citing works
“The most common system is a passive LC resonance whose resonance frequency changes with pressure [26-28].”
BackgroundDesign of a System for Continuous Intraocular Pressure Monitoring
Lizon-Martinez, S., Giannetti, R., Rodriguez-Marrero, J. L., et al. (2005) · IEEE Transactions on Instrumentation and Measurement · doi:10.1109/tim.2005.851216 · Cited by 47 · see citing works
Digital Palpation of Intraocular Pressure
Birnbach, C. D., & Leen, M. M. (1998) · Ophthalmic surgery, lasers & imaging retina · doi:10.3928/1542-8877-19980901-10 · Cited by 40 · cited 1× · see citing works
“It is the simplest, cheapest method but also the least accurate method to estimate the IOP [12].”
MethodTrabecular Meshwork and Uveoscleral Outflow Models
Johnson, D. H. (2005) · Journal of Glaucoma · doi:10.1097/01.ijg.0000169397.32674.5e · Cited by 31 · cited 1× · see citing works
“It circulates throughout the eye and finally drains through the trabecular meshwork into the Schelm’s canal and the episcleral veins [2].”
BackgroundDirect Intraoperative Continuous Monitoring of Intraocular Pressure
Blumenthal, M., Cahane, M., & Ashkenazi, I. (1992) · Ophthalmic surgery, lasers & imaging retina · doi:10.3928/1542-8877-19920201-16 · Cited by 25 · see citing works
Passive telemetry by harmonics detection
Schuylenbergh, K. V., & Puers, R. (2002) · Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society · doi:10.1109/iembs.1996.656962 · Cited by 20 · see citing works
Re-evaluation of the Schiotz tonometer calibration.
Dr, A., & Wm, G. (1970) · PubMed · Cited by 17 · see citing works
[Biocompatibility of cochlear implants].
Chouard, C. H., & Pialoux, P. (1995) · PubMed · Cited by 15 · see citing works
New interfaces to the body through implantable-system integration
Oesterle, S. N., Gerrish, P., & Cong, P. (2011) · Digest of technical papers/Digest of technical papers - IEEE International Solid-State Circuits Conference · doi:10.1109/isscc.2011.5746203 · Cited by 12 · see citing works
On Glaucomatous Affections, and their Treatment by Iridectomy
Bowman, W. (1862) · BMJ · doi:10.1136/bmj.2.93.377 · Cited by 11 · cited 1× · see citing works
“Bowman suggested in 1862 [13] a classification of the examined tension divided into 9 grades (T1 to T3 and –T1 to –T3), which ranges from “extremely low tension” to “maximally raised tension”.”
Background
Flagged first, then by citations
Research works printed but not linked: 3
- H. Goldmann, “Applanation Tonometry,” Transactions Second Glaucoma Conference, New York, Josiah Macy, Jr Foundation, 1957.
- E. Marg, “A Report on Mackay-Marg Tonometry in Optometry,” Journal of the American Optometric Association, Vol. 34, No. 12, 1963, pp. 961-965.
- 10.1167/iovs.04-0015 · DOI · Paper page
Cited by
Sorted by citations
Soft, smart contact lenses with integrations of wireless circuits, glucose sensors, and displays
Park, J., Kim, J., Kim, S.-Y., Cheong, W. H., Jang, J., Park, Y.-G., Na, K., Kim, Y.-T., Heo, J. H., Lee, C. Y., et al. (2018) · Science Advances · doi:10.1126/sciadv.aap9841 · Cited by 671 · see citing works
A soft and transparent contact lens for the wireless quantitative monitoring of intraocular pressure
Kim, J., Park, J., Park, Y.-G., Cha, E., Ku, M., An, H. S., Lee, K., Huh, M., Kim, T., Kim, T., et al. (2021) · Nature Biomedical Engineering · doi:10.1038/s41551-021-00719-8 · Cited by 233 · see citing works
Recent Advances in Smart Contact Lenses
Kim, J., Cha, E., & Park, J. (2019) · Advanced Materials Technologies · doi:10.1002/admt.201900728 · Cited by 118 · see citing works
Noninvasive Glucose Monitoring with a Contact Lens and Smartphone
Lin, Y.-R., Hung, C.-C., Chiu, H., Chang, P.-H., Li, B., Cheng, S.-J., Yang, J., Lin, S., & Chen, G. (2018) · Sensors · doi:10.3390/s18103208 · Cited by 84 · see citing works
“Implanted integrated circuit (IC) chips, rigid interconnects, semiconductor electronics, and the power source may damage the cornea or eyelid [37].”
BackgroundLiu, Z., Wang, G., Ye, C., Sun, H., Pei, W., Wei, C., Dai, W., Dou, Z., Sun, Q., Lin, C., et al. (2021) · Advanced Functional Materials · doi:10.1002/adfm.202010991 · Cited by 73 · see citing works
Chiou, J., Hsu, S., Huang, Y.-C., et al. (2017) · Sensors · doi:10.3390/s17010108 · Cited by 67 · see citing works
“Continuous IOP monitoring in glaucoma patients with high accuracy and high reliability is constantly required to enable prompt detection and daily tracking [2].”
BackgroundOn-Chip Implantable Antennas for Wireless Power and Data Transfer in a Glaucoma-Monitoring SoC
Marnat, L., Ouda, M. H., Arsalan, M., Salama, K., & Shamim, A. (2012) · IEEE Antennas and Wireless Propagation Letters · doi:10.1109/lawp.2013.2240253 · Cited by 66 · see citing works
“Implantable IOPM is a new area of research, and not much work has been reported on this [4].”
BackgroundToward a Wirelessly Powered On-Lens Intraocular Pressure Monitoring System
Chiou, J., Hsu, S., Liao, Y., Huang, Y., Yeh, G., Kuei, C.-K., & Dai, K.-S. (2016) · IEEE Journal of Biomedical and Health Informatics · doi:10.1109/jbhi.2016.2594058 · Cited by 41 · see citing works
“Therefore, a continuous IOP monitoring method for glaucoma patients that offers high accuracy and reliability is desirable [4].”
BackgroundHigh-sensitive microfluidic contact lens sensor for intraocular pressure visualized monitoring
Yuan, M., Liu, Z., Wu, X., Gou, H., Zhang, Y., Ning, X., Li, W., Yao, Z., Wang, Y., Pei, W., et al. (2023) · Sensors and Actuators A Physical · doi:10.1016/j.sna.2023.114250 · Cited by 33 · see citing works
Split-ring resonator-based sensors on flexible substrates for glaucoma monitoring
Ekinci, G., Çalıkoğlu, A., Solak, S. N., Yalcinkaya, A. D., Dündar, G., & Torun, H. (2017) · Sensors and Actuators A Physical · doi:10.1016/j.sna.2017.10.054 · Cited by 26 · see citing works
“Recently, noninvasive monitoring of the intraocular pressure has been demonstrated using piezoresistive [13] and capacitive [14] sensors embedded on soft contact lenses.”
BackgroundCurrent view and prospect: Implantable pressure sensors for health and surgical care
Honjol, Y., Rajkumar, V. S., Parent‐Harvey, C., Selvasandran, K., Kordlouie, S., Comeau‐Gauthier, M., Harvey, E. J., & Merle, G. E. (2020) · Medical Devices & Sensors · doi:10.1002/mds3.10068 · Cited by 24 · see citing works
Hosseinian, H., Hosseini, S., Martinez-Chapa, S. O., & Sher, M. (2022) · Polymers · doi:10.3390/polym14010185 · Cited by 14 · see citing works
Qian, W., & Qian, C. (2019) · IEEE Transactions on Biomedical Circuits and Systems · doi:10.1109/tbcas.2019.2930651 · Cited by 11 · see citing works
An RFID-based on-lens sensor system for long-term IOP monitoring
Hsu, S., Chiou, J., Liao, Y., et al. (2015) · doi:10.1109/embc.2015.7320133 · Cited by 11 · see citing works
Split-Ring Resonator-Based Strain Sensor on Flexible Substrates for Glaucoma Detection
Ekinci, G., Yalcinkaya, A. D., Dündar, G., et al. (2016) · Journal of Physics Conference Series · doi:10.1088/1742-6596/757/1/012019 · Cited by 6 · see citing works
“Noninvasive monitoring of the intraocular pressure has been demonstrated using piezoresistive [7] and capacitive [8] sensors embedded on soft contact lenses.”
MethodAssessment of intraocular pressure sensing using an implanted reflective flexible membrane
Nazarov, A., Knyazer, B., Lifshitz, T., et al. (2017) · Journal of Biomedical Optics · doi:10.1117/1.jbo.22.4.047001 · Cited by 5 · see citing works
“EQ-TARGET;temp:intralink-;e004;326;619 LOD 1⁄4 hRmðrÞimin∕abs ∂RmðrÞ ∂P : (4)”
InfluentialAn addressable UHF EPCGlobal Class1 Gen2 Sensor IC for wireless IOP monitoring on contact lens
Chiou, J., Hsu, S., Kuei, C.-K., et al. (2015) · doi:10.1109/vlsi-dat.2015.7114573 · Cited by 5 · see citing works
“A simple classification in [3] describes three new groups of measuring techniques: soft contact lens, LC resonance and on-chip sensing device.”
BackgroundHermetic capacitive pressure sensors for biomedical applications
Díaz-Alonso, D., Moreno, M., Zúñiga, C., et al. (2016) · Microelectronics International · doi:10.1108/mi-05-2015-0046 · Cited by 3 · see citing works
Design of NEMS Based Intraocular Pressure Sensing System
Paulson, G. G., & Antony, J. K. (2016) · Procedia Technology · doi:10.1016/j.protcy.2016.08.086 · Cited by 2 · see citing works
Remote Characterization of Resonance Frequency With a Wirelessly Powered Parametric Oscillator
Qian, W., & Qian, C. (2019) · IEEE Transactions on Instrumentation and Measurement · doi:10.1109/tim.2019.2916242 · Cited by 2 · see citing works
Lei, W. (2024) · Applied and Computational Engineering · doi:10.54254/2755-2721/51/20241208
Liu, Y., Chen, Z. H., Zhao, X., et al. (2026) · Lab on a Chip · doi:10.1039/d5lc00940e
- Authors
- Piso, D., Veiga-Crespo, P., & Vecino, E.
- Affiliations
- ESS Bilbao (ES)
- University of the Basque Country (ES)
- ORCID
- Vecino, Elena
- Venue
- Journal of Biomaterials and Nanobiotechnology
- Publisher
- Scientific Research Publishing, Inc.
- Published
- 2012
- Volume
- 03
- Issue
- 02
- Pages
- 301-309
- ISSN
- 2158-7027 (ISSN-L)
- 2158-7043
- OpenAlex
- W1965575135
- Semantic Scholar
- 325131db1d90fc98166db452c34645ec1092eea6
- Cited by
- 22
- References
- 28
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 2 · 2020: 1 · 2019: 3 · 2018: 2 · 2017: 3 · 2016: 4 · 2015: 2 · 2012: 1
- FWCI
- 0.90
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Journal of Biomaterials and Nanobiotechnology (publishedVersion, cc-by)
- Funders
- Eusko Jaurlaritza
- Topics
- Health Sciences › Medicine › Ophthalmology › Glaucoma and retinal disorders
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neural Engineering
- Physical Sciences › Engineering › Biomedical Engineering › Advanced Sensor and Energy Harvesting Materials
- Keywords
- intraocular pressure monitoring, glaucoma, application-specific integrated circuits, MEMS capacitive sensors, LC resonant circuit, embedded strain gauges
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