Home Monitoring of Age-Related Macular Degeneration: Utility of the ForeseeHome Device for Detection of Neovascularization

Hannah J. Yu, Daniel F. Kiernan, David Eichenbaum, Veeral S. Sheth, Charles C. Wykoff

Research output: Contribution to journalArticlepeer-review

17 Scopus citations


PURPOSE: To evaluate the real-world utility of the ForeseeHome monitoring device (Notal Vision, Ltd., Tel Aviv, Israel) for the detection of conversion from intermediate age-related macular degeneration (iAMD) to neovascular AMD (nAMD) and to compare with results published by the Home Monitoring of the Eye (HOME) study.

DESIGN: Retrospective analysis of electronic health records.

PARTICIPANTS: Eyes prescribed use of the ForeseeHome device across 4 retinal practices in the United States.

METHODS: Usage information was collected from the online ForeseeHome portal for all eyes prescribed the device. For a predetermined subset of eyes, additional clinical information was collected through chart review and analyzed for clinical utility.

MAIN OUTCOME MEASURES: Frequency and length of use, number of eyes that used the device, number of eyes that established a baseline measurement, number of eyes that converted to nAMD, and number of alerts.

RESULTS: Seven hundred seventy-five eyes of 448 patients were prescribed use of the ForeseeHome device. Six hundred forty-nine eyes (83.7%) used the device at least once; among this population, 478 (73.7%) established a baseline measurement. Patients who established a baseline measurement were significantly younger than those who did not (P < 0.001). Among eyes that established a baseline measurement, 126 (26.4%) had an overall inadequate frequency of use (≥2 tests per week), and 250 (52.3%) did not use the device as frequently as instructed by the manufacturer (≥3 tests per week); 24.7% of eyes discontinued use within 1 year. Of the 136 eyes that established a baseline measurement among 211 eyes prescribed the device at 1 clinical site, 52 alerts were recorded; 3 (6.8%) correctly identified conversion to nAMD and 47 (93.2%) represented false-positive alerts.

CONCLUSIONS: Compared with the prospective HOME study, the utility of the ForeseeHome device in the current analysis of clinical practice application was limited. A meaningful proportion of eyes never used the device or could not establish a baseline measurement. Overall frequency of use was low, and continuous use of the device decreased over time. A need exists for improvement in home monitoring technology for eyes with iAMD at risk of conversion to nAMD.

Original languageEnglish (US)
Pages (from-to)348-356
Number of pages9
JournalOphthalmology Retina
Issue number4
StatePublished - Apr 2021


  • Aged
  • Aged, 80 and over
  • Choroidal Neovascularization/diagnosis
  • Equipment Design
  • Female
  • Humans
  • Male
  • Middle Aged
  • Monitoring, Physiologic/instrumentation
  • Retrospective Studies
  • Tomography, Optical Coherence
  • United States
  • Visual Acuity
  • Wet Macular Degeneration/diagnosis

ASJC Scopus subject areas

  • Ophthalmology


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