Changes in Eye Pressure and Anterior Chamber Depth With Oral Endothelin Antagonist Therapy
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Purpose
There is growing evidence that a cause of glaucoma is linked to circulatory problems and poor auto-regulation of blood flow to the optic nerve. Pulmonary hypertension (PH)is a disease characterized by low oxygen levels in the blood and altered blood circulation. The decrease in oxygen delivery to the optic nerve could lead to the loss of nerve fiber layer(NFL)in the retina and the resulting visual field compromise. This situation is characteristic of glaucoma. The ability to identify NFL thinning early could lead to earlier diagnosis of glaucoma and more effective treatment to limit dysfunction from visual field loss.
We hypothesize that the rate of structural damage to the NFL, a feature of glaucoma, is higher in patients with PH than expected in healthy populations lacking this disease.
| Condition |
|---|
|
Glaucoma Pulmonary Hypertension |
| Study Type: | Observational |
| Study Design: | Observational Model: Case-Only Time Perspective: Prospective |
| Official Title: | The Effect of a Systemic Non-selective Endothelin Antagonist on Intraocular Pressure and Anterior Depth in Pulmonary Hypertension Patients. |
- Occurence of nerve fiber layer abnormalities [ Time Frame: Single Exam ] [ Designated as safety issue: No ]
- Optic Nerve Head Structure [ Time Frame: Single Exam ] [ Designated as safety issue: No ]
- Visual Field Defects [ Time Frame: Single Exam ] [ Designated as safety issue: No ]
- Retinal Blood Flow Changes [ Time Frame: Single Exam ] [ Designated as safety issue: No ]
| Enrollment: | 23 |
| Study Start Date: | March 2007 |
| Study Completion Date: | May 2011 |
| Primary Completion Date: | May 2011 (Final data collection date for primary outcome measure) |
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Patients diagnosed with pulmonary hypertension
Inclusion Criteria:
- diagnosed with pulmonary hypertension
- between the ages of 18 and 80 years
- ability to undergo the various ocular exams.
Exclusion Criteria:
- patients with other diseases that could affect the nerve fiber layer
- special populations; ie children, pregnancy, lactating females, prisoners
Contacts and Locations| United States, Colorado | |
| University of Colorado Eye Center | |
| Aurora, Colorado, United States, 80045 | |
| Principal Investigator: | Malik Y. Kahook, M.D. | University of Colorado School of Medicine |
More Information
No publications provided
| Responsible Party: | University of Colorado, Denver |
| ClinicalTrials.gov Identifier: | NCT00452283 History of Changes |
| Other Study ID Numbers: | 06-0792 |
| Study First Received: | March 23, 2007 |
| Last Updated: | January 29, 2013 |
| Health Authority: | United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Glaucoma Hypertension Hypertension, Pulmonary Ocular Hypertension Eye Diseases |
Vascular Diseases Cardiovascular Diseases Lung Diseases Respiratory Tract Diseases |
ClinicalTrials.gov processed this record on May 22, 2013