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"Predicting Glaucoma Progression With Optical Coherence Tomography Structural and Angiographic Parameters".

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04646122
Recruitment Status : Not yet recruiting
First Posted : November 27, 2020
Last Update Posted : November 27, 2020
Sponsor:
Information provided by (Responsible Party):
Asmaa Ahmed Ali Youssif, Assiut University

Brief Summary:

to predict of glaucoma progression. By imaging of the retinal nerve fiber layer RNFL, optic nerve head (ONH) and macular measurements using spectral-domain OCT (SD-OCT) instruments

,and detection of optic disc perfusion changes using OCTA.


Condition or disease Intervention/treatment
Optical Coherence Tomography Glaucoma Device: Optical Coherence Tomography

Detailed Description:

Subjects will go a comprehensive ophthalmologic examination including review of medical history, best-corrected visual acuity (BCVA), slit-lamp biomicroscopy, intraocular pressure (IOP) measurement, gonioscopy, dilated fundoscopic examination, stereoscopic optic disc photography, and automated perimetry using Swedish Interactive Threshold Algorithm (SITA Standard 24-2). Only subjects with open angles on gonioscopy were included.

One eye of each subject will be scanned by a high-speed 1050-nm-wavelength swept-source OCT instrument.

OCT is providing measurements of the RNFL thickness, ONH, as well as the inner macula for the assessment of glaucoma progression.

The split-spectrum amplitude-decorrelation angiography (SSADA) algorithm will be used to compute 3-dimensional optic disc angiography. A disc flow index was computed from 4 registered scans.

Evaluation of progressive changes of the optic disc and RNFL will be based on event-analysis and/or trend-analysis. In event analysis, progression is defined when the difference between the baseline and follow-up measurements of the parameter of interest is greater than its test-retest variability (or the reproducibility coefficient). In trend analysis, regression analysis is performed between the parameter of interest and time.

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Study Type : Observational
Estimated Enrollment : 100 participants
Observational Model: Case-Control
Time Perspective: Retrospective
Official Title: "Predicting Glaucoma Progression With Optical Coherence Tomography Structural and Angiographic Parameters".
Estimated Study Start Date : January 1, 2021
Estimated Primary Completion Date : January 1, 2022
Estimated Study Completion Date : March 1, 2022

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Glaucoma


Intervention Details:
  • Device: Optical Coherence Tomography
    Optical Coherence Tomography parameters


Primary Outcome Measures :
  1. retinal nerve fiber layer RNFL [ Time Frame: one year ]
    Thickness using OCT

  2. optic nerve head (ONH) [ Time Frame: one year ]
    Thickness using OCT


Secondary Outcome Measures :
  1. disc perfusion changes [ Time Frame: one year ]
    flow index using OCTA



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
Subjects will go a comprehensive ophthalmologic examination including review of medical history, best-corrected visual acuity (BCVA), slit-lamp biomicroscopy, intraocular pressure (IOP) measurement, gonioscopy, dilated fundoscopic examination, stereoscopic optic disc photography
Criteria
  1. Inclusion criteria:

    • Patients older than 18 years of age with primary open-angle glaucoma (OAG) .
    • Primary OAG (POAG) diagnosed on the basis of IOP measurements more than 21 mmHg, open angle on gonioscopy (Grade 3 or 4 on Schaffer grading system for angle width), glaucomatous visual field defects consistent with glaucomatous optic disc changes.
    • Eyes with baseline macular and ONH OCT images and ONH photographs of adequate quality and r performed within 6 months of each other were selected
  2. Exclusion criteria:

    • Participants with significant retinal disease.
    • non-glaucomatous optic neuropathy.
    • anomalous discs
    • any retinal pathology. A history of cataract or glaucoma surgery will not be exclusion criteria.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04646122


Contacts
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Contact: Asmaa Ali, MD 01002475442 asmaaahmedali@yahoo.com
Contact: Khaled Abdelazeem, Phd 01114001717 abdelazeem.h@aun.edu.eg

Sponsors and Collaborators
Assiut University
Investigators
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Study Director: Ahmed Fathallah, Phd Assiut University
Publications:
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Responsible Party: Asmaa Ahmed Ali Youssif, Assiut, Assiut University
ClinicalTrials.gov Identifier: NCT04646122    
Other Study ID Numbers: Glaucoma Progression with Opti
First Posted: November 27, 2020    Key Record Dates
Last Update Posted: November 27, 2020
Last Verified: November 2020

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Glaucoma
Ocular Hypertension
Eye Diseases