"Predicting Glaucoma Progression With Optical Coherence Tomography Structural and Angiographic Parameters".
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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 |
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Recruitment Status :
Not yet recruiting
First Posted : November 27, 2020
Last Update Posted : November 27, 2020
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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 |
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.
| 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 |
- Device: Optical Coherence Tomography
Optical Coherence Tomography parameters
- retinal nerve fiber layer RNFL [ Time Frame: one year ]Thickness using OCT
- optic nerve head (ONH) [ Time Frame: one year ]Thickness using OCT
- disc perfusion changes [ Time Frame: one year ]flow index using OCTA
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
| 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 |
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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
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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.
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
| Contact: Asmaa Ali, MD | 01002475442 | asmaaahmedali@yahoo.com | |
| Contact: Khaled Abdelazeem, Phd | 01114001717 | abdelazeem.h@aun.edu.eg |
| Study Director: | Ahmed Fathallah, Phd | Assiut University |
| 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 |
| Studies a U.S. FDA-regulated Drug Product: | No |
| Studies a U.S. FDA-regulated Device Product: | No |
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Glaucoma Ocular Hypertension Eye Diseases |

