Open Angle Glaucoma Clinical Trial
Official title:
Correlation Between Submacular and Peripapillary Choroidal Tissue and Ocular Blood Flow in Glaucoma Patients
Glaucoma is a leading cause of blindness worldwide, whose treatment - intraocular pressure
lowering - is only partially effective in preventing disease progression. Accordingly, other
variables, such as ocular blood flow-related factors, have been implicated in disease
pathogenesis. However, most findings involving vascular variables come from partial,
small-scale studies. Furthermore, recent technological advances have identified a number of
ocular blood flow variables that have yet to be tested in large scale trials. Therefore, a
study that specifically aims at uncovering the role of vascular aspects in glaucoma is
needed.
For this purpose, a cross-sectional, observational case-control study will be conducted in
the University Hospitals Leuven. This will be the largest-yet study on the subject,
involving more than 750 patients. This will allow the creation of a specific cohort of
patients where the vascular aspects are thought to be particularly important (low-tension
glaucoma). It will use the largest combination yet of vascular-related measuring techniques
(dynamic contour tonometry, optic coherent tomography, colour Doppler imaging and retinal
oximetry)
1. Demographic and clinical ophthalmology-related examination data will be collected,
including intraocular pressure measurement using dynamic contour tonometry
2. Visual field testing will be performed.
3. Structural damage will be documented by a retinal nerve fiber layer analysis (through
Heidelberg Retinal Tomograph)
4. High Definition Optical coherent tomograph imaging of the submacular and peripapillary
choroidal thickness will be performed.
5. Color Doppler Imaging of the retrobulbar vessels will be performed, with analysis of
the Doppler waveform (peak systolic, end diastolic velocities and resistivity index)
6. Retinal oximetry will be performed with the analysis of the arterial and venous
saturations of retinal vessels
;
Observational Model: Case Control, Time Perspective: Cross-Sectional
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