Retinal Degeneration Clinical Trial
Official title:
Quality of Life Measures in Patients With Retinal Degeneration
Inherited retinal degeneration (IRD) is a major cause of blindness and partial loss of vision cases in the UK and starts at an early age. The purpose of this observational study is to use the results of two questionnaires and a computerised test testing contrast sensitivity, to assess the impact of IRD on quality of life. This study will involve collecting data from patients with IRD, but also collecting data from normal controls.
IRD presents a significant burden on the NHS as well as on the individual and families. IRDs
are particularly difficult in a family situation due to guilt and other complex emotions
related to inheritance patterns. Poorer mental health has been reported in patients with
retinitis pigmentosa, manifesting in a range of ways including stress, depression and
anxiety, particularly as the disease progresses. This is most probably caused by the
uncertainty of the disease process and the progressive nature of the degeneration.
Recent work has reported that quality of life significantly deteriorates with a drop in
visual field diameter of 20 degrees or a drop in visual acuity lower then LogMAR 0.3
(equivalent to 6/12). Contrast sensitivity is often used in conjunction with VA to assess
visual capabilities. It is a measure of the ability to see reduced contrast and has a major
impact on utility of vision. Relating contrast sensitivity function to quality of life will
provide valuable information about whether this aspect of vision is a critical measure for
patient health. This is especially important as novel treatments are being developed for the
treatment of IRDs.
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