Glaucoma Clinical Trial
Official title:
Vision Restoration Training in Glaucoma - A Double-blind, Randomized, Placebo-controlled Clinical Trial
Importance: Visual field loss after retinal damage in glaucoma is considered irreversible and
methods are needed to achieve vision restoration. Behavioral vision restoration training
(VRT), shown to improve visual fields in hemianopia and optic nerve damage, might comprise
such a method.
Objective: To determine if behaviorally activating areas of residual visual (ARV) using VRT
by daily one hour training for 3 months improves detection performance in perimetry compared
to a vision discrimination task in the intact visual field sector.
Design: Prospective, randomized, double-blind, placebo controlled trial. Setting: Ambulatory
care and home training Participants: Volunteer sample of glaucoma patients (25-80 yrs old)
with stable visual fields and well controlled intraocular pressure (IOP).
Intervention: Computer-based home training with VRT (n=15) or placebo discrimination training
(n=15).
Main Outcome Measures: The primary endpoint is change in detection performance in High
Resolution Perimetry (HRP). Secondary endpoints are 30° white/white and 30° blue/yellow
near-threshold perimetry. Further measures are eye movements, vision-related quality of life
(vQoL) as assessed with (NEI-VFQ) and health-related quality of life (hQoL) using SF-36
Health Survey-Short Form.
Investigators hypothesize that VRT will improve visual performance in glaucoma
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