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Vision Disorders clinical trials

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NCT ID: NCT03169855 Completed - Cataract Clinical Trials

Validation of Mesopic and Photopic Contrast Vision Tests With Respect to Nighttime Driving Ability

ContrastVal
Start date: May 2, 2017
Phase:
Study type: Observational

A) The main purposes of this study are (i) to develop a related virtual reality (VR) environment in order to judge the nighttime driving ability under mesopic and under glare conditions (ophthalmologically healthy subjects and patients with incipient to intermediate cataract, i.e. opacities of the human lens, will participate in this study), (ii) to validate the above-mentioned VR environment with respect to a related on-road driving scenario under mesopic and glare conditions, (iii) to validate clinical photopic and mesopic contrast vision tests and glare tests with respect to the prediction of nighttime driving ability, (iv) to assess the test retest reliability of clinical photopic and mesopic contrast vision tests B) Background: An intact mesopic vision and a glare sensitivity within a normal range are essential pre-requisites for safe driving at nighttime (DOG & BVA, 2011). Anderson & Holiday (1995) have shown that (simulated) opacities of the refractive media (with only minor effects on daytime visual acuity) induce a pronounced impairment of contrast sensitivity under nighttime conditions. Especially under glare conditions by the headlights of traffic on the opposite lane or by stationary street illumination, an impairment of the mesopic vision may cause traffic hazards. The prevalence of impairments of the central visual acuity, the mesopic vision and the glare sensitivity is significantly higher for subjects being involved in nighttime traffic accidents (Lachenmayr, 1998). Furthermore, these impairments occur more frequently in aged drivers and are, among others, related to an increase of age-related media opacities (Aulhorn & Harms, 1970, Babizhayev, 2003). Due to the demographic change, the relevance of nighttime driving ability is increasing in the next years since more and more aged employees will participate at the motorized traffic at night. The German Fahrerlaubnisverordnung (FEV i.e. driving license regulation) specifies pass/fail criteria with regard to mesopic vision and glare sensitivity. The luminance level during nighttime driving is usually between 0.01 and 1 cd/m^2, and therefore can be attributed to the level of mesopic vision. However, over the last years, the attempt was made to introduce photopic contrast sensitivity test to diagnose nighttime driving ability (i.e. testing of contrast vision under daytime conditions without time consuming adaptation procedures). Current research aims at investigating the relationship between contrast tests under various luminance conditions (Wilhelm et al, 2013). It is questionable, whether photopic tests are at all reliable predictors with regard to nighttime driving (Gramberg-Danielsen et al., 1984, Hertenstein et al., Graefe´s Archive of Ophthalmology, 2016).

NCT ID: NCT03141164 Completed - Cognitive Change Clinical Trials

Peripheral Vision Training Study

PVTS
Start date: May 30, 2017
Phase: N/A
Study type: Interventional

This study will train participants (young people and older adults) to do a visual task, and will assess whether this results in changes in behavioral assessments. In some participants, we will be also testing whether MRI measures (cortical thickness, functional connectivity) change with training.

NCT ID: NCT03045367 Completed - Epiretinal Membrane Clinical Trials

Mid-term Evaluation of Metamorphopsia in Epiretinal Membrane Surgery

Start date: June 22, 2015
Phase: N/A
Study type: Observational [Patient Registry]

This study evaluates the safety and efficacy simultaneous, trans-conjunctival, 25-Gauge vitrectomy and phacoemulsification with intraocular lens implant in patients with metamorphopsia and visual impairment due to idiopathic epiretinal membrane and cataract. All 30 patients recruited underwent complete ocular examination, visual acuity measurement with ETDRS, metamorphopsia assessment with M-Charts and Metamorphometry® and foveal thickness evaluation by sd-OCT preoperatively, at 30, 90, 180 days postoperatively.

NCT ID: NCT02911805 Active, not recruiting - Vision Disorders Clinical Trials

Bridging Animal and Human Models of Exercise-induced Visual Rehabilitation

Start date: June 10, 2015
Phase: N/A
Study type: Interventional

This study will determine whether blood biomarker changes predict sight-saving benefits of exercise.

NCT ID: NCT02896738 Completed - Visual Impairment Clinical Trials

MRI Screening for Auditory Pathway Malformations in Visually Impaired Children

DIMAVE
Start date: September 2015
Phase:
Study type: Observational

This pilot study aims to assess the interest to add an auditory pathway morphological analysis during the MRI exploration of visual pathway in visually impaired children.

NCT ID: NCT02878681 Withdrawn - Clinical trials for Visual Impairment Due to Diabetic Macular Edema

24 Week Study to Compare Systemic VEGF-levels of Ranibizumab and Aflibercept in DME.

TIDE DME
Start date: September 2016
Phase: Phase 4
Study type: Interventional

The purpose of the study is to compare the effect of intravitreal injections of ranibizumab and aflibercept on systemic VEGF levels in DME patients in a detailed time course.

NCT ID: NCT02871817 Active, not recruiting - Clinical trials for Diabetic Retinopathy

A Comparison of the Checkup Vision Assessment System to Standard Vision Assessment Tools

CLEAR
Start date: July 2016
Phase: N/A
Study type: Observational

The CLEAR study is testing the level of agreement between visual acuity and Amsler grid testing using a mobile vision testing application, Checkup Study, and standard in office methods. In addition the percent of patients able to successfully complete home testing on the digital device will be assessed.

NCT ID: NCT02799836 Withdrawn - Amblyopia Clinical Trials

The Effect of Light Deprivation on Visual Functions in Adult Amblyopes

Start date: August 1, 2019
Phase: N/A
Study type: Interventional

Amblyopia is a significant health problem, affecting up to 4% of the population in the United States. Amblyopia, commonly known as "lazy eye," is a developmental visual disorder in which one or both eyes suffer from poor vision as a result of being disadvantaged in early life. Strabismus, or eye misalignment, such as crossed eyes (esotropia) or wandering eyes (exotropia), and anisometropia, or a power difference between the eyes, are the most common causes of amblyopia. If conventional treatment, such as patching the better seeing eye, is not initiated during the critical period of visual development, lasting visual impairment may persist throughout life. This critical period of visual development has been thought to end around age 10. However, recent research has demonstrated that the critical period of visual development can be extended into adulthood. Complete light deprivation in animal models has restored plasticity in the visual cortex and has demonstrated drastic recovery of vision in amblyopic eyes. The objective of this pilot study is to evaluate the impact of complete light deprivation on visual function in a cohort of human adults with severe amblyopia from anisometropia.

NCT ID: NCT02680223 Completed - Vision Disorders Clinical Trials

Efficacy of Coloured Overlays and Lenses for Reading Difficulty

Start date: January 2016
Phase: N/A
Study type: Interventional

This is a randomised controlled trial with the aim of testing the efficacy of coloured overlays and coloured lenses for the relief of visual stress and reading difficulties in children and young adults.

NCT ID: NCT02679313 Completed - Vision Disorders Clinical Trials

Effect of Lens Presentation on the Clinical Oculomotor Assessment at Near

Start date: February 2016
Phase: N/A
Study type: Interventional

This study will compare near clinical oculomotor parameters (heterophoria, vergence ranges, AC/A and accommodative findings) measured when lenses and/or prisms are introduced using three different instruments namely: (i) a standard manual phoropter, (ii) an electronic phoropter and (iii) a wearable adaptive refractor (VisionFit).