The Focal Electro-Oculogram in Macular Disease

NCT ID: NCT02225119

Last Updated: 2024-12-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

39 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-02-06

Study Completion Date

2020-02-28

Brief Summary

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Background:

\- Maculopathies are eye conditions that affect the center of the retina. Retina health depends on the retinal pigment epithelium (RPE), a layer behind the retina. A new test may measure the health of the central retina and RPE.

Objective:

\- To use the focal electro-oculogram (EOG) test to understand how the central retina and RPE are affected in maculopathies.

Eligibility:

* People at least 10 years old with a maculopathy.
* Healthy volunteers with visual acuity of 20/20 or better in at least one eye.

Design:

* Participants will be screened with medical and eye history and an eye exam. Pictures will be taken of the eyes.
* Their eyes may be dilated.
* They may have a field test. They will look into a lens and press a button when they see a light. First, they may sit in the dark for 40 minutes.
* Participants will have 1-7 visits over 18 months.
* Their vision will be tested and eye pressure measured.
* Their pupils will be dilated with eye drops and researchers may take pictures of the retina and the inside of the eye, and measure the thickness of the retina.
* Participants will have an electro-oculogram. They will look at a 2 LED lights and follow them back and forth for 10 seconds once per minute. Participants will be in darkness for 15 minutes and in light for 20 minutes. One skin electrode will be placed on the nose and one next to the eye.
* Participants with maculopathy will also have:
* Field test.
* Electroretinogram. Participants will get numbing eye drops and special contact lenses. A small metal electrode will be taped to the forehead. Participants will watch flashing lights and try not to blink. First, they may sit in the dark for 40 minutes.

Detailed Description

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OBJECTIVE:

The objective of this protocol is to investigate the local response of the retinal pigment epithelium (RPE) across the posterior pole of the eye by recording the focal electrooculogram (EOG) in participants with macular disease.

STUDY POPULATION:

Up to 50 healthy volunteers and 80 participants, age 10 or older, with macular disorders affecting the retina/retinal pigment epithelium complex. Examples of such macular disorders include Stargardt s disease and age-related macular degeneration (AMD).

DESIGN:

This single-center, observational, case-control study will be comprised of three related aims. The first aim is focused on developing the focal EOG method which will require parameter optimization. The second aim is focused on establishing the normal range and variability of the focal EOG in normal volunteers. The third aim is to examine the focal EOG in participants with macular disease.

OUTCOME MEASURES:

The primary outcome for this study is to develop a method for recording the focal EOG. The secondary outcome will be to establish the normal range for the focal EOG and determine the inter-session and intra-session variabilities of this test. Exploratory outcomes include: 1) to examine the focal EOG in participants with macular diseases and 2) determine the inter-session and intra-session variabilities of this test in participants with macular diseases.

Conditions

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Macular Degeneration Age-Related Macular Degeneration

Keywords

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Retinal Images Retinal Pigment Epithelium Natural History

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Affected

Participants with macular disease

No interventions assigned to this group

Unaffected

Healthy volunteers

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

1. Participant must be 10 years of age or older.
2. Participant (or legal guardian) must understand and sign the protocol s informed consent document.
3. Participant must be able to cooperate with the testing required for this study.
4. For Participants with macular disease only:

1. Participant must have macular disease, defined as evidence of loss of centrally mediated retinal dysfunction and/or degeneration as established by standard clinical methods including perimetry, ERG and imaging.
2. Participant must have a measurable visual acuity.
5. For Healthy Volunteers only:

1. Participant must have visual acuity of 20/20 or better in at least one eye.

Exclusion Criteria

1\) Participant with pre-retinal media opacities that would prevent focal light presentation.
Minimum Eligible Age

10 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Eye Institute (NEI)

NIH

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Brett G Jeffrey, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

National Eye Institute (NEI)

Locations

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National Institutes of Health Clinical Center

Bethesda, Maryland, United States

Site Status

Countries

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United States

Related Links

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Other Identifiers

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14-EI-0171

Identifier Type: -

Identifier Source: secondary_id

140171

Identifier Type: -

Identifier Source: org_study_id