Trial Outcomes & Findings for visuALL Field Analyzer (vFA) Compared to Standard Humphrey Automated Perimetry (NCT NCT03804684)

NCT ID: NCT03804684

Last Updated: 2022-06-29

Results Overview

Mean (Average) retinal sensitivity to light as measured in decibels in multiple spots across the central and peripheral retina (entire visual field). Higher numbers translate to dimmer light which when detected means better vision.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

72 participants

Primary outcome timeframe

three hours

Results posted on

2022-06-29

Participant Flow

Glaucoma patients with mild or moderate visual field loss and subjects with healthy vision were enrolled to form two groups for comparison of two methods of visual field testing. Subjects unable to perform testing or test reliability did not meet inclusion criteria in 3 of the Healthy Controls and 18 of the Glaucoma Group. Therefore, 21 participants were excluded from results.

Participant milestones

Participant milestones
Measure
Healthy Controls
Healthy subjects between 21 and 80 years of age with no eye diseases. Eyes will have normal appearing optic nerve and retina, intraocular eye pressure less than 19 millimeters of mercury, normal, reliable standard automatic perimetry and spherical refraction less than 3 diopters and cylinder correction equal to 2 diopters or less. All subjects will perform Standard Automatic Perimetry Humphrey Field Analyzer and visuALL Field Analyzer to measure peripheral and central visual field.
Glaucoma Group
Subjects between 21 and 80 years of age with Mild or Moderate Glaucoma. Eyes will have reliable standard automatic perimetry with no more than -6 mean deviation (mild glaucoma) and between -6 mean and -12 mean deviation (moderate glaucoma); and spherical refraction less than 3 diopters and cylinder correction equal to 2 diopters or less. All subjects will perform Standard Automatic Perimetry Humphrey Field Analyzer and visuALL Field Analyzer to measure peripheral and central visual field.
Overall Study
STARTED
28
44
Overall Study
COMPLETED
25
26
Overall Study
NOT COMPLETED
3
18

Reasons for withdrawal

Reasons for withdrawal
Measure
Healthy Controls
Healthy subjects between 21 and 80 years of age with no eye diseases. Eyes will have normal appearing optic nerve and retina, intraocular eye pressure less than 19 millimeters of mercury, normal, reliable standard automatic perimetry and spherical refraction less than 3 diopters and cylinder correction equal to 2 diopters or less. All subjects will perform Standard Automatic Perimetry Humphrey Field Analyzer and visuALL Field Analyzer to measure peripheral and central visual field.
Glaucoma Group
Subjects between 21 and 80 years of age with Mild or Moderate Glaucoma. Eyes will have reliable standard automatic perimetry with no more than -6 mean deviation (mild glaucoma) and between -6 mean and -12 mean deviation (moderate glaucoma); and spherical refraction less than 3 diopters and cylinder correction equal to 2 diopters or less. All subjects will perform Standard Automatic Perimetry Humphrey Field Analyzer and visuALL Field Analyzer to measure peripheral and central visual field.
Overall Study
Subjects unable to perform testing or test reliability did not meet inclusion criteria.
3
18

Baseline Characteristics

visuALL Field Analyzer (vFA) Compared to Standard Humphrey Automated Perimetry

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Healthy Controls
n=50 Eyes
Healthy subjects between 21 and 80 years of age with no eye diseases. Eyes will have normal appearing optic nerve and retina, intraocular eye pressure less than 19 millimeters of mercury, normal, reliable standard automatic perimetry and spherical refraction less than 3 diopters and cylinder correction equal to 2 diopters or less. All subjects will perform Standard Automatic Perimetry Humphrey Field Analyzer and visuALL Field Analyzer to measure peripheral and central visual field. Standard Automatic Perimetry Humphrey Field Analyzer: Standard Automatic Perimetry (SAP) Humphrey Field Analyzer (HFA) 24-2, Swedish Interactive Threshold Algorithm (SITA) Standard Strategy measures peripheral and central vision in an ophthalmic setting. visuALL Field Analyzer: visuALL Field Analyzer a new portable hardware and software virtual reality system measures peripheral and central vision to improve early detection of glaucoma damage in a non ophthalmic setting.
Glaucoma Group
n=52 Eyes
Subjects between 21 and 80 years of age with Mild and Moderate Glaucoma. Eyes will have reliable standard automatic perimetry with no more than -6 mean deviation (mild glaucoma) and between -6 mean and -12 mean deviation (moderate glaucoma); and spherical refraction less than 3 diopters and cylinder correction equal to 2 diopters or less. All subjects will perform Standard Automatic Perimetry Humphrey Field Analyzer and visuALL Field Analyzer to measure peripheral and central visual field. Standard Automatic Perimetry Humphrey Field Analyzer: Standard Automatic Perimetry (SAP) Humphrey Field Analyzer (HFA) 24-2, Swedish Interactive Threshold Algorithm (SITA) Standard Strategy measures peripheral and central vision in an ophthalmic setting. visuALL Field Analyzer: visuALL Field Analyzer a new portable hardware and software virtual reality system measures peripheral and central vision to improve early detection of glaucoma damage in a non ophthalmic setting.
Total
n=102 Eyes
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Categorical
Between 18 and 65 years
20 Participants
n=93 Participants
23 Participants
n=4 Participants
43 Participants
n=27 Participants
Age, Categorical
>=65 years
8 Participants
n=93 Participants
21 Participants
n=4 Participants
29 Participants
n=27 Participants
Sex: Female, Male
Female
18 Participants
n=93 Participants
21 Participants
n=4 Participants
39 Participants
n=27 Participants
Sex: Female, Male
Male
10 Participants
n=93 Participants
23 Participants
n=4 Participants
33 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=93 Participants
0 Participants
n=4 Participants
3 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
25 Participants
n=93 Participants
44 Participants
n=4 Participants
69 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Asian
1 Participants
n=93 Participants
0 Participants
n=4 Participants
1 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
10 Participants
n=93 Participants
24 Participants
n=4 Participants
34 Participants
n=27 Participants
Race (NIH/OMB)
White
17 Participants
n=93 Participants
20 Participants
n=4 Participants
37 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Region of Enrollment
United States
28 participants
n=93 Participants
44 participants
n=4 Participants
72 participants
n=27 Participants
Mild to Moderate Glaucoma
0 Participants
n=93 Participants
44 Participants
n=4 Participants
44 Participants
n=27 Participants
Number of eyes analyzed
total eyes analyzed
50 number of eyes
n=93 Participants
52 number of eyes
n=4 Participants
102 number of eyes
n=27 Participants
Number of eyes analyzed
eyes with mild visual field defects
0 number of eyes
n=93 Participants
36 number of eyes
n=4 Participants
36 number of eyes
n=27 Participants
Number of eyes analyzed
eyes with moderate visual field defects
0 number of eyes
n=93 Participants
13 number of eyes
n=4 Participants
13 number of eyes
n=27 Participants
Number of eyes analyzed
eyes with severe visual field defects
0 number of eyes
n=93 Participants
3 number of eyes
n=4 Participants
3 number of eyes
n=27 Participants

PRIMARY outcome

Timeframe: three hours

Mean (Average) retinal sensitivity to light as measured in decibels in multiple spots across the central and peripheral retina (entire visual field). Higher numbers translate to dimmer light which when detected means better vision.

Outcome measures

Outcome measures
Measure
Healthy Controls
n=50 Eyes
Healthy subjects between 21 and 80 years of age with no eye diseases. Fifty eyes with normal appearing optic nerve and retina, intraocular eye pressure less than 19 millimeters of mercury, normal, reliable standard automatic perimetry and spherical refraction less than 3 diopters and cylinder correction equal to 2 diopters or less. All subjects performed Standard Automatic Perimetry Humphrey Field Analyzer and visuALL Field Analyzer to measure peripheral and central visual field.
Glaucoma Group
n=52 Eyes
Subjects between 21 and 80 years of age with Mild and Moderate Glaucoma. Fifty-two eyes with reliable standard automatic perimetry with no more than -6 mean deviation (mild glaucoma) and between -6 mean and -12 mean deviation (moderate glaucoma); and spherical refraction less than 3 diopters and cylinder correction equal to 2 diopters or less. All subjects performed Standard Automatic Perimetry Humphrey Field Analyzer and visuALL Field Analyzer to measure peripheral and central visual field.
Mean Retinal Sensitivity From Two Machines
Global field from Humphrey Visual Field
29.9 decibels
Standard Deviation 1.4
24.8 decibels
Standard Deviation 3.9
Mean Retinal Sensitivity From Two Machines
Global field from VisuALL
28.7 decibels
Standard Deviation 1.3
22.9 decibels
Standard Deviation 4.9
Mean Retinal Sensitivity From Two Machines
Inferior nasal quadrant from Humphrey Visual Field
30.3 decibels
Standard Deviation 1.3
24.8 decibels
Standard Deviation 5.8
Mean Retinal Sensitivity From Two Machines
Inferior nasal quadrant from VisuALL
28.7 decibels
Standard Deviation 1.6
23.3 decibels
Standard Deviation 6.9
Mean Retinal Sensitivity From Two Machines
Superior hemifield from Humphrey Visual Field
29.5 decibels
Standard Deviation 1.5
23.7 decibels
Standard Deviation 5.0
Mean Retinal Sensitivity From Two Machines
Superior hemifield from VisuALL
28.6 decibels
Standard Deviation 1.6
21.8 decibels
Standard Deviation 6.5

PRIMARY outcome

Timeframe: three hours

Population: The overall mean retinal sensitivity (lowest level of light detected) measured by two perimetry machines was compared in both normal and glaucoma subjects. This is the difference between the results of the two machines for healthy and glaucoma eyes across their visual field (overall).

Correlation (Agreement) between Humphrey Visual Field and VisuALL retinal sensitivity as measured by mean deviation (light measurement in decibels) in multiple spots across the central and peripheral retina (entire visual field). This is the amount of agreement of the measure threshold, which is the lowest level of light detected in different points across the visual field (overall), between two testing machines.

Outcome measures

Outcome measures
Measure
Healthy Controls
n=50 Eyes
Healthy subjects between 21 and 80 years of age with no eye diseases. Fifty eyes with normal appearing optic nerve and retina, intraocular eye pressure less than 19 millimeters of mercury, normal, reliable standard automatic perimetry and spherical refraction less than 3 diopters and cylinder correction equal to 2 diopters or less. All subjects performed Standard Automatic Perimetry Humphrey Field Analyzer and visuALL Field Analyzer to measure peripheral and central visual field.
Glaucoma Group
n=52 Eyes
Subjects between 21 and 80 years of age with Mild and Moderate Glaucoma. Fifty-two eyes with reliable standard automatic perimetry with no more than -6 mean deviation (mild glaucoma) and between -6 mean and -12 mean deviation (moderate glaucoma); and spherical refraction less than 3 diopters and cylinder correction equal to 2 diopters or less. All subjects performed Standard Automatic Perimetry Humphrey Field Analyzer and visuALL Field Analyzer to measure peripheral and central visual field.
Global Correlation (Agreement Between Two Machines in the Overall Visual Field)
0.5 decibels
Interval 0.0 to 1.0
0.8 decibels
Interval 0.0 to 1.0

SECONDARY outcome

Timeframe: three hours

Population: The overall mean retinal sensitivity (lowest level of light detected) measured by two perimetry machines was compared in both normal and glaucoma subjects. This is the difference between the results of the two machines for healthy and glaucoma eyes across their inferior nasal visual field).

Correlation (Agreement) between Humphrey Visual Field and VisuALL retinal sensitivity as measured by mean deviation (light measurement in decibels) in multiple spots across the inferior nasal visual field. This is the amount of agreement of the measure threshold, which is the lowest level of light detected in different points across the inferior (lower) nasal portion of the visual field, between two testing machines.

Outcome measures

Outcome measures
Measure
Healthy Controls
n=50 Eyes
Healthy subjects between 21 and 80 years of age with no eye diseases. Fifty eyes with normal appearing optic nerve and retina, intraocular eye pressure less than 19 millimeters of mercury, normal, reliable standard automatic perimetry and spherical refraction less than 3 diopters and cylinder correction equal to 2 diopters or less. All subjects performed Standard Automatic Perimetry Humphrey Field Analyzer and visuALL Field Analyzer to measure peripheral and central visual field.
Glaucoma Group
n=52 Eyes
Subjects between 21 and 80 years of age with Mild and Moderate Glaucoma. Fifty-two eyes with reliable standard automatic perimetry with no more than -6 mean deviation (mild glaucoma) and between -6 mean and -12 mean deviation (moderate glaucoma); and spherical refraction less than 3 diopters and cylinder correction equal to 2 diopters or less. All subjects performed Standard Automatic Perimetry Humphrey Field Analyzer and visuALL Field Analyzer to measure peripheral and central visual field.
Inferior Nasal Quadrant Correlation (Agreement Between Two Machines in the Inferior Nasal Visual Field)
0.3 decibels
Interval 0.0 to 1.0
0.8 decibels
Interval 0.0 to 1.0

SECONDARY outcome

Timeframe: three hours

Population: The mean retinal sensitivity (lowest level of light detected) measured by two perimetry machines was compared in both normal and glaucoma subjects. This is the difference between the results of the two machines for healthy and glaucoma eyes across the superior hemifield portion of their visual field.

Correlation (Agreement) between Humphrey Visual Field and VisuALL retinal sensitivity as measured by mean deviation (light measurement in decibels) in multiple spots across the superior (upper) hemifield portion of the visual field. This is the amount of agreement of the measure threshold, which is the lowest level of light detected in different points across the visual field in the superior hemifield, between two testing machines.

Outcome measures

Outcome measures
Measure
Healthy Controls
n=50 Eyes
Healthy subjects between 21 and 80 years of age with no eye diseases. Fifty eyes with normal appearing optic nerve and retina, intraocular eye pressure less than 19 millimeters of mercury, normal, reliable standard automatic perimetry and spherical refraction less than 3 diopters and cylinder correction equal to 2 diopters or less. All subjects performed Standard Automatic Perimetry Humphrey Field Analyzer and visuALL Field Analyzer to measure peripheral and central visual field.
Glaucoma Group
n=52 Eyes
Subjects between 21 and 80 years of age with Mild and Moderate Glaucoma. Fifty-two eyes with reliable standard automatic perimetry with no more than -6 mean deviation (mild glaucoma) and between -6 mean and -12 mean deviation (moderate glaucoma); and spherical refraction less than 3 diopters and cylinder correction equal to 2 diopters or less. All subjects performed Standard Automatic Perimetry Humphrey Field Analyzer and visuALL Field Analyzer to measure peripheral and central visual field.
Superior Hemifield Correlation (Agreement Between Two Machines in the Superior Hemifield Visual Field
0.4 decibels
Interval 0.0 to 1.0
0.6 decibels
Interval 0.0 to 1.0

Adverse Events

Healthy Controls

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Glaucoma Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

M. Reza Razeghinejad, MD

Wills Eye Hospital

Phone: 12159283197

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place