Adaptive Optics Retinal Imaging

NCT ID: NCT05370287

Last Updated: 2025-04-03

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

RECRUITING

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-01-22

Study Completion Date

2026-09-30

Brief Summary

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The objective of the study is to collect and assess adaptive optics (AO) retinal images from human subjects in support of projects to demonstrate, advance, and enhance clinical use of AO technology.

Detailed Description

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Objective: The objective of the study is to collect and assess adaptive optics (AO) retinal images from human subjects in support of projects to demonstrate, advance, and enhance clinical use of AO technology.

Study Population: Fifty (50) healthy volunteers without eye disease and thirty (30) subjects with primary open angle glaucoma (POAG) will be enrolled.

Design: This is an interventional study protocol where participants will be imaged with investigational multimodal AO retinal imaging systems that include optical coherence tomography (OCT) and scanning laser ophthalmoscopy (SLO) channels. High resolution OCT and SLO videos will be collected while the instruments automatically detect and correct for image distortion caused by ocular aberrations. In general, videos of different retinal structures will be acquired from several retinal locations using various imaging modes.

Outcome Measures: The primary outcomes for this protocol are qualitative and quantitative assessment of the AO images and investigation of the cellular morphological and physiological changes due to glaucoma.

Conditions

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Glaucoma, Primary Open Angle

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

One cohort of subjects with clinically diagnosed glaucoma and one cohort of age-matched healthy controls with no evidence of ocular disease
Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Glaucoma with oxygen

Primary open angle glaucoma subjects as well as pre-perimetric glaucoma suspects will be classified by clinical exam by an experienced glaucoma specialist according to the American Academy of Ophthalmology Practice Patterns. Glaucoma subjects and suspects will undergo adaptive optics (AO) imaging of several macular locations. A subset of subjects will undergo oxygen challenge intervention, which involves breathing 100% oxygen through a mask during AO imaging at pre-determined retinal vessel locations.

Group Type EXPERIMENTAL

oxygen inhalation

Intervention Type OTHER

Subjects will breath 100% oxygen through a mask.

Adaptive optics imaging

Intervention Type DEVICE

Adaptive optics scanning laser ophthalmoscopy (AOSLO) and adaptive optics - optical coherence tomography (AO-OCT) retinal imaging

Healthy control with oxygen

Age-matched healthy control cohort will undergo the same AO imaging procedures as glaucoma cohort. A subset of subjects will undergo the same oxygen challenge intervention as the glaucoma cohort.

Group Type EXPERIMENTAL

oxygen inhalation

Intervention Type OTHER

Subjects will breath 100% oxygen through a mask.

Adaptive optics imaging

Intervention Type DEVICE

Adaptive optics scanning laser ophthalmoscopy (AOSLO) and adaptive optics - optical coherence tomography (AO-OCT) retinal imaging

Healthy control with stimulation

Healthy control subjects will undergo AO imaging at several macular locations while flashes of visible light stimulus are delivered.

Group Type EXPERIMENTAL

Adaptive optics imaging

Intervention Type DEVICE

Adaptive optics scanning laser ophthalmoscopy (AOSLO) and adaptive optics - optical coherence tomography (AO-OCT) retinal imaging

Glaucoma

Glaucoma subjects and suspects will undergo AO imaging at several macular locations without intervention.

Group Type EXPERIMENTAL

Adaptive optics imaging

Intervention Type DEVICE

Adaptive optics scanning laser ophthalmoscopy (AOSLO) and adaptive optics - optical coherence tomography (AO-OCT) retinal imaging

Healthy control

Healthy control subjects will undergo AO imaging at several macular locations without intervention

Group Type EXPERIMENTAL

Adaptive optics imaging

Intervention Type DEVICE

Adaptive optics scanning laser ophthalmoscopy (AOSLO) and adaptive optics - optical coherence tomography (AO-OCT) retinal imaging

Interventions

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oxygen inhalation

Subjects will breath 100% oxygen through a mask.

Intervention Type OTHER

Adaptive optics imaging

Adaptive optics scanning laser ophthalmoscopy (AOSLO) and adaptive optics - optical coherence tomography (AO-OCT) retinal imaging

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Are 21 years of age or older.
2. Have the ability to cooperate with instructions during adaptive optics imaging (similar to instructions given during a clinical eye exam).
3. Have the ability to understand and sign an informed consent.
4. Have been diagnosed with POAG (cohort 2).

Exclusion Criteria

1. Are under 21 years of age.
2. Have a condition which prevents adequate images from being obtained (e.g. unstable fixation or media opacity).
3. Have visual correction outside of the range +4 diopters (D) to -8 D.
4. Have a history of adverse reaction to mydriatic drops.
5. Have a predisposition to (i.e., narrow iridocorneal angle) or any history of acute angle closure glaucoma (AACG).
6. Have any health conditions that would contraindicate oxygen supplementation, including chronic obstructive pulmonary disease (COPD), emphysema, asthma, or any other obstructive or restrictive lung disease (oxygen challenge participants only).
7. Have a dependency on oxygen support or a baseline oxygen saturation \<95% (oxygen challenge participants only).
8. Have tested positive for COVID-19 at initial enrollment or have acute or chronic photophobia as a result of contraction.
9. Are working under the direct supervision of Dr. Hammer.
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Maryland, Baltimore

OTHER

Sponsor Role collaborator

Food and Drug Administration (FDA)

FED

Sponsor Role lead

Responsible Party

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Daniel X. Hammer

Deputy Director, Division of Biomedical Physics

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Daniel X Hammer, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Food and Drug Administration (FDA)

Locations

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Food and Drug Administration

Silver Spring, Maryland, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Daniel X Hammer, Ph.D.

Role: CONTACT

301-796-9320

Zhuolin Liu, Ph.D.

Role: CONTACT

301-796-7914

Facility Contacts

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Daniel X Hammer, Ph.D.

Role: primary

301-796-9320

Zhuolin Liu, Ph.D.

Role: backup

301-796-7914

References

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Liu Z, Tam J, Saeedi O, Hammer DX. Trans-retinal cellular imaging with multimodal adaptive optics. Biomed Opt Express. 2018 Aug 14;9(9):4246-4262. doi: 10.1364/BOE.9.004246. eCollection 2018 Sep 1.

Reference Type RESULT
PMID: 30615699 (View on PubMed)

Hammer DX, Liu Z, Cava JA, Carroll J, Saeedi O. On the axial location of Gunn's dots. Am J Ophthalmol Case Rep. 2020 Jun 1;19:100757. doi: 10.1016/j.ajoc.2020.100757. eCollection 2020 Sep.

Reference Type RESULT
PMID: 32551400 (View on PubMed)

Liu Z, Saeedi O, Zhang F, Villanueva R, Asanad S, Agrawal A, Hammer DX. Quantification of Retinal Ganglion Cell Morphology in Human Glaucomatous Eyes. Invest Ophthalmol Vis Sci. 2021 Mar 1;62(3):34. doi: 10.1167/iovs.62.3.34.

Reference Type RESULT
PMID: 33760041 (View on PubMed)

Soltanian-Zadeh S, Kurokawa K, Liu Z, Zhang F, Saeedi O, Hammer DX, Miller DT, Farsiu S. Weakly supervised individual ganglion cell segmentation from adaptive optics OCT images for glaucomatous damage assessment. Optica. 2021 May 20;8(5):642-651. doi: 10.1364/optica.418274. Epub 2021 May 4.

Reference Type RESULT
PMID: 35174258 (View on PubMed)

Villanueva R, Le C, Liu Z, Zhang F, Magder L, Hammer DX, Saeedi O. Cell - Vessel Mismatch in Glaucoma: Correlation of Ganglion Cell Layer Soma and Capillary Densities. Invest Ophthalmol Vis Sci. 2021 Oct 4;62(13):2. doi: 10.1167/iovs.62.13.2.

Reference Type RESULT
PMID: 34605879 (View on PubMed)

Hammer DX, Agrawal A, Villanueva R, Saeedi O, Liu Z. Label-free adaptive optics imaging of human retinal macrophage distribution and dynamics. Proc Natl Acad Sci U S A. 2020 Dec 1;117(48):30661-30669. doi: 10.1073/pnas.2010943117. Epub 2020 Nov 9.

Reference Type RESULT
PMID: 33168747 (View on PubMed)

Liu Z, Kurokawa K, Hammer DX, Miller DT. In vivo measurement of organelle motility in human retinal pigment epithelial cells. Biomed Opt Express. 2019 Jul 19;10(8):4142-4158. doi: 10.1364/BOE.10.004142. eCollection 2019 Aug 1.

Reference Type RESULT
PMID: 31453000 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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17-062R

Identifier Type: -

Identifier Source: org_study_id

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