Retinal Nerve Fiber Layer Thickness and Macular Thickness in Myopia, Hyperopia and Emmetropia : An OCT Study

NCT ID: NCT05486741

Last Updated: 2022-08-04

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

UNKNOWN

Total Enrollment

450 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-11-30

Study Completion Date

2023-12-31

Brief Summary

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The purpose of this study is to investigate the variability of RNFL and macular thickness between myopia , hyper metropia and emmetropia

Detailed Description

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The world health organization (WHO) has estimated that the visual impairment caused by uncorrected refractive errors to be present in 153 million people worldwide (1) the prevalence of myopia ranges from 22.7% to 38.7% in large population study According to the WHO regions the estimated prevalence (EP) of hyperopia is 30.6% with the lowest EP in south east Asia 2.2% and the highest EP in the Americas 14.3% (2-3) During optic nerve development 2.85 million nerve fibers exist but by the third trimester we lose about 35% of these fibers (4) and the perpapillary retinal nerve fiber layer (RNFL) thickness will continue to decrease with advancing age (5). The relationship of the RNFL thickness with the refractive errors has been extensively investigated in adults and in children (6) and there was significant increase in the RNFL thickness in hypermetrope than in emmetrope and myope Understanding the derminants that affect the RNFL reserve helps us in the diagnosis and monitoring of optic nerve diseases. In macular region the thickness measured through optocal coherent tomography OCT shows high variability with value ranging from 190mm (centerpoint) to 389 mm (superior inner/nasal inner macula) (7) for both retinal and macular regions while decreasing in the retinal thickness has been reported with increasing age. Different studies have shown racial differences in RNFL thickness (8) white race (9) and myopia which has high prevelance in East Asian regions (10-12) have been associated with thinner RNFL (11) on the contrary Asian or Hispanic race has been associated with a thicker RNFL

Conditions

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OCT Study RNFL and Macular Thickness

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Myopes

myopes (≤ -1.0 D)

Optical cehernce tomography

Intervention Type OTHER

OCT macula and disc

Hyperopes

hyperopia (≥ +1.0D).

Optical cehernce tomography

Intervention Type OTHER

OCT macula and disc

Emmetropes

emmetropes (\> -1.0 to \<

* 1.0 D)

Optical cehernce tomography

Intervention Type OTHER

OCT macula and disc

Interventions

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Optical cehernce tomography

OCT macula and disc

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* All individuals having similar type of refractive status in both eyes and with no known confounding factor affecting retinal intensity or CDVA and willing to participate.

Exclusion Criteria

* • Eyes with amplyopia

* Patients having posterior segment pathology or media opacity
* Patients with history of glaucoma
* History of retinal laser therapy
* History of ocualr trauma
* Any medical disease that prevents patients from positioning on the device
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Mirna Tawab Saied

Doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Mirna Tawab Saied

Role: CONTACT

01221353527

Magdy Mohamed mostafa

Role: CONTACT

References

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Hussein M, Ibrahim S, Taha A, Magdy R. The impact of error of refraction and retinal nerve fiber layer thickness on cognitive functions in adults with bilateral myopia. Int J Neurosci. 2023 Mar;133(3):290-295. doi: 10.1080/00207454.2021.1910260. Epub 2021 May 17.

Reference Type BACKGROUND
PMID: 33781167 (View on PubMed)

Leung CK, Mohamed S, Leung KS, Cheung CY, Chan SL, Cheng DK, Lee AK, Leung GY, Rao SK, Lam DS. Retinal nerve fiber layer measurements in myopia: An optical coherence tomography study. Invest Ophthalmol Vis Sci. 2006 Dec;47(12):5171-6. doi: 10.1167/iovs.06-0545.

Reference Type BACKGROUND
PMID: 17122099 (View on PubMed)

Wang Q, Klein BE, Klein R, Moss SE. Refractive status in the Beaver Dam Eye Study. Invest Ophthalmol Vis Sci. 1994 Dec;35(13):4344-7.

Reference Type BACKGROUND
PMID: 8002254 (View on PubMed)

Other Identifiers

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OCT study in refractive errors

Identifier Type: -

Identifier Source: org_study_id

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