The Glaucoma and Retinopathy Screening Study

NCT ID: NCT06882356

Last Updated: 2025-08-28

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

2000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-16

Study Completion Date

2030-09-30

Brief Summary

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The goal of this clinical trial is to learn if a new screening approach including an artificial intelligence algorithm that analyzes fundus photographs, measurement of eye pressure and visual field testing works to screen for glaucoma.

Participants will:

Have an image of their fundus (back of the eye) taken as part of their diabetic eye screening Have a measurement of their eye pressure If needed, have a test of their side vision using a headset

Detailed Description

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Study Overview: This study is a prospective, interventional clinical trial designed to evaluate the effectiveness of an artificial intelligence (AI)-based screening program within community health settings. This study targets especially diabetic patients because they have higher risks of developing glaucoma. By integrating glaucoma screening into existing diabetic eye disease (DED) screenings, the study aims to identify cases of glaucoma earlier, thereby preventing or delaying progression to blindness.

Background: Glaucoma is a chronic eye disease that causes progressive optic nerve damage, often leading to irreversible vision loss. Early detection is critical, as glaucoma is typically asymptomatic in its early stages. Individuals with diabetes are at an elevated risk for glaucoma, making it crucial to develop accessible screening methods. Current DED screening programs already utilize fundus photography for diabetic retinopathy. Adding glaucoma screening to these existing DED screenings may provide an efficient and cost-effective solution to reach high-risk populations without requiring additional clinic visits.

Study Hypothesis: The hypothesis of this study is that incorporating AI-driven glaucoma screening into standard DED screenings will increase the detection rate of glaucoma in high-risk populations compared to DED screening alone. This combined approach is expected to yield better clinical outcomes by enabling early diagnosis and treatment while being cost-effective.

Expected Outcomes and Impact: This study is expected to provide valuable insights into the effectiveness of integrating AI-based glaucoma screening into existing screening programs for diabetic eye disease. If successful, this combined screening approach could be a cost-effective model for other community health settings, leading to earlier detection of glaucoma and improved patient outcomes. By making glaucoma screening more accessible the study aims to reduce health disparities and support preventive eye care.

Conditions

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Glaucoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

This study uses a prospective interventional model to evaluate the effectiveness of integrating AI-based glaucoma screening with existing diabetic eye disease (DED) screening among diabetic patients. Participants will have fundus images assessed by AI for glaucoma in addition to DED, and have intraocular pressure measurement measured. Suspected glaucoma cases will receive virtual perimetry testing for confirmation, and those diagnosed with glaucoma will be referred for follow-up care. This study aims to compare glaucoma detection rates between combined DED and glaucoma screening versus DED-only screening, ultimately supporting early glaucoma detection and enhancing care access in underserved communities.
Primary Study Purpose

SCREENING

Blinding Strategy

NONE

Study Groups

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Combined DED and Glaucoma Screening

Participants in this arm will have fundus photographs that are taken as a part of standard clinical care analyzed by AI for signs of glaucoma in addition to for diabetic retinopathy. They will also have intraocular pressure measured. If the AI detects possible glaucoma, participants will undergo virtual perimetry testing for further assessment.

Group Type EXPERIMENTAL

AI-based glaucoma screening

Intervention Type DEVICE

AI analysis of fundus photographs to detect signs of glaucoma, added to AI-based diabetic eye disease screening performed for routine clinical care

IOP measurement

Intervention Type DEVICE

Intraocular pressure measurement by Icare tonometer

Virtual Reality Visual Field Testing

Intervention Type DEVICE

Virtual Reality Visual Field Testing by the Olleyes device for participants suspected of having glaucoma

DED Screening Only (Control Arm)

Participants in this arm will undergo diabetic eye disease (DED) screening only for routine clinical care. This includes fundus photography for AI assessment of signs of diabetic retinopathy.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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AI-based glaucoma screening

AI analysis of fundus photographs to detect signs of glaucoma, added to AI-based diabetic eye disease screening performed for routine clinical care

Intervention Type DEVICE

IOP measurement

Intraocular pressure measurement by Icare tonometer

Intervention Type DEVICE

Virtual Reality Visual Field Testing

Virtual Reality Visual Field Testing by the Olleyes device for participants suspected of having glaucoma

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Individuals with diabetes undergoing AI-based screening for diabetic retinopathy using the LumineticsCore (Digital Diagnostics) system for clinical care at primary care centers.
* Individuals who are able and willing to provide informed consent for participation in the study.
Minimum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centers for Disease Control and Prevention

FED

Sponsor Role collaborator

Massachusetts Eye and Ear Infirmary

OTHER

Sponsor Role lead

Responsible Party

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David Steven Friedman

Professor of Ophthalmology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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David S Friedman, MD, PhD, MPH

Role: PRINCIPAL_INVESTIGATOR

Massachusetts Eye and Ear

Locations

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Brigham and Women's Primary Care Associates of Longwood

Boston, Massachusetts, United States

Site Status RECRUITING

MGH Chelsea HealthCare Center

Chelsea, Massachusetts, United States

Site Status RECRUITING

NSPG Lynn

Lynn, Massachusetts, United States

Site Status RECRUITING

NSPG Salem

Salem, Massachusetts, United States

Site Status NOT_YET_RECRUITING

NSPG Saugus

Saugus, Massachusetts, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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David S Friedman, MD, PhD, MPH

Role: CONTACT

617-573-3094

Facility Contacts

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David S Friedman, MD, PhD, MPH

Role: primary

617-573-3094

David S Friedman, MD, PhD, MPH

Role: primary

617-573-3094

David S Friedman, MD, PhD, MPH

Role: primary

617-573-3094

David S Friedman, MD, PhD, MPH

Role: primary

617-573-3094

David S Friedman, MD, PhD, MPH

Role: primary

617-573-3094

Other Identifiers

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2024p003709

Identifier Type: -

Identifier Source: org_study_id

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