Effect of Smoking on Retinal Vessel Morphology and Functionality
NCT ID: NCT07261176
Last Updated: 2025-12-03
Study Results
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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COMPLETED
NA
40 participants
INTERVENTIONAL
2021-04-01
2024-12-01
Brief Summary
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This is a low-risk, single-center, case-control, interventional clinical trial. Forty healthy subjects were enrolled: 20 healthy volunteers with regular daily tobacco activity (approximately 10 cigarettes per day for 5-10 years) and 20 healthy volunteers with no tobacco activity as controls.
Each subject underwent comprehensive ophthalmologic examination including OCT-A, DVA, and retinal vessel analysis (RVA) at baseline. Examinations were repeated for the smoking group at 3 and 30 minutes after smoking activity, and for controls at 8 and 35 minutes after baseline to assess examination variability.
The primary outcomes assessed changes in retinal perfusion and retinal vascular response after cigarette smoking compared to controls.
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Detailed Description
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Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
BASIC_SCIENCE
NONE
Study Groups
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Smokers Group
Twenty healthy volunteers with regular daily tobacco activity (approximately 10 cigarettes per day, smoking duration 5-10 years, using cigarettes with 0.8 grams nicotine content). Participants underwent OCT-A, DVA, and RVA examinations at baseline, 3 minutes, and 30 minutes after smoking one cigarette.
Cigarette Smoking
Participants smoked one cigarette containing 0.8 grams of nicotine under standardized conditions. Participants were required to abstain from tobacco activity for 24 hours prior to baseline examination and to avoid vasoconstrictor substances (coffee, alcohol) before examinations.
Non-smokers Control Group
Twenty healthy volunteers with no tobacco activity as normal life habit. Control participants underwent the same OCT-A, DVA, and RVA examinations at baseline, 8 minutes, and 35 minutes (corresponding timepoints without smoking) to assess examination variability and learning effects.
No interventions assigned to this group
Interventions
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Cigarette Smoking
Participants smoked one cigarette containing 0.8 grams of nicotine under standardized conditions. Participants were required to abstain from tobacco activity for 24 hours prior to baseline examination and to avoid vasoconstrictor substances (coffee, alcohol) before examinations.
Eligibility Criteria
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Inclusion Criteria
* Healthy volunteers who can understand and sign informed consent
* For Smokers Group: Regular daily tobacco activity (approximately 10 cigarettes per day, smoking duration 5-10 years, using cigarettes with 0.8 grams nicotine content)
* For Control Group: No tobacco activity as normal life habit
* Willing to abstain from tobacco activity for 24 hours prior to baseline examination
* Willing to avoid vasoconstrictor substances (coffee, alcohol) prior to examinations
Exclusion Criteria
* Opacity of dioptric media (lens, cornea, or vitreous) that prevents execution of examinations
* Known allergies that do not allow pupillary dilation
* Ocular pathologies
* Systemic hypertension
* Diabetes mellitus
* Myopia greater than -8.0 Diopters (D)
* Hyperopia greater than +5.0 D
* Astigmatism greater than -3.0 D
18 Years
99 Years
ALL
Yes
Sponsors
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IRCCS San Raffaele
OTHER
Responsible Party
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Querques Giuseppe
Associate Professor
Principal Investigators
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Francesco Bandello, MD
Role: PRINCIPAL_INVESTIGATOR
Ospedale San Raffaele
Locations
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Università Vita Salute San Raffaele
Milan, , Italy
Countries
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References
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de Carlo TE, Romano A, Waheed NK, Duker JS. A review of optical coherence tomography angiography (OCTA). Int J Retina Vitreous. 2015 Apr 15;1:5. doi: 10.1186/s40942-015-0005-8. eCollection 2015.
Zhu X, Yang K, Xiao Y, Ye C, Zheng J, Su B, Zheng Y, Zhang X, Shi K, Li C, Lu F, Qu J, Li M, Cui L. Association of cigarette smoking with retinal capillary plexus: an optical coherence tomography angiography study. Acta Ophthalmol. 2022 Nov;100(7):e1479-e1488. doi: 10.1111/aos.15157. Epub 2022 Apr 9.
Garhofer G, Resch H, Sacu S, Weigert G, Schmidl D, Lasta M, Schmetterer L. Effect of regular smoking on flicker induced retinal vasodilatation in healthy subjects. Microvasc Res. 2011 Nov;82(3):351-5. doi: 10.1016/j.mvr.2011.07.001. Epub 2011 Jul 12.
Ciesielski M, Rakowicz P, Stopa M. Immediate effects of smoking on optic nerve and macular perfusion measured by optical coherence tomography angiography. Sci Rep. 2019 Jul 15;9(1):10161. doi: 10.1038/s41598-019-46746-z.
Siedlecki J, Mohr N, Luft N, Schworm B, Keidel L, Priglinger SG. Effects of Flavanol-Rich Dark Chocolate on Visual Function and Retinal Perfusion Measured With Optical Coherence Tomography Angiography: A Randomized Clinical Trial. JAMA Ophthalmol. 2019 Dec 1;137(12):1373-1379. doi: 10.1001/jamaophthalmol.2019.3731.
McClintic SM, Jia Y, Huang D, Bailey ST. Optical coherence tomographic angiography of choroidal neovascularization associated with central serous chorioretinopathy. JAMA Ophthalmol. 2015 Oct;133(10):1212-4. doi: 10.1001/jamaophthalmol.2015.2126. No abstract available.
Huang Y, Zhang Q, Thorell MR, An L, Durbin MK, Laron M, Sharma U, Gregori G, Rosenfeld PJ, Wang RK. Swept-source OCT angiography of the retinal vasculature using intensity differentiation-based optical microangiography algorithms. Ophthalmic Surg Lasers Imaging Retina. 2014 Sep-Oct;45(5):382-9. doi: 10.3928/23258160-20140909-08.
Related Links
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IRCCS Ospedale San Raffaele Official Website
Vita-Salute San Raffaele University
Other Identifiers
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SMOKE-DVA
Identifier Type: -
Identifier Source: org_study_id
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