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โ† Trials
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Investigation of Neurovascular Coupling in Glaucoma Patients and Healthy Subjects

RecruitingNAAges 18 Years - anyAllMedical University of Vienna
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In plain words

What the trial is, and whether it could suit you

Glaucoma is characterized by a progressive loss of retinal ganglion cells (RGCs) leading to optic nerve head (ONH) damage and associated visual field defects. The main risk factor for glaucoma is elevated intraocular pressure (IOP). Reducing IOP slows down the progression of the disease as several large multicenter trials have shown. Some patients, however, still progress despite adequately controlled IOP. As such, there is considerable interest in approaches that rescue RGCs independent of IOP, a strategy called neuroprotection. Although this field was actively discovered in the last 20 years in the brain and the eye, no non-IOP related treatment is clinically available to date. Various approaches are currently studied in some detail. One interesting strategy focuses on the neurovascular unit. The blood flow of the human retina is controlled by complex mechanisms that include myogenic,

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๐Ÿ“‹ Eligibility rules (as published)
Inclusion criteria Patients with primary open angle glaucoma * Diagnosis of manifest primary open angle glaucoma defined as pathological optic disc appearance * Glaucoma hemifield test outside normal limits * Untreated IOP โ‰ฅ 21 mmHg on at least three measurements in the medical history * Mean deviation in the visual field test is less than or equal 10dB (for one group) OR more than 10dB (for the other group) Patients with normal tension glaucoma * Diagnosis of manifest normal tension glaucoma defined as pathological optic disc appearance * Glaucoma hemifield test outside normal limits * No evidence of untreated IOP \> 20 mmHg in the medical history * Mean deviation in the visual field is less than or equal 10dB (for one group) OR more than 10dB (for the other group) Patients with ocular hypertension * Normal ophthalmic findings except presence of ocular hypertension defined as untreated IOP โ‰ฅ 21 mmHg on at least three measurements in the medical history * No signs of glaucomatous damage in the optic disc * or the glaucoma hemifield test Healthy control subjects * Normal ophthalmic findings * IOP \< 20 mmHg on least three measurements * No evidence of increased IOP in the medical history * No signs of glaucomatous damage in the optic disc * or the glaucoma hemifield test Exclusion criteria * History of a severe medical condition as judged by the clinical investigator * Abuse of alcoholic beverages * Smoker * Participation in a clinical trial in the 3 weeks preceding the study * Exfoliation glaucoma, pigmentary glaucoma, history of acute angle closure * Intraocular surgery within the last 6 months * Ocular inflammation or infection within the last 3 months * History of epilepsia * Diabetes mellitus * Untreated hypertension with systolic blood pressure \> 160 mmHg, diastolic blood pressure \> 95 mmHg * Pregnancy * Planned pregnancy or lactating
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What it tests

  • Fourier Domain Doppler Optical Coherence Tomography (FDOCT)
  • Dynamic Vessel Analyzer (DVA)
  • Pattern Electroretinography (pERG)
  • Optical coherence tomography (OCT)
  • Laser Speckle Flowgraphy (LSFG)
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Where

1 site
Department of Clinical Pharmacology, Medical University of Vienna
Vienna, Austria
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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