About this trial
This observational study aims to establish the safety profile of the use of Terahertz (THz) scanning system on corneal diseases. Participants with "non-seeing" eyes but normal corneas will undergo THz scanning. Eye examinations will be conducted at baseline, immediately after scanning, and at 1 day, 1 week, and 1 month post-scanning. These examinations will include measurements of visual acuity, eye structural, retinal health, corneal cell morphology, and corneal nerve status. The investigators hypothesize that the THz scanning system is safe for application to the human cornea.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Be at least 21 years of age
Regardless of gender (Male/Female)
Regardless of race (Chinese/Malay/Indian/Eurasian/Others)
Willingness and ability to follow all instructions and comply with study schedule for study visit
Disqualifiers
Pregnant/Breast-feeding women
Eyes with previous major surgery on the cornea such as corneal transplantation, refractive surgery, corneal cross-linking procedure
Eyes with previous infectious keratitis
Eyes with long-term use of glaucoma eye drops
Trial population
A total of 5 participants who have unilateral or bilateral functionally blind eyes with normal corneas will be recruited from Singapore National Eye Centre.
Trial design
Cohort
Prospective
Treatments tested in this trial
Terahertz (THz) scanning using THz Imaging system.
DeviceThe Terahertz (THz) scanning system is non-invasive and non-contact. It is a prototype developed by Institute of Materials Research and Engineering (IMRE), A\*STAR, Singapore and is performed for the purpose of research. THz scanning will provide safety data in human and the measurement of cornea hydration status. Each THz scan will take approximately 1 second. Real-time data will be generated when participants are positioned in front of the device.
Treatment groups
Trial outcomes
Primary outcomes
Level of visual acuity
Participants will undergo visual acuity assessment including uncorrected distance visual acuity (UDVA) and corrected distance visual acuity (CDVA) using Snellen chart at every visit. The last line on the chart that subjects are able to read correctly will be selected to calculate the visual acuity.
Secondary outcomes
National Eye Institute (NEI) Score
The cornea will be divided into five regions, each scored ranging from 0 (no fluorescein staining) to 3 (severe fluorescein staining) according to the grading scheme. The total NEI score will range from 0 to 15.
Extent of anterior chamber (AC) inflammation
AC cells will be graded by the Standardization of Uveitis Nomenclature Working Group on the ordinal scale of 0(\<1 cell/1 square millimeter, high-intensity beam), 0.5+ (1 to 5 cells/beam), 1+ (6 to 15 cells/beam), 2+ (16 to 25 cells/beam), 3+ (26 to 50 cells/beam), or 4+ (more than 50 cells/beam).
Lens density grade
Lens density will be also evaluated using the Pentacam device. Pentacam Nuclear Staging will provide a cataract grading score on an ordinal scale (from 0 to 5).
Level of anterior chamber (AC) flare
AC flare will be graded on the ordinal scale of 0 (none), 1+ (faint), 2+ (moderate; iris and lens details clear), 3+ (marked; iris and lens details hazy), or 4+ (fibrin or plastic aqueous).
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