About this trial
Study: observational prospective clinical study. Study population: Subjects over 55 years old with drusen secondary to intermediate AMD.
Recruitment: at the Medical Retinal Consultation from the Ophthalmology Department of CHULC.
Primary outcome: Identifying imaging predictors of iAMD progression.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
To verify the existence of drusen secondary to intermediate AMD; Soft, cuticular and reticular pseudo-drusen will be considered.
Accept and sign the consent.
Disqualifiers
Patients are excluded if it is not possible to obtain good quality CFP, SD-OCT, OCT-A images, if refractive error is ≥±6D or if there is any evidence of accumulation of extracellular fluid, haemorrhage, exudates or fibrosis.
Additional exclusion criteria included any history of retinal surgery including laser treatment, signs of diabetic retinopathy, history of retinal vascular occlusion, history of anti-VEGF treatment in the study eye or any signs or history of hereditary retinal or macular dystrophy.
Trial population
Subjects over 55 years old with drusen secondary to intermediate AMD
Trial design
Cohort
Prospective
Treatments tested in this trial
Orthoptic assessment (Outcome measure)
Diagnostic testThe protocol image assessment is non-invasive and includes retinal imaging by Color Fundus photography (CFP), Spectral Domain Optical Coherence Tomography (SD-OCT), OCT-Angiography (OCT-A) using Spectralis OCT, with OCT Angiography Module (Heidelberg Eng. GmbH, Germany).
Treatment groups
Trial outcomes
Primary outcomes
Change in incomplete retinal pigment epithelial and outer retinal atrophy (iRORA) from baseline
iRORA is measured in μm
Change in Drusen morphology from baseline
Drusen classified as Serous, Reticular or both
Change in Subfoveal drusen area from baseline
Subfoveal drusen area is measured in μm2, based on SD-OCT Spectralis Heidelberg
Change in other drusen area from baseline
Other drusen area is measured in μm2, based on SD-OCT Spectralis Heidelberg
Secondary outcomes
Progression to Advanced AMD according to international classification/grading system
Progression defined as the development of geographic atrophy or choroidal neovascularization detected by OCT imaging using autofluorescence, infrared, and/or angiography modules.
Sponsors and contacts
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Universidade Nova de Lisboa
Lead sponsor
iNOVA4Health, NOVA Medical School|Faculdade de Ciências Médicas, NMS|FCM, UNL
Collaborator
Centro Hospitalar de Lisboa Central
Collaborator
Centro Hospitalar De São João, E.P.E.
Collaborator