About this trial
This study seeks to determine whether glasses prescriptions determined from computer analysis of detailed images of the eyes provide better vision outcomes for children with Down syndrome than prescriptions determined using routine clinical methods.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Down syndrome
Age 5 to 12 years
Ability to sit for study measures
Able to be dilated
Disqualifiers
Nystagmus
History of Ocular or Refractive Surgery
Corneal or lenticular opacities
Ocular disease
Trial design
Crossover
Treatments tested in this trial
Metric-optimized spectacles
DeviceMetric-optimized spectacles are glasses made from a prescription determined by the optimization of a metric for retinal image quality, Visual Strehl Ratio (VSX), as determined by algorithms utilizing wavefront aberration measures of the eye
Routine Clinical Spectacles
DeviceRoutine clinical spectacles are glasses made from a prescription based upon findings that are obtained during a routine eye examination, including autorefraction measures.
Treatment groups
Trial outcomes
Primary outcomes
Adapted Distance Visual Acuity
Aided LogMAR (minimum angle of resolution) distance visual acuity obtained with either British Standard Letters or HOTV - matching for participants unable to name letters
Secondary outcomes
Initial Distance Visual Acuity
Aided LogMAR (minimal angle of resolution) distance visual acuity obtained with either British Standard Letters or HOTV - matching for participants unable to name letters
Near Visual Acuity
Near LogMAR (minimum angle of resolution) visual acuity will be measured with a Bailey-Lovie style HOTV card
Spectacle Wear Time
Total wear time of each pair of spectacles as measured objectively by a temperature sensor data logger mounted to the spectacle temple
Participant Survey
Four question custom written survey with each question rated on a 5 point frown to smile scale. Questions target whether the subject likes the spectacles, feels they have good vision at distance and near, and feels that they see better with the spectacles than without. The lowest score is 1 and the highest score is 5 with 5 indicating better vision and higher preference for spectacles.
Sponsors and contacts
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Ohio State University
Lead sponsor
National Eye Institute (NEI)
Collaborator