About this trial
This study aims to develop and evaluate biomarkers using non-invasive optical coherence tomography (OCT) and OCT angiography (OCTA) as well as ultra-widefield (UWF) fundus photography to assess the structure and function of the retinal and choroidal microvasculature and structure in persons with mild cognitive impairment (MCI) and Alzheimer's Disease (AD), Parkinson's Disease (PD), or other neurodegenerative disease, diseases as outlined.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Adults with neurodegenerative disease ((MCI, PD, AD, FTD, DLB, ALS, MS, HD, TBI, concussion, PTSD and other neurodegenerations as well as Down Syndrome)
Adults without neurodegenerative disease
Disqualifiers
Inability to cooperate with or complete testing or other neurologic or age- related ocular conditions that would impact image acquisition.
Eyes that have had intraocular surgery, other than cataract surgery.
Trial population
Neurology Clinics and the community.
Trial design
Case-control
Prospective
Treatments tested in this trial
Retinal and Choroidal Imaging
DeviceNon-invasive OCT, OCTA, and UWF fundus photography of retina
Treatment groups
Trial outcomes
Primary outcomes
Change in ganglion cell-inner plexiform layer (GCIPL) thickness
Ganglion cell inner plexiform layer thickness as measured on optical coherence tomography scan of macula
Change in retinal nerve fiber layer (RNFL) thickness
Retinal nerve fiber layer thickness as measured on optical coherence tomography scan of macula
Change in central subfield thickness (CST)
Central subfield thickness as measured on optical coherence tomography scan of macula
Change in choroidal vascularity index (CVI)
Choroidal vascularity index as measured using the COIN software in 1500 um area centered on the fovea
Secondary outcomes
Change in retinal vessel tortuosity
Retinal vessel tortuosity measured on ultra-widefield scanning laser ophthalmoscopy image using VAMPIRE software
Change in retinal vessel width gradient
Retinal vessel width gradient measured on ultra-widefield scanning laser ophthalmoscopy image using VAMPIRE software
Change in retinal vessel fractal dimension
Retinal vessel fractal dimension measured on ultra-widefield scanning laser ophthalmoscopy image using VAMPIRE software
Sponsors and contacts
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Duke University
Lead sponsor
University of Edinburgh in Scotland
Collaborator
Tan Tock Seng Hospital in Singapore
Collaborator
Queens University of Belfast United Kingdom
Collaborator