Retinal Photoreceptor Outer Segment Length Before and After Light Stimulation - a Pilot Study

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorMedical University of Vienna

About this trial

It has been shown that reactions of human retinal photoreceptors to a light stimulus can be measured with custom-made, research prototype optical coherence tomography (OCT) systems. This can be used as a biomarker for the function of the photoreceptors. Due to the high technical demands on the system, however, the technique is currently not available for clinical purposes. In this pilot study a protocol to measure changes in retinal photoreceptor layer thickness before and after light stimulation shall be developed based on a commercial OCT system and newly developed algorithms. Other variables, such as circadian processes shall be investigated as well. After measurements in healthy volunteers, the protocol is planned to be applied in patients with primary open angle glaucoma (POAG) and age-related macular degeneration (AMD) to test for feasibility of the method in these patient groups.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

men and women aged over 18 years

signed informed consent form

ametropia below 3 diopters

ability and willingness to follow instructions

Disqualifiers

Presence of any abnormalities preventing reliable measurements

Ocular inflammation and ocular disease interfering with the study aims

Use of photosensitizing medication (phototoxic drugs, photoallergic drugs) in the 3 months preceding the study

Presence of any condition with the possibility of causing photosensitivity, including systemic lupus erythematosus SLE, Porphyria, Vitiligo, Xeroderma Pigmentosum and Albinism

Trial design

Design model

Parallel

Treatments tested in this trial

  • White light stimulation

    Other intervention

    Stimulation of the retina with white light

Treatment groups

35 Participants
are divided into 3 treatment groups
Group A: healthy volunteersExperimental treatment 1 intervention
Group B: primary open angle glaucoma patientsExperimental treatment 1 intervention
Group C: age-related macular degeneration patientsExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Light stimulation

Optical path length changes between inner segment outer segment junction and retinal pigment epithelium (RPE) will be measured with OCT in 15 healthy volunteers, 10 POAG patients and 10 AMD patients before and after light stimulation

Time frame
1 day

Secondary outcomes

1

Light stimulation of contralateral eye

Optical path length changes between inner segment outer segment junction and retinal pigment epithelium (RPE) will be measured with OCT in 15 healthy volunteers, 10 POAG patients and 10 AMD patients before and after light stimulation in the contralateral eye

Time frame
1 day
2

Difference in photoreceptor layer thickness over the course of 8 hours

Influence of circadian rhythm on the length of retinal photoreceptor outer segments

Time frame
8 hours
3

En face maps

test an algorithm for production of en face maps of retinal photoreceptor outer segment length

Time frame
1 day

Other outcomes

Sponsors and contacts

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