About this trial
The goal of this clinical trial is to learn if a new screening approach including an artificial intelligence algorithm that analyzes fundus photographs, measurement of eye pressure and visual field testing works to screen for glaucoma.
Participants will:
Have an image of their fundus (back of the eye) taken as part of their diabetic eye screening Have a measurement of their eye pressure If needed, have a test of their side vision using a headset
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Individuals with diabetes undergoing AI-based screening for diabetic retinopathy using the LumineticsCore (Digital Diagnostics) system at primary care centers.
Individuals who are able and willing to provide informed consent for participation in the study.
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
AI-based glaucoma screening
DeviceAI analysis of fundus photographs to detect signs of glaucoma, added to AI-based diabetic eye disease screening
IOP measurement
DeviceIntraocular pressure measurement by Icare tonometer
Virtual Reality Visual Field Testing
DeviceVirtual Reality Visual Field Testing by the Olleyes device for participants suspected of having glaucoma
Treatment groups
Trial outcomes
Primary outcomes
Glaucoma detection
This primary outcome measure will assesses the proportion of participants who receive a glaucoma diagnosis in the combined DED and glaucoma screening group compared to the DED-only screening group. Glaucoma diagnosis in the intervention group is based on AI-assisted analysis of fundus photography, intraocular pressure, and virtual reality perimetry testing for confirmation.
Secondary outcomes
Cost-Effectiveness of Combined Screening vs. DED-Only Screening
Participant Satisfaction with Screening Process
This measure assesses participant satisfaction with the glaucoma screening process. Satisfaction will be evaluated through a participant satisfaction survey.
Participant knowledge about glaucoma
This measure assesses participants' knowledge about glaucoma. Knowledge will be assessed through a questionnaire (NEI Glaucoma Eye-Q test).
Sponsors and contacts
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Massachusetts Eye and Ear Infirmary
Lead sponsor
Centers for Disease Control and Prevention
Collaborator