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The difficulty to measure blood flow in humans is connected with the necessity of using not invasive, reliable and reproducible techniques.
There is several quantitative approaches to study eye blood flow which do not answer all these specifications. The laser doppler velocimetry allows movement speed measures but not vessel diameter. Optical coherence tomography doppler allows a simultaneous diameter and speed of travel (movement) measures, but presents a limited spatial resolution and thereby not easily reproducible vessel diameter measures.
The investigators propose development of a technique allowing a simultaneous diameter and velocity measure of these vessels.
The eye blood flow plays a fundamental role in the eye physiology, insuring the metabolic contributions of various eye tissues, in particular those associated with the vision photochemical processes. Eye blood flow changes are involved in the physiopathology of several frequent eye diseases susceptible to lead to blindness (glaucoma,age-related macular degeneration, venous or arterial occlusions). Numerous systematic pathologies can also alter eye blood flow (diabetes, sleep apnea, arterial high blood pressure, inflammation).
The difficulty to measure blood flow in humans is connected with the necessity of using not invasive, reliable and reproducible techniques.
There is several quantitative approaches to study eye blood flow which do not answer all these specifications. The laser doppler velocimetry allows movement speed measures but not vessel diameter. Optical coherence tomography doppler allows a simultaneous diameter and speed of travel (movement) measures, but presents a limited spatial resolution and thereby not easily reproducible vessel diameter measures.
The investigators propose development of a technique allowing a simultaneous diameter and velocity measure of these vessels.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Healthy subjects | Experimental | 120 healthy subjects in the first session and 30 in the second Intervention : Laser Doppler Velocimetry + Optic Adaptative Camera |
|
| Glaucoma | Experimental | 60 subjects with glaucoma Intervention : Laser Doppler Velocimetry + Optic Adaptative Camera |
|
| Retinal vein occlusion | Experimental | 80 subjects with retinal vein occlusion including 40 with peripheric occlusion and 40 with central occlusion Intervention : Laser Doppler Velocimetry + Optic Adaptative Camera |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Laser Doppler Velocimetry + Optic Adaptative Camera | Procedure | Fluxometry measure while subject is sitting in front of the optic adaptative camera |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change of total retinal blood flow in healthy subject | Total retinal blood flow measurement in healthy subject at rest | Day 0, Day 30 to Day 60 |
| Measure | Description | Time Frame |
|---|---|---|
| Repeatability and reproducibility of retinal blood flow measures intra and inter session | Coefficient of variation for Repeatability and Reproducibility (3 measures session every 5 minutes on the same day, repeated one or two months after) | Day 0, Day 30 to Day 60 |
| Change of retinal blood flow in different ages subjects |
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Inclusion Criteria:
Non-inclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Florent APTEL, PhD | Contact | faptel@chu-grenoble.fr | ||
| anais ADOLLE | Contact | aadolle@chu-grenoble.fr |
| Name | Affiliation | Role |
|---|---|---|
| Florent Aptel, PhD | University Hospital, Grenoble | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Grenoble | Recruiting | Grenoble | 38043 | France |
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| Label | URL |
|---|---|
| Evaluation du flux sanguin oculaire. In: Rapport SFO 2014 - Glaucome primitif à angle ouvert. | View source |
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| ID | Term |
|---|---|
| D005901 | Glaucoma |
| D012170 | Retinal Vein Occlusion |
| ID | Term |
|---|---|
| D009798 | Ocular Hypertension |
| D005128 | Eye Diseases |
| D012164 | Retinal Diseases |
| D020246 | Venous Thrombosis |
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| ID | Term |
|---|---|
| D017078 | Laser-Doppler Flowmetry |
| ID | Term |
|---|---|
| D003935 | Diagnostic Techniques, Cardiovascular |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D012212 | Rheology |
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Total retinal blood flow measurement in different ages subjects |
| Day 0, Day 30 to Day 60 |
| Evaluation of the relation between retinal blood flow and vessel diameter | Retinal blood flow and diameter of principal vessels coming from the optic disc | Day 0, Day 30 to Day 60 |
| Measure retinal blood flow in subject with glaucoma and compare results with healthy subjects | Total retinal blood flow measured in subjects with glaucoma and age- and sex-matched healthy subjects | Day 0 |
| Measure retinal blood flow in subject with retinal vein occlusion and compare results with measurements made in ipsilateral non pathogenic vessels, controlateral vessels and healthy subjects. | Total blood flow compare to the controlateral eye and healthy subject data | Day 0, Month 1, Month 2, Month 3, Month 6 |
| Retinal blood flow evaluation after 1, 2 and 3 months after the inclusion of subject with retinal vein occlusion | Partial retinal blood flow in a occluded temporal vein compare to a healthy ipsilateral temporal vein | Day 0, Month 1, Month 2, Month 3 |
| Retinal blood flow evaluation after 1, 2, 3 and 6 months after intravitreal injection of aflibercept in subject treated for macular oedema as a complication of retinal vein occlusion | Retinal blood flow evolution will be evaluated regarding macular oedema and retinal ischaemia occurence | Day 0, Month 1, Month 2, Month 3, Month 6 |
| D013927 |
| Thrombosis |
| D016769 | Embolism and Thrombosis |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D008919 | Investigative Techniques |