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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| healthy volunteers | Experimental | light stimulation |
|
| primary open angle glaucoma patients | Experimental | light stimulation |
|
| age-related macular degeneration patients | Experimental | light stimulation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| White light stimulation | Other | Stimulation of the retina with white light |
|
| Measure | Description | Time Frame |
|---|---|---|
| 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 | 1 day |
| Measure | Description | Time Frame |
|---|---|---|
| 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 | 1 day |
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Inclusion Criteria:
for healthy volunteers:
for primary open angle glaucoma patients (POAG):
for age-related macular degeneration (AMD):
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Doreen Schmidl, MD,PhD | Contact | 0043140400 | 29810 | doreen.schmidl@meduniwien.ac.at |
| Name | Affiliation | Role |
|---|---|---|
| Doreen Schmidl, MD,PhD | Department of Clinical Pharmacology, Medical University of Vienna | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medical University of Vienna, Department of Clinical Pharmacology | Recruiting | Vienna | State of Vienna | 1090 | Austria |
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| ID | Term |
|---|---|
| D057092 | Geographic Atrophy |
| D005902 | Glaucoma, Open-Angle |
| ID | Term |
|---|---|
| D008268 | Macular Degeneration |
| D012162 | Retinal Degeneration |
| D012164 | Retinal Diseases |
| D005128 | Eye Diseases |
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| Difference in photoreceptor layer thickness over the course of 8 hours |
Influence of circadian rhythm on the length of retinal photoreceptor outer segments |
| 8 hours |
| En face maps | test an algorithm for production of en face maps of retinal photoreceptor outer segment length | 1 day |
| D005901 |
| Glaucoma |
| D009798 | Ocular Hypertension |