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In addition to intraocular pressure blood perfusion pressure in the optic nerve is an important factor determing the cause of glaucoma. Increasing evidence suggests that in glaucoma patients retinal blood may be decreased.
According to the World Health Organization (WHO) glaucoma is the second leading cause of blindness. Glaucoma is a global problem, which is becoming even more important as the human life expectancy increases. Although the causes of glaucoma are uncertain, mainly intraocular pression (IOP), genetics, and ocular blood perfusion pressure in the optic nerve determine the cause of the disease. Increasing evidence suggests that in glaucoma patients retinal blood flow is decreased leading to progression and to damage of the optic nerve.
In order to measure the peripapillary blood flow a variety of devices using different techniques of flowmetry have been developed. In this study, the reproducibility of the retinal flowmetry measured with the LSFG-NAVI device from Nidek will be investigated. A high reproducibility is crucial for the clinical value of any measuring device.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| open-angle glaucoma | patients with a diagnosis of open-angle glaucoma, i.e. untreated IOP >21mmHg plus glaucomatous disc changes and/or visual field defects typical for glaucoma |
| |
| normal tension glaucoma | patients with a diagnosis of normal tension glaucoma, i.e. untreated IOP \ |
| |
| healthy controls | individuals with normal optic disc and IOP \ |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LASER SPECKLE FLOWGRAPHY | Diagnostic Test | Non-invasive, real-time imaging and measurement of ocular blood flow of the optic disc and peripapillary region |
|
| Measure | Description | Time Frame |
|---|---|---|
| Coefficients of variation (COV) | COVs from 3 measurements of ocular blood flow at visit 1 of observer 1 and at visit 1 of observer 1 and from observer 2 will be computed. | 1 month |
| intraclass correlation coefficients (ICCs) | Intraobserver ICC, interobserver ICC, and inter-session ICC will be computed | 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| Cofounder | Blood pressure will be checked as potential cofounder | 1 month |
| Cofounder | heart rate will be checked as potential cofounder |
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Inclusion Criteria:
Exclusion Criteria:
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3 groups as described above will be recruted from the outpatient department of the Ophthalmology Department at the UniversityHospital Zurich, Zurich, Switzerland and the Ophthalmology Department at the Cantonal Hospital Aarau, Aarau, Switzerland
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| Name | Affiliation | Role |
|---|---|---|
| Marc Töteberg-Harms, MD, FEBO | UniversityHospital Zurich, Department of Ophthalmology, Zurich, Switzerland | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Ophthalmology | Zurich | Canton of Zurich | 8091 | Switzerland |
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| ID | Term |
|---|---|
| D005902 | Glaucoma, Open-Angle |
| D057066 | Low Tension Glaucoma |
| D005901 | Glaucoma |
| ID | Term |
|---|---|
| D009798 | Ocular Hypertension |
| D005128 | Eye Diseases |
| D009901 | Optic Nerve Diseases |
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| 1 month |
| Cofounder | spherical equivalent will be checked as potential cofounder | 1 month |
| Cofounder | intraocular pressure will be checked as potential cofounder | 1 month |