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The cross-sectional observational clinical study related to rare eye diseases is a multi-center study in which the hypothesis is that neurokinin 1 receptor and/or substance P expression is increased in REDs associated with inflammation/pain. Moreover, the following alternative targets are: VEGF, PAX6 and pro-inflammatory cytokine.
The following procedures are performed specifically for the study: samples of blood, tear fluid and impression cytology.
Precisely during the ophthalmological exam performed according to normal clinical practice (uncorrected visual acuity, best spectacle corrected visual acuity, corneal topography, corneal pachymetry and the slit lamp pictures) investigator's team collect the samples of blood, tear fluid and impression cytology to evaluate the goal of the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients | |||
| Control group |
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| Measure | Description | Time Frame |
|---|---|---|
| To quantify the expression of molecular/cellular/genomic targets in the REDs and control group to detect statistically significant and clinically relevant differences. | Evaluation of NK1R transcription levels in PBMC, substance P and VEGF protein levels in the tear fluid, pro-inflammatory cytokines transcription levels in conjunctival tissue. NK1R and pro-inflammatory cytokines are expressed as fold change compared to control group. Substance P and VEGF are expressed as ng/ml. | Day 0 (enrollment day). |
| Measure | Description | Time Frame |
|---|---|---|
| To correlate the expression of molecular/cellular genomic targets with the clinical phenotype/quality of life/pain symptoms in patients with the 7 rare diseases and in the control group so as to detect possible risk factors. | Levels of NK1R, substance P, VEGF, and pro-inflammatory cytokines correlated with pictures, questionnaires, uncorrected visual acuity, best spectacle corrected visual acuity, corneal topography, corneal pachymetry and the slit lamp pictures acquired during the ophthalmologic exam. |
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Inclusion Criteria:
Inclusion Criteria for study group
Inclusion Criteria for control group
Exclusion Criteria:
Exclusion Criteria for study group
Patients who meet these criteria will be excluded from participation in the study:
Exclusion Criteria for control group
Patients who meet these criteria will be excluded from participation in the study:
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The study population consists of 137 patients, each of them will present with one of the 7 diseases under study (REDs).
The control group will consist of 137 patients not presenting the previous reported REDs.
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| Label | URL |
|---|---|
| European Commission, ERN-EYE: a European Reference Network dedicated to Rare Eye Diseases. Accessed 29 December 2021 | View source |
| European Blind Union, About Blindness and Partial Sight: Facts and Figures. Accessed 26 August 2022 | View source |
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| ID | Term |
|---|---|
| D035583 | Rare Diseases |
| D015783 | Aniridia |
| D000092423 | Limbal Stem Cell Deficiency |
| D010390 | Pemphigoid, Benign Mucous Membrane |
| C536189 | Ectrodactyly-cleft lip-palate syndrome |
| D016510 | Corneal Neovascularization |
| D022125 | Lacerations |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D005124 | Eye Abnormalities |
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| Day 0 (enrollment day). |
| Restore Vision site | View source |
| D005128 | Eye Diseases |
| D015785 | Eye Diseases, Hereditary |
| D007499 | Iris Diseases |
| D014603 | Uveal Diseases |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D030342 | Genetic Diseases, Inborn |
| D003316 | Corneal Diseases |
| D003229 | Conjunctival Diseases |
| D012872 | Skin Diseases, Vesiculobullous |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D009389 | Neovascularization, Pathologic |
| D008679 | Metaplasia |
| D014947 | Wounds and Injuries |