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To explore the distribution of retinal vasculature parameters in patients with different subtypes of cardiovascular and ocular disease.
In this interventional cohort study, the investigators aim to evaluate retinal vascular function as assessed by optical coherence tomography angiography, fundus photography and dynamic vessel analysis in patients who share microvascular involvement of their pathology (e.g. chronic kidney disease, cardiac decompensation, neuronal small vessel disease and glaucoma) and age-matched healthy controls. Plasm and skin samples for comparative proteomics and transcriptomics are also taken.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Chronic kidney disease | Other |
| |
| Diastolic heart failure | Other |
| |
| Neuronal small vessel disease | Other |
| |
| Glaucoma | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Optical coherence tomography(-angiography) OCT(A) | Diagnostic Test | OCTA is a non-invasive diagnostic tool capable of generating cross-sectional coupes of the retina and choroid. Novel algorithms allow to render a 3-dimensional model of the ocular microcirculation based merely on the motion contrast of the circulating blood. |
| Measure | Description | Time Frame |
|---|---|---|
| Relative distribution of retinal endothelial reactivity, flow index, vessel density in the different subpopulations. | 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| Diagnostic performance of the aforementioned parameters to distinguish the different subpopulations. | 3 years | |
| The association between these parameters and (1) the presence of risk factors for cardiovascular disease (including biomarkers) and (2) risk factors for disease progression and (3) neuropsychological functioning |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jan Van Eijgen, MD | Contact | +32 16 34 56 28 | jan.1.vaneijgen@uzleuven.be | |
| Sarah Spileers, SC | Contact | +32 16 34 03 91 | oogziekten.glaucoomstudies@uzleuven.be |
| Name | Affiliation | Role |
|---|---|---|
| Ingeborg Stalmans, MD, PhD | Universitaire Ziekenhuizen KU Leuven | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universitaire Ziekenhuizen UZ/KU Leuven | Recruiting | Leuven | Vlaams-Brabant | 3000 | Belgium |
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| Healthy patients | Other |
|
|
| Fundus pictures | Diagnostic Test | Visucam (Zeiss), Topcon NW8 fundus camera, NFC 600 (Crystalvue) |
|
| DVA 3.0 | Diagnostic Test | IMEDOS GmbH |
|
| Hyperspectral retinal images | Diagnostic Test | Ximea SNm4x4 hyperspectral snapshot camera |
|
| SphygmoCor | Diagnostic Test | Sphygmocor Excell |
|
| Sphygmomanometer | Diagnostic Test | For the measurement of the blood pressure. |
|
| Blood sample | Diagnostic Test | For both routine cardiovascular health biomarkers as well as genetic markers (DNA, mRNA, miRNA). |
|
| Skin biopsy | Diagnostic Test | Spatial proteomics and transcriptomics for endothelial function. |
|
| Neuropsychological examination | Diagnostic Test | Moca, Stroop color word test, concept shifting test, COWAT, (R)AVLT, Beck depression inventory, GDS |
|
| 3 years |
| Physiological behaviour of retinal vasculature under cardiovascular stress. | 3 years |
| Histopathological correlates in dermal microvasculature | 3 years |
| ID | Term |
|---|---|
| D007674 | Kidney Diseases |
| D054144 | Heart Failure, Diastolic |
| D005901 | Glaucoma |
| ID | Term |
|---|---|
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D006333 | Heart Failure |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D009798 | Ocular Hypertension |
| D005128 | Eye Diseases |
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| ID | Term |
|---|---|
| D001800 | Blood Specimen Collection |
| ID | Term |
|---|---|
| D013048 | Specimen Handling |
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D011677 | Punctures |
| D013514 | Surgical Procedures, Operative |
| D008919 | Investigative Techniques |
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