Benchmarking Management of Glaucoma Using the Diopsys VEP/PERG Protocols.
Observational/Prospective Study for Benchmarking the Management of Glaucoma With Selective Laser Trabeculoplasty (SLT) or Trabecular Stent Bypass Microsurgery, Using the Diopsys Visual Evoked Potential/Pattern ERG Protocols
1 other identifier
observational
60
0 countries
N/A
Brief Summary
Establish electrophysiological benchmarks, using the Diopsys Visual Evoked Potential/ Pattern ERG (VEP/PERG) protocols of populations with Glaucoma following: 1) Baseline VEP/ERG prior to treatment; and 2) VEP/PERG after treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Feb 2018
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 30, 2015
CompletedFirst Posted
Study publicly available on registry
November 3, 2015
CompletedStudy Start
First participant enrolled
February 15, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 15, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2019
CompletedJanuary 25, 2018
January 1, 2018
10 months
October 30, 2015
January 23, 2018
Conditions
Outcome Measures
Primary Outcomes (24)
VEP Amplitude at 15% Contrast
Record the VEP Amplitude at 15% contrast stimulus.
Within 1 month prior to treatment
VEP Amplitude at 15% Contrast
Record the VEP Amplitude at 15% contrast stimulus.
3 months post treatment
VEP Amplitude at 15% Contrast
Record the VEP Amplitude at 15% contrast stimulus
6 months post treatment
VEP Latency at 15% Contrast
Record the VEP Latency at 15% contrast stimulus.
Within 1 month prior to treatment
VEP Latency at 15% Contrast
Record the VEP Latency at 15% contrast stimulus
3 months post treatment
VEP Latency at 15% Contrast
Record the VEP Latency at 15% contrast stimulus
6 months post treatment
VEP Amplitude at 85% Contrast
Record the VEP Amplitude at 85% contrast stimulus.
Within 1 month prior to treatment
VEP Amplitude at 85% Contrast
Record the VEP Amplitude at 85% contrast stimulus.
3 months post treatment
VEP Amplitude at 85% Contrast
Record the VEP Amplitude at 85% contrast stimulus.
6 months post treatment
VEP Latency at 85% Contrast
Record the VEP Latency at 85% contrast stimulus
Within 1 month prior to treatment
VEP Latency at 85% Contrast
Record the VEP Latency at 85% contrast stimulus
3 months post treatment
VEP Latency at 85% Contrast
Record the VEP Latency at 85% contrast stimulus
6 months post treatment
PERG Magnitude at 16 degree stimulus
Record the PERG Magnitude at 16 degree stimulus
Within 1 month prior to treatment
PERG Magnitude at 16 degree stimulus
Record the PERG Magnitude at 16 degree stimulus
3 months post treatment
PERG Magnitude at 16 degree stimulus
Record the PERG Magnitude at 16 degree stimulus
6 months post treatment
PERG MagnitudeD at 16 degree stimulus
Record the PERG MagnitudeD at 16 degree stimulus
Within 1 month prior to treatment
PERG MagnitudeD at 16 degree stimulus
Record the PERG MagnitudeD at 16 degree stimulus
3 months post treatment
PERG MagnitudeD at 16 degree stimulus
Record the PERG MagnitudeD at 16 degree stimulus
6 months post treatment
PERG Magnitude at 24 degree stimulus
Record the PERG Magnitude at 24 degree stimulus
Within 1 month prior to treatment
PERG Magnitude at 24 degree stimulus
Record the PERG Magnitude at 24 degree stimulus
3 months post treatment
PERG Magnitude at 24 degree stimulus
Record the PERG Magnitude at 24 degree stimulus
6 months post treatment
PERG MagnitudeD at 24 degree stimulus
Record the PERG MagnitudeD at 24 degree stimulus
Within 1 month prior to treatment
PERG MagnitudeD at 24 degree stimulus
Record the PERG MagnitudeD at 24 degree stimulus
3 months post treatment
PERG MagnitudeD at 24 degree stimulus
Record the PERG MagnitudeD at 24 degree stimulus
6 months post treatment
Study Arms (2)
Selective Laser Trabeculoplasty (SLT)SLT
Monitor glaucoma patients that are scheduled to be treated with Selective Laser Trabeculoplasty (SLT) with VEP/PERG. The treatment is not dependent on the study.
Trabecular stent bypass microsurgery
Monitor glaucoma patients that are scheduled to be treated with trabecular stent bypass microsurgery with VEP/PERG.The treatment is not dependent on the study.
Eligibility Criteria
The study population is a group of glaucoma patients that are scheduled for 1) Selective Laser Trabeculoplasty or 2) Trabecular stent bypass microsurgery as a treatment.
You may qualify if:
- Patient will have repeatable abnormal SAP results (pattern standard deviation with p ≤5% and/or Glaucoma Hemifield Test outside normal limits)
- Glaucomatous optic disc appearance (those with cup to disc area ratio, rim thinning or RNFL defects indicative of glaucoma)
- Repeatable intraocular pressure ≥23 mmHg, in at least one eye.
- The last SAP test of all participants will be classified following the Glaucoma Staying System (GSS).
You may not qualify if:
- A spherical refraction outside + 5.0 D and cylinder correction outside + 3.0 D.
- Intraocular surgery in the study eye (except non-complicated cataract or refractive surgery performed less than 1 year before enrollment).
- Any prior vitrectomy
- Any prior macular or pan retinal photocoagulation laser
- History of neurologic condition known to affect visual function.
- Inability to obtain a reliable PERG/VEP test.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Diopsys, Inc.lead
- University of Pittsburghcollaborator
Related Publications (10)
Bach M, Brigell MG, Hawlina M, Holder GE, Johnson MA, McCulloch DL, Meigen T, Viswanathan S. ISCEV standard for clinical pattern electroretinography (PERG): 2012 update. Doc Ophthalmol. 2013 Feb;126(1):1-7. doi: 10.1007/s10633-012-9353-y. Epub 2012 Oct 17.
PMID: 23073702BACKGROUNDBanitt MR, Ventura LM, Feuer WJ, Savatovsky E, Luna G, Shif O, Bosse B, Porciatti V. Progressive loss of retinal ganglion cell function precedes structural loss by several years in glaucoma suspects. Invest Ophthalmol Vis Sci. 2013 Mar 28;54(3):2346-52. doi: 10.1167/iovs.12-11026.
PMID: 23412088BACKGROUNDBode SF, Jehle T, Bach M. Pattern electroretinogram in glaucoma suspects: new findings from a longitudinal study. Invest Ophthalmol Vis Sci. 2011 Jun 16;52(7):4300-6. doi: 10.1167/iovs.10-6381.
PMID: 21372021BACKGROUNDParisi V, Miglior S, Manni G, Centofanti M, Bucci MG. Clinical ability of pattern electroretinograms and visual evoked potentials in detecting visual dysfunction in ocular hypertension and glaucoma. Ophthalmology. 2006 Feb;113(2):216-28. doi: 10.1016/j.ophtha.2005.10.044. Epub 2006 Jan 10.
PMID: 16406535BACKGROUNDDodt E. The electrical response of the human eye to patterned stimuli: clinical observations. Doc Ophthalmol. 1987 Mar;65(3):271-86. doi: 10.1007/BF00149934.
PMID: 3678000BACKGROUNDCarr MD RE. The Pattern Electroretinogram (PERG). Paper presented at: NANOS, 1988.
BACKGROUNDVentura LM, Porciatti V. Pattern electroretinogram in glaucoma. Curr Opin Ophthalmol. 2006 Apr;17(2):196-202. doi: 10.1097/01.icu.0000193082.44938.3c.
PMID: 16552256BACKGROUNDBach M, Unsoeld AS, Philippin H, Staubach F, Maier P, Walter HS, Bomer TG, Funk J. Pattern ERG as an early glaucoma indicator in ocular hypertension: a long-term, prospective study. Invest Ophthalmol Vis Sci. 2006 Nov;47(11):4881-7. doi: 10.1167/iovs.05-0875.
PMID: 17065502BACKGROUNDKono Y, Jonas JB, Zangwill L, Berry CC, Weinreb RN. Agreement of measurement of parapapillary atrophy with confocal scanning laser ophthalmoscopy and planimetry of photographs. J Glaucoma. 1999 Apr;8(2):105-10.
PMID: 10209726BACKGROUNDHolder GE. Pattern electroretinography (PERG) and an integrated approach to visual pathway diagnosis. Prog Retin Eye Res. 2001 Jul;20(4):531-61. doi: 10.1016/s1350-9462(00)00030-6.
PMID: 11390258BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Wollstein Gadi, MD
University of Pittsburgh
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 30, 2015
First Posted
November 3, 2015
Study Start
February 15, 2018
Primary Completion
December 15, 2018
Study Completion
May 1, 2019
Last Updated
January 25, 2018
Record last verified: 2018-01