The in Vivo Effect of Medical and Surgical Glaucoma Treatments on the Schlemm's Canal Micro-structure
1 other identifier
interventional
440
1 country
1
Brief Summary
The purpose of our current series of studies is to evaluate different glaucoma treatments in vivo effect on the conventional outflow pathway, and specifically on the Schlemm's canal (SC) anatomy using Enhanced Depth Imaging (EDI)-optical coherence tomography (OCT) . The images will be taken as part of the patients routine medical follow up (before starting the treatment, and 1,4 and 12 weeks afterwards) diameter, cross-sectional area and volume will be measured using commercially available 3-dimensional reconstruction. The series of studies will be divided into 3 branches, each branch contains different treatments.For each treatment different patients will be recruited. The branches are as following-
- 1.The surgical branch-
- 2.Before and after trabeculotomy
- 3.Before and after cataract surgery
- 4.Before and after vitrectomy surgery
- 5.Before and after XEN™ Gel Stent implant
- 6.The pharmacological branch-
- 7.Before and during the treatment with prostaglandins analogs
- 8.Before and during the treatment with alpha blockers
- 9.Before and during the treatment with beta blockers
- 10.Before and during the treatment with carbonic anhydrase inhibitor
- 11.The laser branch-
- 12.Before and after trabeculoplasty
- 13.Before and after laser iridotomy
- 14.Before and after yag capsulotomy laser
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jul 2016
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 17, 2016
CompletedFirst Posted
Study publicly available on registry
June 21, 2016
CompletedStudy Start
First participant enrolled
July 1, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2018
CompletedJune 23, 2016
June 1, 2016
1.8 years
June 17, 2016
June 22, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
Mean SC (schlemm's canal) cross-sectional area and volume
1 year
Secondary Outcomes (1)
Correlation of changes with intraocular pressure (IOP) reduction
1 year
Study Arms (1)
OCT imaging of surgical/pharmacological/laser branch
OTHERto evaluate the effect on the conventional outflow pathway, and specifically on the Schlemm's canal (SC) anatomy in the surgical branch: 1. Before and after trabeculotomy 2. Before and after cataract surgery 3. Before and after vitrectomy surgery 4. Before and after XEN™ Gel Stent implant pharmacological branch- 1. Before and during the treatment with prostaglandins analogs 2. Before and during the treatment with alpha blockers 3. Before and during the treatment with beta blockers 4. Before and during the treatment with carbonic anhydrase inhibitor laser branch- 1. Before and after trabeculoplasty 2. Before and after laser iridotomy 3. Before and after yag capsulotomy laser
Interventions
Eligibility Criteria
You may qualify if:
- Male or female of any race, at least 18 years of age.
- Has provided verbal and written informed consent.
- Able and willing to follow instructions, including participation in all study assessments and visits.
- Has been referred to one of the treatments mentioned
You may not qualify if:
- Has history of ocular conditions that may affect the SC structure (e.g., ocular neovascularization, anterior segment congenital anomalies)
- Subject uncooperativeness that restricts adequate examination of IOP, ocular fundus or
- any ocular or systemic conditions that may reduce OCT image quality (e.g., severe dry eye syndrome, visually significant cataract, limbal opacities, nystagmus, Parkinsonism, etc),
- Pregnant women or male or female younger than 18 years of age
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
SHEBA medical center
Ramat Gan, Israel
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- BASIC SCIENCE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER GOV
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 17, 2016
First Posted
June 21, 2016
Study Start
July 1, 2016
Primary Completion
May 1, 2018
Study Completion
May 1, 2018
Last Updated
June 23, 2016
Record last verified: 2016-06