The Effect of Laser Treatment on Macular Pigment of Eye in Cases With Diabetes
The Effect of Laser Pan-retinal Photocoagulation on Macular Pigment Optical Density in Cases With Diabetic Retinopathy
1 other identifier
interventional
36
0 countries
N/A
Brief Summary
It has been hypothesized that thermal damage of laser pan-retinal photocoagulation may affect macular pigment as well as inner layer cells in the retina, so it was aimed to investigate possible effect of conventional laser pan-retinal photocoagulation on macular pigment optical density in diabetic retinopathy patients without macular edema and pathology in this study.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Oct 2015
Shorter than P25 for not_applicable
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
Study Start
First participant enrolled
October 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 8, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
July 12, 2016
CompletedFirst Submitted
Initial submission to the registry
May 8, 2017
CompletedFirst Posted
Study publicly available on registry
May 12, 2017
CompletedMay 12, 2017
May 1, 2017
8 months
May 8, 2017
May 10, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change macular pigment optical density from baseline at 6 months
Macular pigment optical density measures were repeated and recorded at 1st, 2nd, 3rd month before laser treatments and 6th month
1 month and 3 months
Secondary Outcomes (1)
Correlation analysis between macular pigment optical density and panretinal laser photocoagulation parameters during 6 months
6 months
Study Arms (1)
Laser pan-retinal photocoagulation
EXPERIMENTALConventional laser pan-retinal photocoagulations were performed by using green laser photocoagulator, every month for 3 months
Interventions
Green laser photocoagulator
Eligibility Criteria
You may qualify if:
- Best corrected visual acuity (BCVA) logMAR ≤0.4
- Newly diagnosis of PDR and initiation of conventional laser PRP treatment
- Between the ages of 40 and 65 years (40≤age≤65)
You may not qualify if:
- Corneal scarring, cataract or intravitreal hemorrhage that prevents appearance of the fundus
- Presence of macular pathologies such as AMD or choroidopathy
- Presence of macular edema or NVE in the macular area
- Detection of macular fluid or edema in OCT or FFA
- Previous laser PRP treatments
- Focal and / or grid photocoagulation requirements
- Previous refractive or vitreoretinal surgery
- Spherical refractive error ≥ ±6.00 D or cylinder refractive error ≥ ±3.00 D
- Systemic diseases that may affect the choroidal blood flow such as cardiological diseases
- Current use of carotenoid supplementation
- Changing eating habits
- Gastrointestinal diseases that could cause disturbance of dietary absorption
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Related Publications (15)
Bone RA, Landrum JT, Friedes LM, Gomez CM, Kilburn MD, Menendez E, Vidal I, Wang W. Distribution of lutein and zeaxanthin stereoisomers in the human retina. Exp Eye Res. 1997 Feb;64(2):211-8. doi: 10.1006/exer.1996.0210.
PMID: 9176055BACKGROUNDKrinsky NI, Landrum JT, Bone RA. Biologic mechanisms of the protective role of lutein and zeaxanthin in the eye. Annu Rev Nutr. 2003;23:171-201. doi: 10.1146/annurev.nutr.23.011702.073307. Epub 2003 Feb 27.
PMID: 12626691BACKGROUNDKrinsky NI, Johnson EJ. Carotenoid actions and their relation to health and disease. Mol Aspects Med. 2005 Dec;26(6):459-516. doi: 10.1016/j.mam.2005.10.001. Epub 2005 Nov 23.
PMID: 16309738BACKGROUNDMa L, Yan SF, Huang YM, Lu XR, Qian F, Pang HL, Xu XR, Zou ZY, Dong PC, Xiao X, Wang X, Sun TT, Dou HL, Lin XM. Effect of lutein and zeaxanthin on macular pigment and visual function in patients with early age-related macular degeneration. Ophthalmology. 2012 Nov;119(11):2290-7. doi: 10.1016/j.ophtha.2012.06.014. Epub 2012 Aug 1.
PMID: 22858124BACKGROUNDPiermarocchi S, Saviano S, Parisi V, Tedeschi M, Panozzo G, Scarpa G, Boschi G, Lo Giudice G; Carmis Study Group. Carotenoids in Age-related Maculopathy Italian Study (CARMIS): two-year results of a randomized study. Eur J Ophthalmol. 2012 Mar-Apr;22(2):216-25. doi: 10.5301/ejo.5000069.
PMID: 22009916BACKGROUNDAge-Related Eye Disease Study 2 Research Group. Lutein + zeaxanthin and omega-3 fatty acids for age-related macular degeneration: the Age-Related Eye Disease Study 2 (AREDS2) randomized clinical trial. JAMA. 2013 May 15;309(19):2005-15. doi: 10.1001/jama.2013.4997.
PMID: 23644932BACKGROUNDTrieschmann M, van Kuijk FJ, Alexander R, Hermans P, Luthert P, Bird AC, Pauleikhoff D. Macular pigment in the human retina: histological evaluation of localization and distribution. Eye (Lond). 2008 Jan;22(1):132-7. doi: 10.1038/sj.eye.6702780. Epub 2007 Mar 30.
PMID: 17401321BACKGROUNDPowner MB, Gillies MC, Tretiach M, Scott A, Guymer RH, Hageman GS, Fruttiger M. Perifoveal muller cell depletion in a case of macular telangiectasia type 2. Ophthalmology. 2010 Dec;117(12):2407-16. doi: 10.1016/j.ophtha.2010.04.001. Epub 2010 Aug 3.
PMID: 20678804BACKGROUNDBone RA, Landrum JT, Fernandez L, Tarsis SL. Analysis of the macular pigment by HPLC: retinal distribution and age study. Invest Ophthalmol Vis Sci. 1988 Jun;29(6):843-9.
PMID: 3372161BACKGROUNDMorgan CL, Currie CJ, Stott NC, Smithers M, Butler CC, Peters JR. The prevalence of multiple diabetes-related complications. Diabet Med. 2000 Feb;17(2):146-51. doi: 10.1046/j.1464-5491.2000.00222.x.
PMID: 10746486BACKGROUNDResnikoff S, Pascolini D, Etya'ale D, Kocur I, Pararajasegaram R, Pokharel GP, Mariotti SP. Global data on visual impairment in the year 2002. Bull World Health Organ. 2004 Nov;82(11):844-51. Epub 2004 Dec 14.
PMID: 15640920BACKGROUNDEarly photocoagulation for diabetic retinopathy. ETDRS report number 9. Early Treatment Diabetic Retinopathy Study Research Group. Ophthalmology. 1991 May;98(5 Suppl):766-85.
PMID: 2062512BACKGROUNDPreliminary report on effects of photocoagulation therapy. The Diabetic Retinopathy Study Research Group. Am J Ophthalmol. 1976 Apr;81(4):383-96. doi: 10.1016/0002-9394(76)90292-0.
PMID: 944535BACKGROUNDStefansson E. Ocular oxygenation and the treatment of diabetic retinopathy. Surv Ophthalmol. 2006 Jul-Aug;51(4):364-80. doi: 10.1016/j.survophthal.2006.04.005.
PMID: 16818083BACKGROUNDMainster MA, Reichel E. Transpupillary thermotherapy for age-related macular degeneration: principles and techniques. Semin Ophthalmol. 2001 Jun;16(2):55-9. doi: 10.1076/soph.16.2.55.4213.
PMID: 15491004BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Mustafa Dogan, Asst. Prof.
Afyon Kocatepe University Eye Clinics
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 8, 2017
First Posted
May 12, 2017
Study Start
October 1, 2015
Primary Completion
June 8, 2016
Study Completion
July 12, 2016
Last Updated
May 12, 2017
Record last verified: 2017-05