NCT03150654

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

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
36

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Oct 2015

Shorter than P25 for not_applicable

Status
completed

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

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 8, 2016

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

July 12, 2016

Completed
10 months until next milestone

First Submitted

Initial submission to the registry

May 8, 2017

Completed
4 days until next milestone

First Posted

Study publicly available on registry

May 12, 2017

Completed
Last Updated

May 12, 2017

Status Verified

May 1, 2017

Enrollment Period

8 months

First QC Date

May 8, 2017

Last Update Submit

May 10, 2017

Conditions

Keywords

macular pigmentmacular pigment optical densitydiabetic retinopathylaser pan-retinal photocoagulation

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

EXPERIMENTAL

Conventional laser pan-retinal photocoagulations were performed by using green laser photocoagulator, every month for 3 months

Device: Laser pan-retinal photocoagulation

Interventions

Green laser photocoagulator

Also known as: GYC-500 Vixi
Laser pan-retinal photocoagulation

Eligibility Criteria

Age40 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

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: 9176055BACKGROUND
  • Krinsky 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: 12626691BACKGROUND
  • Krinsky 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: 16309738BACKGROUND
  • Ma 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: 22858124BACKGROUND
  • Piermarocchi 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: 22009916BACKGROUND
  • Age-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: 23644932BACKGROUND
  • Trieschmann 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: 17401321BACKGROUND
  • Powner 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: 20678804BACKGROUND
  • Bone 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: 3372161BACKGROUND
  • Morgan 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: 10746486BACKGROUND
  • Resnikoff 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: 15640920BACKGROUND
  • Early photocoagulation for diabetic retinopathy. ETDRS report number 9. Early Treatment Diabetic Retinopathy Study Research Group. Ophthalmology. 1991 May;98(5 Suppl):766-85.

    PMID: 2062512BACKGROUND
  • Preliminary 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: 944535BACKGROUND
  • Stefansson 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: 16818083BACKGROUND
  • Mainster 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

Diabetic RetinopathyRetinal Degeneration

Condition Hierarchy (Ancestors)

Retinal DiseasesEye DiseasesDiabetic AngiopathiesVascular DiseasesCardiovascular DiseasesDiabetes ComplicationsDiabetes MellitusEndocrine System DiseasesEye Diseases, Hereditary

Study Officials

  • Mustafa Dogan, Asst. Prof.

    Afyon Kocatepe University Eye Clinics

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
not applicable
Masking
NONE
Purpose
TREATMENT
Intervention Model
SEQUENTIAL
Model Details: sequential self-controlled clinical trial
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