Adaptive Optics in PVR
An Observational Study of Retinal Function and Structure After Repair of Macula-involving Retinal Detachment Complicated by Proliferative Vitreoretinopathy (RDPVR) Using Adaptive Optics
1 other identifier
observational
25
1 country
1
Brief Summary
The purpose of this study is to investigate the loss of retinal cells following retinal detachment surgery using an imaging device called an adaptive optics camera. The retina is a thin layer which lines the back of the eye. It is sensitive to light (like the film in a camera) and is necessary for vision. If a hole or rip develops in a retina it can become detached. The macula is the central portion of the retina which the investigators use for fine vision. This area can also become detached as part of a retinal detachment. Proliferative vitreoretinopathy (PVR) is an abnormal scarring response inside the eye which can occur when the retina detaches. It can adversely affect the outcome of the retinal detachment repair and is associated with a worse visual prognosis. The investigators want to investigate retinal cell loss in patients with retinal detachments that have developed PVR when the macula has been involved. The investigators plan to compare them to two other groups of patients, who have not developed PVR:
- 1.Patients with macula-involving retinal detachments without PVR
- 2.Patients with macula-sparing detachments without PVR
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Apr 2017
1 active site
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
Study Start
First participant enrolled
April 13, 2017
CompletedFirst Submitted
Initial submission to the registry
May 10, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 4, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
June 4, 2018
CompletedFirst Posted
Study publicly available on registry
June 11, 2018
CompletedSeptember 9, 2020
September 1, 2020
1.1 years
May 10, 2018
September 7, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
The difference in cone density in patients following repair of macula-involving retinal detachment in eyes with PVR (RD-PVR), versus macula-involving retinal detachment without PVR (RD-OFF) at 26 weeks following retinal detachment repair.
The difference in cone density in patients following repair of macula-involving retinal detachment in eyes with PVR (RD-PVR), versus macula-involving retinal detachment without PVR (RD-OFF) at 26 weeks following retinal detachment repair. Images will be taken with an adaptive optics camera.
6 months
Secondary Outcomes (7)
Estimate differences in cone mosaics in the PVR-RD vs RD-OFF groups.
6 months
Estimate differences in cone mosaics in the PVR-RD & RD-ON groups.3
6 months
Estimate differences in cone mosaics in the RD-OFF & RD-ON groups
6 months
Estimate correlation between cone mosaics and post-operative visual acuity & microperimetry
6 months
Estimate correlation between cone mosaics and retinal layer changes on SD-OCT
6 months
- +2 more secondary outcomes
Study Arms (1)
Macular involving retinal detachment
Patients with retinal detachments that have developed PVR when the macula has been involved
Eligibility Criteria
Patients with retinal detachments that have developed PVR when the macula has been involved
You may qualify if:
- RD-PVR group: patients who have had successful retinal surgery to treat macular-involving retinal detachment with PVR C.
- RD-OFF group: patients who have had successful retinal surgery to treat macular-involving retinal detachment without PVR.
- RD-ON group: patients who have had successful retinal surgery to treat macular-sparing retinal detachment without PVR.
- years of age
You may not qualify if:
- Media opacity precluding imaging (including silicone oil tamponade)
- Poor central fixation (defined as a fixation score of \<10 out of 20)
- Recent contact lens (CLs) wear in the last 48 hours
- Previous refractive surgery/ other corneal surgery
- Spherical equivalent refractive error exceeding -12 or +6D
- Irregularly shaped pupil
- Unable to be dilated
- Unable to give informed consent
- Ocular co-morbidity affecting visual outcome
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Moorfields Eye Hospital NHS Foundation Trust
London, United Kingdom
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 10, 2018
First Posted
June 11, 2018
Study Start
April 13, 2017
Primary Completion
June 4, 2018
Study Completion
June 4, 2018
Last Updated
September 9, 2020
Record last verified: 2020-09