NCT06224751

Brief Summary

Clinical vision measurements usually involve printed charts with an eye care professional interpreting patient responses to generate a score. Those scores determine the need for or outcome of treatment. Detecting change can be improved with strict procedures/scoring, lending itself to computerisation. This in turn allows integration with electronic medical records. Many eye tests could be computerised in this way. At Guys and St Thomas' NHS Foundation Trust, the investigators have developed and validated a computerised test of distance visual acuity, called COMPlog which is now in widespread use. The investigators now want to increase the range of tests available. There is also a need to longitudinally monitor for adverse change. Such monitoring must be developed to keep false positive and false negative change detection to a minimum. The aims of this two year linked program are to: Part A) validate an extended range of computerised vision measurement tests against their gold standard hard copy printed equivalents. Some of these tests are designed for use in children and all are meant to quantify both normal and impaired vision. Patients of all ages and visual function will therefore be recruited from St Thomas' Hospital. The specific tests we aim to validate are logMAR Letter Near Acuity, Word Near Acuity, Letter Contrast Sensitivity, Auckland Optotypes Picture Acuity, Low Contrast Letter Acuity, Stereoacuity and Vanishing Optotypes. Patients will undergo test-retest measurements with up to two of these. Part B) Iteratively develop an application for use in home monitoring of subjects at risk of treatable vision loss due to age related macular degeneration. All computerised tests in parts A and B will be performed on prototype software. Eye patients will be recruited as subjects. Patients recruited to part A will undergo tests on one day for up to an hour, subjects in part B will participate for between 1 hour and two months.

Trial Health

57
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
550

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Apr 2024

Shorter than P25 for all trials

Geographic Reach
1 country

1 active site

Status
recruiting

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

October 25, 2023

Completed
3 months until next milestone

First Posted

Study publicly available on registry

January 25, 2024

Completed
2 months until next milestone

Study Start

First participant enrolled

April 1, 2024

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2025

Completed
Last Updated

March 18, 2024

Status Verified

March 1, 2024

Enrollment Period

9 months

First QC Date

October 25, 2023

Last Update Submit

March 15, 2024

Conditions

Keywords

Visual acuityVisual functionOcular disease

Outcome Measures

Primary Outcomes (2)

  • Test agreement between the computerised vision measurement test and the gold standard hard copy test.

    The test agreement is quantified in terms of the mean difference and 95% confidence interval of the mean in log units.

    Through study completion, an average of 1 year

  • Test-retest variability for the computerised vision measurement test and the gold standard hard copy test.

    Measurement variability (difference in two measures captured using the same vision test on the same day) will be quantified in log units for each vision test used in this study.

    Through study completion, an average of 1 year

Study Arms (7)

Near logMAR letter acuity

Comparison of measurements made with the trial computerised test to the trial gold standard printed test

Diagnostic Test: Near logMAR letter acuity

Near logMAR word acuity

Comparison of measurements made with the trial computerised test to the trial gold standard printed test

Diagnostic Test: Near LogMAR word acuity

Letter Contrast Sensitivity

Comparison of measurements made with the trial computerised test to the trial gold standard printed test

Diagnostic Test: Letter Contrast Sensitivity

Vanishing Optotype Sloan letters

Comparison of measurements made with the trial computerised test to the trial gold standard printed test

Diagnostic Test: Vanishing Optotype Sloan Letters

Auckland Optotypes/Auckland Vanishing Optotypes

Comparison of measurements made with the trial computerised test to the trial gold standard printed test

Diagnostic Test: Auckland Optotype/Auckland Vanishing Optotypes

Low contrast letter acuity

Comparison of measurements made with the trial computerised test to the trial gold standard printed test

Diagnostic Test: Low Contrast Letter Acuity

Red Green Stereoacuity

Comparison of measurements made with the trial computerised test to the trial gold standard printed test

Diagnostic Test: Red Green Stereoacuity

Interventions

Comparison of gold standard printed tests and computerised versions

Near logMAR letter acuity

Comparison of gold standard printed tests and computerised versions

Near logMAR word acuity
Red Green StereoacuityDIAGNOSTIC_TEST

Comparison of gold standard printed tests and computerised versions

Red Green Stereoacuity

Comparison of gold standard printed tests and computerised versions

Auckland Optotypes/Auckland Vanishing Optotypes

Comparison of gold standard printed tests and computerised versions

Vanishing Optotype Sloan letters

Comparison of gold standard printed tests and computerised versions

Letter Contrast Sensitivity

Comparison of gold standard printed tests and computerised versions

Low contrast letter acuity

Eligibility Criteria

Age3 Years - 99 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Patients attending the outpatient eye clinics at St Thomas' Hospital NHS Foundation Trust

You may qualify if:

  • Male and female patients attending hospital eye clinics, aged 3 - 99, inclusive.
  • Patients able to understand the information sheet, and willing and able to give informed consent to participate.
  • Patients with visual function ranging from normal to severely impaired.
  • Willing and able to comply with the visual function testing protocol.
  • Some validation studies require recruitment of disease specific groups (such as children with amblyopia or adults with age related macular degeneration).
  • For Part B of the project which aims to develop and pilot a home monitoring application, only adult (18-99 years) subjects complying with the above who also own a suitable browser device will be recruited.

You may not qualify if:

  • Unwilling or unable to comply with the visual function testing protocol.
  • Unwilling or unable to give informed consent.
  • Unwilling to participate.
  • In other research trials.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

St Thomas' Hospital NHS Foundation Trust

London, United Kingdom

RECRUITING

MeSH Terms

Conditions

Vision DisordersAmblyopiaMacular Degeneration

Condition Hierarchy (Ancestors)

Sensation DisordersNeurologic ManifestationsNervous System DiseasesEye DiseasesSigns and SymptomsPathological Conditions, Signs and SymptomsBrain DiseasesCentral Nervous System DiseasesRetinal DegenerationRetinal Diseases

Study Officials

  • Alistair Laidlaw, MD FRCOphth

    St Thomas' Hospital, London

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
observational
Observational Model
OTHER
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 25, 2023

First Posted

January 25, 2024

Study Start

April 1, 2024

Primary Completion

January 1, 2025

Study Completion

January 1, 2025

Last Updated

March 18, 2024

Record last verified: 2024-03

Data Sharing

IPD Sharing
Will not share

Locations