Developing Better Computerised Vision Tests (CVTV)
CVTV
A Program to Develop Computerised Visual Function Tests for Cross Sectional Routine Clinical Practice and Long Term Monitoring to Detect Adverse Change in Visual Function.
1 other identifier
observational
550
1 country
1
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Apr 2024
Shorter than P25 for all trials
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
First Submitted
Initial submission to the registry
October 25, 2023
CompletedFirst Posted
Study publicly available on registry
January 25, 2024
CompletedStudy Start
First participant enrolled
April 1, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2025
CompletedMarch 18, 2024
March 1, 2024
9 months
October 25, 2023
March 15, 2024
Conditions
Keywords
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
Near logMAR word acuity
Comparison of measurements made with the trial computerised test to the trial gold standard printed test
Letter Contrast Sensitivity
Comparison of measurements made with the trial computerised test to the trial gold standard printed test
Vanishing Optotype Sloan letters
Comparison of measurements made with the trial computerised test to the trial gold standard printed test
Auckland Optotypes/Auckland Vanishing Optotypes
Comparison of measurements made with the trial computerised test to the trial gold standard printed test
Low contrast letter acuity
Comparison of measurements made with the trial computerised test to the trial gold standard printed test
Red Green Stereoacuity
Comparison of measurements made with the trial computerised test to the trial gold standard printed test
Interventions
Comparison of gold standard printed tests and computerised versions
Comparison of gold standard printed tests and computerised versions
Comparison of gold standard printed tests and computerised versions
Comparison of gold standard printed tests and computerised versions
Comparison of gold standard printed tests and computerised versions
Comparison of gold standard printed tests and computerised versions
Comparison of gold standard printed tests and computerised versions
Eligibility Criteria
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
- Guy's and St Thomas' NHS Foundation Trustlead
- King's College Londoncollaborator
Study Sites (1)
St Thomas' Hospital NHS Foundation Trust
London, United Kingdom
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Alistair Laidlaw, MD FRCOphth
St Thomas' Hospital, London
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