Association Between Laser Interferometric Measurement of Fundus Pulsation and Pneumotonometric Measurement of Pulsatile Ocular Blood Flow in Patients With Age-related Macular Degeneration
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Purpose
Several methods have been proposed for the measurement of pulsatile ocular blood flow (POBF). The pneumatic tonometer, which is commercially available, assesses POBF by measurement of intraocular pressure (IOP) changes during the cardiac cycle. The investigators have recently developed a method for the measurement of ocular fundus pulsation, which is based on laser interferometry. In contrast to the Langham system the method is non-contractile and yields a high topographic resolution. Moreover, the pneumatic tonometer assesses the ocular pressure pulse, whereas ocular fundus pulsation is a point measure of the ocular volume pulse. These two parameters are related by the ocular rigidity, which refers to the mechanical properties of the eye coats.
Age-related macular degeneration (AMD) is the most common cause of blindness in the industrialized nations. The mechanisms behind this severe eye disease are, however, still obscure. It has been hypothesized that alterations in choroidal blood flow and ocular rigidity may contribute to the development and progression of AMD. However, there is currently little data to confirm this hypothesis. The present study is an attempt to investigate choroidal blood flow and ocular rigidity by employing laser interferometric measurement of fundus pulsation and pneumotonometric measurement of fundus pulsation.
| Condition | Intervention |
|---|---|
|
Age-Related Macular Degeneration |
Procedure: blood flow measurement |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Basic Science |
| Official Title: | Association Between Laser Interferometric Measurement of Fundus Pulsation and Pneumotonometric Measurement of Pulsatile Ocular Blood Flow in Patients With Age-related Macular Degeneration |
- Fundus pulsation amplitude [ Time Frame: 10 minutes measurement of FPA ] [ Designated as safety issue: No ]
- Pulsatile ocular blood flow [ Time Frame: 10 minutes measurement of pulsatile ocular blood flow ] [ Designated as safety issue: No ]
- Ocular rigidity [ Time Frame: 10 minutes measurement of ocular rigidity ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 18 |
| Study Start Date: | July 2001 |
| Estimated Primary Completion Date: | March 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
AMD Patients
|
Procedure: blood flow measurement
Fundus pulsation amplitude measurement Pulsatile ocular blood flow measurement
|
|
Active Comparator: 2
healthy controls
|
Procedure: blood flow measurement
Fundus pulsation amplitude measurement Pulsatile ocular blood flow measurement
|
Eligibility| Ages Eligible for Study: | 50 Years to 90 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Patients with AMD (defined as soft drusen > 63 µm, hyperpigmentation and/or hypopigmentation of the retinal pigment epithelium (RPE), RPE and associated neurosensory detachment, (peri)retinal hemorrhages, geographic atrophy of the RPE, or (peri)retinal fibrous scarring)
- Age between 50 and 90 years
Exclusion Criteria:
- Evidence of any other retinal or choroidal vascular disease
- Regular use of pentoxifylline in the last month before the trial period
- Evidence of a choroidal neovascular membrane
- Diabetes mellitus
Contacts and Locations| Austria | |
| Department of Clinical Pharmacology, Medical University of Vienna | Recruiting |
| Vienna, Austria | |
| Contact: Gerhard Garhöfer, MD +431404002981 | |
| Sub-Investigator: Karl Kircher, MD | |
| Principal Investigator: | Leopold Schmetterer, Prof. Dr. | Department of Clinical Pharmacology, Medical University of Vienna |
More Information
No publications provided
| Responsible Party: | Gabriele Fuchsjaeger-Mayrl, MD, Department of Clinical Pharmacology, Medical University of Vienna |
| ClinicalTrials.gov Identifier: | NCT00991666 History of Changes |
| Other Study ID Numbers: | OPHT-200401 |
| Study First Received: | October 7, 2009 |
| Last Updated: | December 1, 2010 |
| Health Authority: | Austria: Agency for Health and Food Safety |
Keywords provided by Medical University of Vienna:
|
AMD rigidity pulsatile ocular blood flow Physiology of the eye |
Additional relevant MeSH terms:
|
Macular Degeneration Retinal Degeneration Retinal Diseases Eye Diseases |
ClinicalTrials.gov processed this record on May 19, 2013