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Clinical Effectiveness of Low Vision Rehabilitation in Glaucoma Patients (LOVIT)

The recruitment status of this study is unknown because the information has not been verified recently.
Verified August 2011 by Lawson Health Research Institute.
Recruitment status was  Recruiting
Sponsor:
Collaborator:
Pfizer
Information provided by:
Lawson Health Research Institute
ClinicalTrials.gov Identifier:
NCT01262209
First received: December 15, 2010
Last updated: August 3, 2011
Last verified: August 2011
  Purpose

Our team is interested in what can be done to improve the functioning of patients who suffer from glaucoma, a chronic and irreversible eye disease. Patients with vision loss as a result of this disease may feel like they have been 'given up on', or lost to our medical system when no further interventions can be offered to treat their eye disease. It is our intent to investigate what alternatives we can provide our patients, instead of simply saying, 'nothing more can be done'. We have learned from studies done on other chronic eye diseases, like age related macular degeneration, that low vision rehabilitation can improve visual function.

What exactly is low vision? It can involve a loss of visual acuity, making activities such as reading or writing a challenge; it can involve loss of contrast sensitivity, making shapes and edges hard to discern, like those of a stair edge, or person's face. It could also involve a loss of peripheral, or side vision which is a symptom common to most glaucoma patients. Whatever the cause of low vision, doing day-to-day activities can become increasingly difficult, and many suffer from a loss of their independence and may even become depressed. Low vision rehabilitation involves helping patients to use their remaining vision in optimal, and sometimes even new, ways. This involves an assessment of a person's baseline vision, and an idea of what their needs are. Patients are then given low vision aids (such as magnifiers, telescopes, video screens which magnify images, and other tools) as well as instructions and support for adapting to living and functioning with altered vision.

Although there currently exists no cure for glaucoma, and we are certainly not promising a reversal of the damage done to the eyes from this chronic disease, we do believe that these types of rehabilitation services may offer some hope and potential visual benefit to patients living with vision loss. Our hypothesis is that the use of state-of-the-art low vision aids in patients with advanced glaucomatous visual loss will provide an improvement in visual tasks and thereby an improvement in quality of life.


Condition Intervention
Glaucoma
Device: portable CCTV
Device: Telescopes, telemicroscopes and microscopes
Device: Absorptive filters

Study Type: Interventional
Study Design: Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Supportive Care
Official Title: Clinical Effectiveness of Low Vision Rehabilitation in Glaucoma Patients With Moderate or Severe Vision Loss

Resource links provided by NLM:


Further study details as provided by Lawson Health Research Institute:

Primary Outcome Measures:
  • Visual reading ability and visual mobility. [ Time Frame: 2 weeks ] [ Designated as safety issue: No ]
    The primary outcome measure will be visual reading ability and visual mobility.


Secondary Outcome Measures:
  • Other visual ability domains. [ Time Frame: 2 weeks ] [ Designated as safety issue: No ]
    Mean changes in other visual ability domains (overall ability, visual information processing and visual motor skills) on the VA LV VFQ-48 from baseline to two weeks are the secondary outcome measures.


Estimated Enrollment: 24
Study Start Date: May 2011
Estimated Study Completion Date: September 2013
Estimated Primary Completion Date: September 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Low Vision Aids

All patients will receive:

  1. A low vision examination:

    1. Low vision refraction
    2. Distance best corrected visual acuity
    3. Near best corrected visual acuity
    4. Contrast Sensitivity
    5. Quality of life questionnaire
  2. Low vision therapy: to teach strategies for more effective use of remaining vision and use of low-vision devices
  3. Prescribed low vision devices including binocular telescope (2.1x or 3.5x), monocular telescope, 6x telemicroscopes, microscopes, magnifiers, portable CCTV and absorptive filters.
Device: portable CCTV
This is a small handheld mini screen intended to improve reading.
Device: Telescopes, telemicroscopes and microscopes
These are either worn like glasses, or held in one's hand and are intended to improve distance vision (like details of a hockey game), intermediate vision (like reading a sign), or 'up-close' vision (like reading small print).
Device: Absorptive filters
These are worn like glasses, and have tinted colour lenses. They are intended to improve contrast sensitivity, or being able to tell light from dark (like reading gray letters on a white background).

  Show Detailed Description

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  1. Primary or secondary open angle glaucoma that has been stable for at least 12 months
  2. Presenting best corrected visual acuity (in the better seeing eye), measured at the screening visit, better than 20/400 but worse than 20/100 as a result of primary or secondary glaucoma.
  3. No surgical or laser procedures in the last 6 months
  4. The minimum number of degrees of central visual field (30-2 or 24-2 SITA threshold) should be no less than 20 degrees

Exclusion Criteria:

  1. Has no access to telephone
  2. Is unable to speak English
  3. Has previously received comprehensive low vision services
  4. Has English literacy screening less than 5th grade level (Dolch Basic Sight Words List)
  5. Has history of stroke with aphasia
  6. Has other health condition that would preclude follow-up (e.g., significant malignancy or life-threatening disease)
  7. Is unable or unwilling to attend clinic visits required for the study
  8. Has severe hearing impairment that interferes with participation in telephone questionnaire
  9. Reports significant loss of vision since last eye exam
  10. Has macular degeneration, vitreous hemorrhage, serous or hemorrhagic detachment of the macula, clinically significant macular edema or cystoid macular edema that is likely to result in further loss or improvement in vision after treatment in better-seeing eye
  11. Planned cataract extraction within the next six months
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01262209

Contacts
Contact: Cindy ML Hutnik, Bsc(Hon), MD, PhD, FRCSC 519-646-6272 cindyh@sjhc.london.on.ca
Contact: Elizabeth A Golesic, BSc(Hon) egolesic2011@meds.uwo.ca

Locations
Canada, Ontario
Ivey Eye Institute Recruiting
London, Ontario, Canada, N6A 4V2
Principal Investigator: Cindy ML Hutnik, MD, PhD, FRCSC         
Sub-Investigator: Alex Mao, MD, OD, MPH         
Sub-Investigator: Elizabeth A Golesic, BSc(Hon), MD         
Ivey Eye Institute Recruiting
London, Ontario, Canada, N6A 4V2
Contact: Cindy ML Hutnik, MD,PhD,FRCSC    (519) 646-6272      
Sponsors and Collaborators
Lawson Health Research Institute
Pfizer
Investigators
Principal Investigator: Cindy ML Hutnik, Bsc(Hon), MD, PhD, FRCSC Ivey Eye Institute
  More Information

No publications provided

Responsible Party: Dr. Cindy M.L. Hutnik, Associate Professor of Ophthalmology and Pathology, Ivey Eye Institute
ClinicalTrials.gov Identifier: NCT01262209     History of Changes
Other Study ID Numbers: R-10-481, 17356
Study First Received: December 15, 2010
Last Updated: August 3, 2011
Health Authority: Canada: Ethics Review Committee

Keywords provided by Lawson Health Research Institute:
Vision loss
Chronic glaucoma
Low vision rehabilitation

Additional relevant MeSH terms:
Glaucoma
Vision, Low
Eye Diseases
Nervous System Diseases
Neurologic Manifestations
Ocular Hypertension
Sensation Disorders
Signs and Symptoms
Vision Disorders

ClinicalTrials.gov processed this record on November 20, 2014