The Effect of Body Posture on Intraocular Pressure in Progressive Glaucoma
Recruitment status was Recruiting
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Purpose
Glaucoma is a condition where the optic nerve (the nerve responsible for sight) shows progressive damage with characteristic loss of visual field. Glaucoma is very commonly associated with raised pressure in the eye (intraocular pressure [IOP]). IOP has been shown to increase when lying down in normal subjects as well as patients with glaucoma. It is possible that this effect can make glaucoma worse. This study is designed to investigate the effect of body posture (particularly when sleeping) on the IOP fluctuation in the eye. Each patient will be required to attend for 2 separate 24 hour visits. On one visit the patient will be required to sleep flat and on the other visit at a 30° head up sleeping position. During this time the patient will be required to wear a soft contact lens (SENSIMED Triggerfish®) which has a special sensor on it that monitors the IOP continuously. The IOP measurements are wirelessly transmitted to a recorder.
| Condition |
|---|
|
Glaucoma |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | The Effect of Body Posture on Intraocular Pressure in Progressive Glaucoma |
- Intraocular pressure changes that occur during sleep and with changes in body posture [ Time Frame: 24 hours ] [ Designated as safety issue: No ]The intraocular pressure will be continuously monitored with a wireless contact lens sensor device over a 24 hour period
- Incidence of side effects or adverse effects that occur while subjects are wearing the contact lens device [ Time Frame: 24 hours ] [ Designated as safety issue: Yes ]Patients will be monitored for contact lens related side effects or adverse effects that occur during the monitoring session.
| Estimated Enrollment: | 20 |
| Study Start Date: | May 2011 |
| Estimated Primary Completion Date: | May 2012 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
Progressive glaucoma
Patients with primary open angle glaucoma identified to have an optic disc hemorrhage
|
Eligibility| Ages Eligible for Study: | 18 Years to 85 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Glaucoma clinic patients
Inclusion Criteria:
- signed informed consent
- diagnosis of primary open angle glaucoma (POAG) or normal tension glaucoma (NTG) that is progressing based on recent or recurrent optic disc hemorrhage
- age 18-85 years
- not more than 4 diopters of spherical equivalent or 2 diopters of cylinder equivalent in study eye
- stable anti-glaucoma treatment for 4 weeks before first session
- for women of childbearing potential, adequate contraception
Exclusion Criteria:
- unwilling or unable to sleep in a flat or 30 degrees head up position
- ocular surgery in previous 3 months
- corneal or conjunctival abnormality
- wear of full frame metallic glasses during monitoring session
- severe dry eye
- secondary forms of glaucoma
- allergy to corneal anaesthesia
- patients with contraindications for contact lens wear
- pregnancy and lactation
- patients unable to understand the character and individual consequences of the investigation
- simultaneous participation in other research
Contacts and Locations| Contact: Graham Prof Trope, PhD, FRCSC | 4166035317 | Graham.Trope@uhn.on.ca |
| Contact: Yvonne Prof Buys, MD, FRCSC | 4166035682 | y.buys@utoronta.ca |
| Canada, Ontario | |
| Toronto Western Hospital | Recruiting |
| Toronto, Ontario, Canada, M5T 2S8 | |
| Contact: Graham Prof Trope, PhD, FRCSC 4166035317 raham.Trope@uhn.on.ca | |
| Principal Investigator: Graham E Trope, PhD, FRCSC | |
| Sub-Investigator: Yvonne M Buys, MD, FRCSC | |
| Sub-Investigator: Hussain Patel, MD | |
| Sub-Investigator: John Flanagan, DO, PhD | |
| Sub-Investigator: Colin Shapiro, MD, PhD | |
| Sub-Investigator: Farzana Jahan, MD | |
More Information
No publications provided
| Responsible Party: | Professor Graham Trope, University of Toronto |
| ClinicalTrials.gov Identifier: | NCT01351779 History of Changes |
| Other Study ID Numbers: | 10-0844-A |
| Study First Received: | May 9, 2011 |
| Last Updated: | May 9, 2011 |
| Health Authority: | Canada: University Health Network Research Ethics Board and Health Canada |
Keywords provided by University of Toronto:
|
Intraocular pressure Contact lens sensor Optic disc hemorrhage |
Additional relevant MeSH terms:
|
Glaucoma Ocular Hypertension Eye Diseases |
ClinicalTrials.gov processed this record on May 19, 2013