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临床试验/ACTRN12622000104752
ACTRN12622000104752进行中(未招募)未知

Correlation between clinic-measured intraocular pressure (IOP) and disease progression in primary angle closure glaucoma (PACG)

Prof Clement Chee-yung THAM0 个研究点目标入组 575 人开始时间: 2022年1月24日最近更新:

试验速览

阶段
未知
状态
进行中(未招募)
发起方
入组人数
575

研究概览

简要总结

暂无简介。

研究设计

研究类型
Observational

入排标准

年龄范围
18 Years 至 o limit(—)
性别
All

入选标准

  • On darkroom gonioscopy, at least 180º of iridotrabecular contact (ITC) obliterating posterior pigmented part of trabecular meshwork, whether synechial or appositional, segmented or continuous, in the presence of a patent peripheral iridotomy;
  • - Requiring intraocular pressure (IOP)-lowering medications, or IOP of above 21 mmHg without IOP-lowering medications;
  • - Visual field loss compatible with glaucoma and / or glaucomatous optic disc changes;
  • - Minimal criteria for glaucomatous visual field defect as per published standard (Anderson et al., 2000): glaucoma hemifield test outside normal limits, pattern standard deviation with a P value less than 5%, or a cluster of greater than or equal to 3 points in the pattern deviation plot in a single hemifield (superior or inferior) with P value less than 5%, one of which must have a P value less than 1%. Any one of the preceding criteria, if repeatable, was considered sufficient evidence of a glaucomatous visual field defect;
  • - Characteristic optic disc changes include vertical cup-disc ratio greater than 0.5, discrepancy of vertical cup-disc ratios between the 2 eyes greater than 0.2, thin or notched neuroretinal rim, disc hemorrhage, and/or retinal nerve fiber layer wedge defect;
  • - Patient able and willing to give informed consent to participate.
  • Anderson DR, Chauhan B, Johnson C, Katz J, Patella VM, Drance SM. Criteria for progression of glaucoma in clinical management and in outcome studies. Am.J Ophthalmol. 2000;130:827-829.

排除标准

  • Any secondary causes of angle closure or ocular hypertension, such as:
  • - Neovascularization of iris / angle, e.g. from diabetes or central retinal vein occlusion (CRVO)
  • - Iris / ciliary body cysts
  • - Posterior segment mass effect, e.g. posterior segment hemorrhage or tumor
  • - Marfan syndrome
  • - Axenfeld-Rieger syndrome
  • - Steroid-induced
  • - Latrogenic, e.g. after vitreoretinal surgery

研究者

发起方
Prof Clement Chee-yung THAM

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