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COmparison of Clarus and Optos Ultrawide Field Imaging Systems for Geographic Atrophy

Not Applicable
Completed
Conditions
Geographic Atrophy
Macular Degeneration, Age Related
Registration Number
NCT05961332
Lead Sponsor
University of Wisconsin, Madison
Brief Summary

The goal of this clinical trial is to compare measurements of geographic atrophy (GA) area between several types of imaging, in order to assess accuracy. The main question to answer is which imaging device provides measurements that are most similar to the standard of care device.

Participants will be patients of a retina doctor at University Station Eye Clinic with geographic atrophy, and can expect to be in the study for 60-75 minutes.

Detailed Description

This study is a single site pilot comparative imaging study in which enrolled participants will undergo dilated fundus exam as per standard of care. Study images will be obtained using Optos ultrawide field fundus autofluorescence (FAF) and both blue and green ultrawide field FAF with Zeiss Clarus. Autofluorescence (AF) imaging will also be performed on the Spectralis as it is currently the gold standard. The goal will be to obtain all images in 60-75 minutes over one visit. Images will be assessed, and area of geographic atrophy measured independently by two experienced readers.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
62
Inclusion Criteria
  • 50 years or older and may be either male or female and may be of any race
  • Established diagnosis of GA due to AMD
  • GA characteristics: GA area of between 1.25 mm² and 23 mm², with seventy percent of eyes having GA area ranging from 2.5 mm² to 17.5 mm². GA may be unifocal or multifocal. GA may be subfoveal or extrafoveal, with twenty-five percent of eyes having subfoveal GA. The presence of concurrent peripapillary atrophy will not exclude subjects from participation
  • Willing to participate as evidenced by signing the written informed consent
Exclusion Criteria
  • Unable to tolerate opthalmic imaging
  • Presence of neovascular AMD on OCT as confirmed by an ophthalmologist
  • Presence of significant media opacity preventing adequate retinal imaging
  • Presence of concurrent retinal disease which may confound assessment

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Comparison of geographic atrophy area measurements by Optos with standard Spectralis imagingUp to 75 minutes

Graders will independently measure area of GA from images of each device. The measurements (in mm²) will be compared between the two devices.

Comparison of geographic atrophy area measurements between Clarus and OptosUp to 75 minutes

Graders will independently measure area of GA from images of each device. The measurements (in mm²) will be compared between the two devices.

Comparison of geographic atrophy area measurements by Clarus with standard Spectralis imagingUp to 75 minutes

Graders will independently measure area of GA from images of each device. The measurements (in mm²) will be compared between the two devices.

Secondary Outcome Measures
NameTimeMethod
Prevalence of atrophy outside the standard 30 degrees in Clarus and Optos ultrawide field imagesUp to 75 minutes

The presence of atrophy outside field 2 will be documented from the two ultrawide field imaging devices

Prevalence of other autofluorescence abnormalities outside the standard 30 degrees in Clarus and Optos ultrawide field imagesUp to 75 minutes

The presence of abnormal autofluorescence outside field 2 will be documented from the two ultrawide field imaging devices

Trial Locations

Locations (1)

University of Wisconsin

🇺🇸

Madison, Wisconsin, United States

University of Wisconsin
🇺🇸Madison, Wisconsin, United States

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