Clinical Trials of Continuous Oxygen Therapy Combined With Blue Light Deprivation in the Treatment of Retinitis Pigmentosa
- Conditions
- Retinitis Pigmentosa
- Interventions
- Device: blue light-absorbing sunglasses
- Registration Number
- NCT02465749
- Lead Sponsor
- Sun Yat-sen University
- Brief Summary
The purpose of this study is to investigate the role of continuous oxygen therapy combined with blue light deprivation in prevention and control of retinitis pigmentosa, in order to find a new strategy of treatment for retinitis pigmentosa.
- Detailed Description
Retinitis pigmentosa (RP) is one of of the major causes of blindness in ocular diseases.Up to now, the etiology of RP remained unclear, and there are no effective therapeutic methods. Several studies had showed that the retina of RP may be anoxic, and oxygen therapy, such as hyperbaric oxygen (hyperbaric oxygen, HBO) treatment, had shown a definite effect on RP. The investigators' previous researches also found that the retinal vessel oxygen saturation in patients with RP who were older than 40 years were significantly lower than normal controls, suggesting that oxygen may play an important role in the development of RP. Besides, many studies have revealed that blue light could damage retina pigment epithelium cells and photoreceptor cell specially. Therefore, investigators will combine continuous oxygen therapy and blue light deprivation therapy in the treatment for RP in this study, in order to find a new strategy of treatment for RP.
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 404
- Severe patients with RP who meet the following criteria: (1) the EDTRS visual acuity of the good eye < 0.3 (low vision);(2) the radius of central visual field< 10 °(low vision)
- Age range from 18 to 60 years old, sex unlimited
- Able to adhere to treatment for more than 12 months
- Willing to participate in this trial, and sign the informed consent
- Serious opacity of cornea, lens or vitreous body which can't have clear fundus examination
- Patients with severe systemic diseases who was unable to tolerate the examinations, such as heart failure, respiratory failure, sepsis, severe anemia, kidney disease, history of eye surgery and so on
- Patients who was unable to tolerate oxygen treatment, such as severe pulmonary edema, deformity of the respiratory tract, respiratory tract infection, tuberculosis, patients with pregnancy, and so on
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Continuous Oxygen Continuous oxygen Continuous oxygen intake and routine drug treatment . Continuous Oxygen Therapy Combined With Blue Light Deprivation Continuous oxygen Continuous oxygen intake , Wearing blue light-absorbing sunglasses at daily time and routine drug treatment Blue Light Deprivation blue light-absorbing sunglasses Wearing blue light-absorbing sunglasses at daily time and routine drug treatment Continuous Oxygen Therapy Combined With Blue Light Deprivation blue light-absorbing sunglasses Continuous oxygen intake , Wearing blue light-absorbing sunglasses at daily time and routine drug treatment
- Primary Outcome Measures
Name Time Method the percentage of patients preserved 80% of the initial visual acuity at 5 years follow-up. at 5 years follow-up
- Secondary Outcome Measures
Name Time Method Retinal vessel oxygen saturation at 5 years follow-up Retinal Oximetry
ERG b-wave mean values at 5 years follow-up Change of visual field at 5 years follow-up visual field
Fundus changes of fluorescence fundus angiography at 5 years follow-up intra-ocular pressure at 1, 2, 3, 4 and 5 years follow-up blood pressure at 1, 2, 3, 4 and 5 years follow-up Finger pulse oxygen saturation at 1, 2, 3, 4 and 5 years follow-up Finger pulse oximetry
the mutant genes of retinitis pigmentosa at admission gene screening
Trial Locations
- Locations (1)
State Key Laboratory of Ophthalmology,Zhongshan Ophthalmic Center, Sun Yat-sen University
🇨🇳Guangzhou, Guangdong, China