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Paraorbital-Occipital Electric Stimulation in Patients With Optic Neuropathy (BCT_optnerve)

Not Applicable
Completed
Conditions
Visual Impairment
Interventions
Device: rtACS (verum condition)
Device: placebo stimulation
Registration Number
NCT01282827
Lead Sponsor
University of Magdeburg
Brief Summary

Non-invasive brain stimulation can increase cortical excitability in the visual system, but it is not known if this is of clinical value. The investigators now assessed if repetitive, transcranial alternating current stimulation (rtACS) can improve visual field size in patients with optic nerve damage. The investigators hypothesized that rtACS would improve visual functions with the defective visual field sectors of the visual field (primary outcome measure).

Detailed Description

exploratory, randomized, controlled study

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • residual vision
  • patients with optic nerv lesion
  • lesion age at least 6 months
  • stable visual field defect
Exclusion Criteria
  • electric or electronic implants such as pace maker
  • any metal artefacts in head and truncus
  • epilepsia
  • photosensitive epilepsy as determines by EEG
  • autoimmune illnesses in acute stage
  • mental diseases such e.g. schizophrenia etc.
  • diabetes causing diabetic retinopathy
  • addiction
  • high blood pressure
  • unstable or high level intraocular pressure (i.e. > 27 mmHg)
  • retinitis pigmentosa
  • pathological nystagmus
  • presence of an un-operated tumor or tumor recidive

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
rtACS (Verum condition)rtACS (verum condition)Repetitive transorbital alternating current stimulation (rtACS)
Placebo stimulationplacebo stimulationno intervention (Sham stimulation)
Primary Outcome Measures
NameTimeMethod
Detection accuracy (DA) change in percent over baseline within defective visual field sectorsbetween baseline and 60 days after stimulation

Central visus fields were assessed with computer based high-resolution perimetry (HRP). Based on such plots, areas of the visual field were characterized as intact, partially damaged or absolutely impaired (blind).

Secondary Outcome Measures
NameTimeMethod
Visual Parameters 2baseline to 60 days after stimulation

reaction time (RT) in HRP

Visual Parameters 1baseline to 60 days after stimulation

DA in static and kinetic perimetry

EEG parametersbaseline to 60 days after stimulation

EEG power spectra

Visual Parameters 3baseline to 60 days after stimulation

visual acuity (VA)

Visual Parameters 4baseline to 60 days after stimulation

contrast vision

Trial Locations

Locations (2)

Institut für Medizinische Psychologie, Leipziger Str. 44

🇩🇪

Magdeburg, Germany

Klinik für Neurologie, Charité Campus Mitte, Universitätsmedizin Berlin

🇩🇪

Berlin, Germany

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