MedPath

Reproducibility of RNFL and ONH Measurements in OAG With Heidelberg Spectralis SD-OCT Glaucoma Module Premium Edition

Not Applicable
Completed
Conditions
Primary Open Angle Glaucoma
Interventions
Device: RNFL and BMO-MRW SD-OCT
Registration Number
NCT02247284
Lead Sponsor
University of Zurich
Brief Summary

The purpose of this study is to assess and compare the repeatability of SD-OCT (Spectralis™ OCT, Version 6.0, Heidelberg Engineering, Germany) RNFL thickness measurements with a new software (glaucoma premium module) with the well established peripapillary RNFL thickness measurements in patients with primary open angle glaucoma.

Detailed Description

The purpose of this study is to assess and compare the repeatability of SD-OCT (Spectralis™ OCT, Version 6.0, Heidelberg Engineering, Germany) RNFL thickness measurements with the new software (method B) and with the previous method of measurement (method A) in patients with glaucoma.

It is a prospective, not blinded, not randomised, monocentric study. Inclusion of 50 patients with a diagnosis of primary open angle glaucoma (POAG), that will be recruited from the ophthalmology outpatient department of the UniversityHospital Zurich, Switzerland. All patients will undergo a full ophthalmic examination including measurement of refraction, best corrected visual acuity, examination of anterior and posterior compartment and measurement of the intraocular pressure. On the same day they will have 3 OCT examinations with a new method of measurement (method B).On the same day the first 10 patients will undergo also 3 OCT examinations with the previous method (method A) and they will get an other 3 OCT examinations with method B by a second observer. For this 10 patients the next consultation (3 months +/- 1 month) the 3 OCT examinations with method B will be repeated by the first observer.

Primary objectives are coefficient of variations (COV) of method A and B; Intra-class-correlations (ICC) of method A and B.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
50
Inclusion Criteria
  • diagnosis of POAG glaucoma
  • male and female patients aged 18 years or older, no upper limit
  • written informed consent
  • visual acuity of more or equal to 0.5 Snellen
  • refractive error between + /- 6.00 D spheric and under or equal than 2.00 D cylindrical
Read More
Exclusion Criteria
  • history of surgery other than uncomplicated cataract surgery
  • disease affecting cornea, anterior compartment, lens, vitreous body
  • history of severe ocular disease, particularly diseases affecting the optic nerve, other than glaucoma
  • history of ocular trauma
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
group 1RNFL and BMO-MRW SD-OCTpatient with a diagnosis of primary open angle glaucoma will undergo 'RNFL and BMO-MRW SD-OCT' measurements with Heidelberg Spectralis SD-OCT old protocoll and Glaucoma Premium Module (new) protocoll, which in addition to RNFL measurements include measurement of Bruch's Membrane Opening-based minimum rim width (BMO-MRW).
Primary Outcome Measures
NameTimeMethod
Bruch's membrane opening-based minimum rim width (BMO-MRW)baseline and 3 months +/- 1 month

Bruch's membrane opening-based minimum rim width (BMO-MRW) measured with Spectralis OCT

Retinal nerve fiber layer thickness (RNFL)baseline and 3 months +/- 1 month

Retinal nerve fiber layer thickness (RNFL) measured with Spectralis OCT

Secondary Outcome Measures
NameTimeMethod
Coefficient of variations (COV) of RNFL and BMO-MRWbaseline and 3 months +/- 1 month

Coefficient of variations (COV) of RNFL and BMO-MRW

Intra-class-correlations (ICC) of RNFL and BMO-MRWbaseline and 3 months +/- 1 month

Intra-class-correlations (ICC) of RNFL and BMO-MRW

Trial Locations

Locations (1)

UniversityHospital Zurich

🇨🇭

Zurich, ZH, Switzerland

© Copyright 2025. All Rights Reserved by MedPath