ISRCTN ISRCTN77990418
DOI https://doi.org/10.1186/ISRCTN77990418
ClinicalTrials.gov (NCT) Nil known
Clinical Trials Information System (CTIS) Nil known
Protocol serial number 03-2019-001
Sponsor Pusan National University Yangsan Hospital
Funder Pusan National University Hospital
Submission date
07/03/2019
Registration date
28/03/2019
Last edited
18/02/2022
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Eye Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
The development of optical coherence tomography (OCTA) has enabled non-invasive measurements of vascular (blood vessel) changes in the retinal layers of the eye, and this new tool has been increasingly used in retinal diseases and glaucoma. Several previous studies have investigated the vessel density in the peripapillary area or parafoveal region with OCTA in patients with glaucoma. Some of these studies have shown that the abnormal vessel density in OCTA has a significant association with glaucomatous optic nerve damage, and peripapillary vascular density was associated with the severity of visual field damage. However, it remains unknown whether there are significant regional relationships between the peripapillary vascular density and visual field sensitivity. Therefore, the aim of this study is to analyze regional relationships between peripapillary vascular density assessed by optical coherence tomographic angiography and visual field sensitivity in primary open angle glaucoma at different stages and normal eyes. The researchers will investigate relationships between peripapilllary vascular density and visual field sensitivity and compare the diagnostic ability of each for the detection of glaucoma.

Who can participate?
Glaucoma patients and healthy volunteers

What does the study involve?
The study does not involve any interventions, the participants just underwent an eye examination including fundus photo, visual field test, and OCTA.

What are the possible benefits and risks of participating?
As this study doesn't include any interventions no benefits or risks are expected.

When is the study starting and how long is it expected to run for?
July 2018 to December 2019

Who is funding the study?
Pusan National University Hospital (South Korea)

Who is the main contact?
Jonghoon shin
jjongggal@naver.com

Contact information

Mr Jonghoon Shin
Scientific

20-Geumo-ro, Mulgeum-eup
Yangsan
50612
Korea, South

ORCiD logoORCID ID 0000-0003-1721-1253
Phone +82 (0)55 360 2595
Email jjongggal@naver.com

Study information

Primary study designObservational
Study designSingle-center comparative cross-sectional study
Secondary study designCross sectional study
Study type Participant information sheet
Scientific titleRegional relationships between peripapillary vascular density assessed by optical coherence tomographic angiography and visual field sensitivity in glaucoma
Study acronymOCTAPVDVF
Study objectivesSome previous studies have shown that reduced peripapillary vascular density was reported in glaucomatous eyes, and peripapillary vascular density was associated with the severity of visual field damage. However, it remains unknown whether there are significant regional relationships between peripapillary vascular density and visual field sensitivity. Therefore, in this study, the researchers will analyze regional relationships between peripapillary vascular density assessed by optical coherence tomographic angiography and visual field sensitivity in primary open angle glaucoma at different stages and normal eyes.
Ethics approval(s)Approved 07/01/2019, Institutional Review Board of Pusan National University Yangsan Hospital, 20, Geumo-ro, Mulgeum-eup, Yangsan-si, Gyeongsangnam-do, South Korea, Tel: +82 (0)55 360 3854, Email: pnuyhirb@gmail.com, IRB No. 05-2019-005
Health condition(s) or problem(s) studiedGlaucoma
InterventionAll participants underwent the following ophthalmic examinations:
1. BCVA measurements, slit-lamp examination, gonioscopy, and IOP measurement with the Goldmann applanation tonometer.
2. Red-free fundus photography using a non-mydriatic fundus camera (Canon CR-2, Canon, Tokyo, Japan)
3. OCTA measurements using Topcon Atlantis (DRI OCT-1, Topcon, Tokyo, Japan)
4. Automated visual field examination using the Humphrey 740 Visual Field Analyzer (Carl Zeiss Meditec, Dublin, CA, USA) were performed on all subjects.

Glaucoma patients should keep using the glaucoma treatment with topical IOP-lowering agents, and age-matched normal controls who visited our clinic for regular eye examinations for refractive errors.
Intervention typeOther
Primary outcome measure(s)

Measured at a single examination:
1. Microvascular images and peripapillary vascular density measured using optical coherence tomographic angiography
2. Visual field sensitivity obtained by automated visual field examination using the Humphrey 740 Visual Field Analyzer

Key secondary outcome measure(s)

The diagnostic abilities of the peripapillary vascular density and RNFL thickness for differentiating the control group and glaucoma group (total, mild, moderate-severe subgroups), measured at a single examination

Completion date31/12/2019

Eligibility

Participant type(s)Patient
Age groupAdult
SexAll
Target sample size at registration100
Key inclusion criteriaPatients:
1. Primary open angle glaucoma
2. Undergoing treatment with drugs

Control group:
1. Visited the clinic for regular eye examinations for refractive errors
Key exclusion criteria1. Best-corrected visual acuity less than 20/40
2. Refractive error outside the range of – 6.0 to + 3.0 diopters
3. Astigmatism beyond ± 3.0 diopters
4. Previous ocular trauma
5. Ocular surgery or laser treatment
6. History of ocular or systemic disease that could affect the optic nerve or visual field
Date of first enrolment01/08/2018
Date of final enrolment31/01/2019

Locations

Countries of recruitment

  • Korea, South

Study participating centre

Pusan National University Yangsan Hospital
20-Geumo-ro, Mulgeum-eup
Yangsan
50612
Korea, South

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryData sharing statement to be made available at a later date
IPD sharing planThe data sharing plans for the current study are unknown and will be made available at a later date.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 21/05/2020 18/02/2022 Yes No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes

Editorial Notes

18/02/2022: Publication reference added.
25/03/2019: Trial's existence confirmed by Institutional Review Board.