Pupillometry Dynamic Measures in Patients Without Ocular or Neurological Disease

Study Overview
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Brief Summary
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Retrobulbar optic neuritis (NORB) is the damage to the optic nerve caused by inflammation. It causes a rapidly progressive and painful visual loss, often among young subjects. Diagnosis confirmation is important to start proper treatment, because a NORB is often the first symptom of multiple sclerosis. This diagnosis, based on a set of arguments, is difficult to define by a non-expert ophthalmologist. The pupillary light reflex is a way to test the visual afferent pathways. If it is subject to a large inter-individual variability, the dynamics of the pupillary light reflex and its latency are more reproducible. An easy way to study the dynamics of the pupillary light reflex is to study the pupillary cycle time (PCT). In the case of NORB, elongation of the conduction in the visual afferent pathways related to demyelination plate increases the latency of the pupillary light reflex and decreases the frequency of the PCT. Our hypothesis is that PCT dynamics measures would be a reliable indicator and easy to evaluate some pathologies affecting the integrity of the nerve. The validation of a decrease in the frequency of the PCT in NORB, compared to the frequency observed in subjects ophthalmological or neurological disease, could help developing methods to study the conduction of the visual pathways with portable devices used during the standard ophthalmologic consultation and quickly orientate patients to specialized centers.

Conditions
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Optic Neuritis

Intervention / Treatment
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* Device: pupillary light reflex


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: age > 18 years old Subject without known ocular or neurological disease Ametropia inferior to 3 diopters for spherical correction and inferior to 1.50 diopter for astigmatism correction Matched for age and sex with one of the 22 subjects of the patients' unilateral NORB database Exclusion Criteria: history of disease affecting pupillary motility anisocoria patient under legal protection pregnant or breast feeding patient patient's refusal to participate in the study no medical insurance coverage

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Measure of pupillary light reflex<br>patients without optic neuritis | Device: pupillary light reflex<br>* measure with infra-red cameras<br>|
| patients with optic neuritis<br>clinical database of 22 patients (measurement of pupillary light reflex already performed for the same purpose, in a former study) | Device: pupillary light reflex<br>* measure with infra-red cameras<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| pupillary cycle time | Pupillary cycle time, measured in Hertz | baseline | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pupillary light reflex, Multiple sclerosis