Predicting Glaucoma Progression With Optical Coherence Tomography Structural and Angiographic Parameters.

Study Overview
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Brief Summary
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to predict of glaucoma progression. By imaging of the retinal nerve fiber layer RNFL, optic nerve head (ONH) and macular measurements using spectral-domain OCT (SD-OCT) instruments ,and detection of optic disc perfusion changes using OCTA.

Detailed Description
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Subjects will go a comprehensive ophthalmologic examination including review of medical history, best-corrected visual acuity (BCVA), slit-lamp biomicroscopy, intraocular pressure (IOP) measurement, gonioscopy, dilated fundoscopic examination, stereoscopic optic disc photography, and automated perimetry using Swedish Interactive Threshold Algorithm (SITA Standard 24-2). Only subjects with open angles on gonioscopy were included. One eye of each subject will be scanned by a high-speed 1050-nm-wavelength swept-source OCT instrument. OCT is providing measurements of the RNFL thickness, ONH, as well as the inner macula for the assessment of glaucoma progression. The split-spectrum amplitude-decorrelation angiography (SSADA) algorithm will be used to compute 3-dimensional optic disc angiography. A disc flow index was computed from 4 registered scans. Evaluation of progressive changes of the optic disc and RNFL will be based on event-analysis and/or trend-analysis. In event analysis, progression is defined when the difference between the baseline and follow-up measurements of the parameter of interest is greater than its test-retest variability (or the reproducibility coefficient). In trend analysis, regression analysis is performed between the parameter of interest and time.

Official Title
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Predicting Glaucoma Progression With Optical Coherence Tomography Structural and Angiographic Parameters.

Conditions
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Optical Coherence Tomography Glaucoma

Intervention / Treatment
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* Device: Optical Coherence Tomography


Participation Criteria
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Eligibility Criteria
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Inclusion criteria: Patients older than 18 years of age with primary open-angle glaucoma (OAG) . Primary OAG (POAG) diagnosed on the basis of IOP measurements more than 21 mmHg, open angle on gonioscopy (Grade 3 or 4 on Schaffer grading system for angle width), glaucomatous visual field defects consistent with glaucomatous optic disc changes. Eyes with baseline macular and ONH OCT images and ONH photographs of adequate quality and r performed within 6 months of each other were selected Exclusion criteria: Participants with significant retinal disease. non-glaucomatous optic neuropathy. anomalous discs any retinal pathology. A history of cataract or glaucoma surgery will not be exclusion criteria.

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

| Intervention/Treatment |
| --- |
|Device: Optical Coherence Tomography|Optical Coherence Tomography parameters|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| retinal nerve fiber layer RNFL | Thickness using OCT | one year | 
| optic nerve head (ONH) | Thickness using OCT | one year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| disc perfusion changes | flow index using OCTA | one year |