About this trial
Glaucoma is a chronic disease of the optic nerve, characterized by progressive loss of nerve cells in the retina, leading to progressive loss of peripheral and central vision. There are in fact several types of glaucoma, which is the world's second leading cause of blindness after cataracts, and the leading cause of irreversible blindness.
To date, to our knowledge, there is no work analyzing the progression of angiographic OCT in patients with glaucoma.
The main aim of this study is to compare the 3-year progression rate of 3 examinations in advanced glaucoma patients: one functional (visual field) and two anatomical (OCTa and OCTrnfl).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Men and women aged 18 and over
Patient with glaucoma followed in the ophthalmology department of Nantes University Hospital
mean visual field deficit (MD) >10dB
Disqualifiers
Retinal vascular pathology (moderate to severe non-proliferative diabetic retinopathy, complicated diabetic retinopathy, OVCR/OBVR, OACR/OBAR, NOIAA...) Non-glaucomatous optic neuropathy, neurological pathology leading to visual field deficit (stroke with HLH, quadranopsia, chiasmatic Sd...)
PPR (retinal PanPhotocoagulation), retinal cerclage
Retinal pathology leading to visual field impairment (e.g. retinitis pigmentosa)
AMD and other macular pathologies that can lead to central visual field deficits
Trial population
Patients followed at Nantes University Hospital for advanced glaucoma (MD\>10dB in visual field) who had peripapillary angiography OCT, OCTrnfl and visual field at their follow-up consultation.
Trial design
Cohort
Prospective
Treatments tested in this trial
OCT
DevicePeripapillary angiography (OCT) at baseline and each year during 3 year
Treatment groups
Trial outcomes
Primary outcomes
Compare the progression of vascular density (VD) in advanced glaucoma patients.
Progression of peripapillary vascular density (VD) (in percent) per sector (8 sectors) with 3-year follow-up.
Compare the progression of peripapillary retinal nerve fiber (RNFL) thickness) in advanced glaucoma patients.
Progression of peripapillary nerve fiber thickness (RNFL, in µm) per sector (8 sectors) with 3-year follow-up.
Compare the progression of visual field in advanced glaucoma patients.
Progression of visual field deficit (in dB) by sector (8 sectors) with 3-year follow-up
Secondary outcomes
CV-OCTrnfl correlation study and CV-OCTa correlation study on measurements made at inclusion and on measurements made during follow-up
Study of the correlation between CV-OCTrnfl and correlation between CV-OCTa (mean in µm)
Sponsors and contacts
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