About this trial
The current situation outside of large cities in lower-income countries, as described above, is suboptimal for the diagnosis of glaucoma. Doctors have no means of assessing visual fields, and as such may not be able to identify the condition until too advanced for any meaningful intervention (ie, to enable preservation of vision). Vision loss from glaucoma is irreversible. Understanding, through this pilot study, how well the World Sight Foundation Field Machine (WSFFM) works is an essential step towards trialling its use in lower-income countries. The justification for enabling this is to allow clinicians in the developing world to make more informed assessments of their glaucoma patient's status; this should translate in more timely treatments or referral for further investigation before further irreversible vision loss.
The WSFFM will be compared to the Humphrey Visual Field (HVF) analyser. The HVF analyser is the gold standard method of measuring visual fields; in our hospital eye service it is almost exclusively the method used, and as such the field technicians are particularly skilled in their use. The output data of the HVF enables easy quantification of level of field loss; by comparing the output from the WSFFM it would be possible to allow some form of quantification against "the standard" such that an idea of how well it works may be calculated.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
- Patients attending glaucoma outpatient clinic
Patients requiring visual field testing, with plan for "SITA-STANDARD" HVF testing
Patients 18 years or older and of any gender
Patients capable of giving informed consent.
Disqualifiers
- Patients not requiring visual field testing on that outpatient clinic attendance.
Patients requiring visual field testing, with plan for "SITA-FAST" or "SITA-FASTER" HVF testing.
Patients who do not attend their outpatient clinic appointment,
Patients not able to perform visual field testing (for example due to their visual acuity, physical difficulty in positioning for test duration, or cognitive difficulties in understanding instructions).
Trial design
Crossover
Treatments tested in this trial
World Sight Foundation Field Machine
DeviceTest Intervention
Comparator
Other interventionGold Standard of Care (Comparator)
Treatment groups
Trial outcomes
Primary outcomes
Validation of the WSFFM - comparing the visual field testing obtained with WSFFM and HVF analyser.
Comparison of visual field measurements obtained using the World Sight Foundation Field Machine (WSFFM) and the Humphrey Visual Field (HVF) analyser. Unit of Measure: Quantitative visual field parameters (e.g., mean deviation or equivalent summary metric, as applicable)
Feasibility of using the WSFFM in a "real-life" setting
Description: Patient-reported ease of performing the WSFFM test using a numeric rating scale. Unit of Measure: Score on a 1-10 scale (1 = very difficult, 10 = very easy)
Validation of the WSFFM - comparing the visual field testing obtained with WSFFM and HVF analyser.
Description: Patient-reported comparison of ease of use between WSFFM and HVF testing. Unit of Measure: Ordinal or categorical comparison (e.g., WSFFM easier / same / HVF easier)
Secondary outcomes
Quantitative data obtained from the mean (and standard deviation) of patient reported acceptability and ease of testing on a sliding scale of 0-10; compared with HVF score using Students t-test.
Qualitative data obtained from patient reported outcomes in relation to their experience of visual field testing using the WSFFM.
The mean time taken to complete WSFFM testing, compared to the mean time for HVF analyser testing, using paired Student's t-test to provide quantitative data
Field technician qualitative data regarding ease of use, collected over time after each clinical session.
Sponsors and contacts
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