OCT Angiography in Wet AMD
Purpose
The primary goals of this study are to use optical coherence tomography (OCT) angiography (blood vessel mapping) to: 1. diagnose the presence of new blood vessels in wet age-related macular degeneration (AMD) 2. evaluate patients undergoing treatment for wet AMD 3. determine if reduced flow to the choroid is a risk factor for developing wet AMD.
Condition
- Neovascular (Wet) Age-related Macular Degeneration (AMD)
Eligibility
- Eligible Ages
- Between 50 Years and 100 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
(Groups with wet AMD): - Adults aged 50 and older with clinical findings of treatment-naïve (never treated) neovascular AMD with active new blood vessel growth confirmed by clinical testing will be considered Inclusion Criteria (Group with healthy eyes) - No evidence of retinal disease - Refractive error greater than +3.00 diopters or -7.00 diopters (glasses Rx) - No recent eye surgery in the last 4 months - No significant cataract to interfere with the quality of the imaging
Exclusion Criteria
(All Groups): - Inability to give informed consent - Significant kidney disease - Blood pressure greater than 180/110 - Previous macular laser treatment - Inability to maintain stable fixation during OCT imaging - Visual acuity worse than 20/200
Study Design
- Phase
- Study Type
- Observational
- Observational Model
- Case-Control
- Time Perspective
- Prospective
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
| Newly-diagnosed, untreated wet AMD | This group will be adults newly diagnosed with wet AMD who have not undergone any treatment for the condition. Their data will be gathered only once, prior to treatment. |
|
| Wet AMD undergoing "as-needed" treatment | This group will be adults undergoing treatment as-needed for wet AMD. They will be followed monthly over the course of 1 year. |
|
| High-risk eyes | This group will be adults with wet AMD in one eye and findings of dry AMD in the other. The eye with dry AMD will be followed every 6 months for 3 years. |
|
| Wet AMD undergoing a "treat and extend" strategy | This group will be adults with wet AMD undergoing treatment under the "treat and extend" strategy. (The "treat and extend" strategy increases the intervals between treatments as long as the macula remains dry.) They will be followed over the course of 1 year with extra imaging before extending follow-up intervals. |
|
Recruiting Locations
Portland, Oregon 97239
More Details
- Status
- Recruiting
- Sponsor
- Oregon Health and Science University