Computer-aided Diagnosis of Ocular Diseases Based on Corneal Biomechanics

  • STATUS
    Recruiting
  • End date
    Jul 31, 2025
  • participants needed
    300
  • sponsor
    Technische Universität Dresden
Updated on 19 February 2024
early diagnosis
intraocular pressure
glaucoma
tension
neuropathy
primary open angle glaucoma
normal tension glaucoma
glaucoma suspect
keratoconus
corneal topography
early detection
eye disease
corneal ectasia
corneal diseases
optic neuropathy
pigmentary glaucoma
low tension glaucoma
computer-aided diagnosis
corneal disease
head measurement
optic nerve disease

Summary

The purpose of this study is the investigation of biomechanical properties of the cornea using computer-aided data analysis. Currently, it is known that keratoconus and glaucoma are ocular disease that are associated with biomechanical alterations of the cornea. Corneal ectasia, especially keratoconus, is a corneal disease that leads to an irreversible loss of visual acuity while the cornea becomes steeper, thinner and irregular. For these patients, surgical intervention (e.g. corneal cross-linking) is performed, in case of disease progression. In glaucoma, the information about corneal alterations serves in two ways, first, correct measurement of intra ocular pressure (IOP); second, early diagnosis of suspects before visual field defects are detectable.

Especially, the Corvis ST is an air-puff tonometer that measures intraocular pressure, corneal thickness (CCT) as well as dynamic corneal response (DCR) parameters. Most of the DCR parameters are affected by IOP and CCT: Therefore, algorithm are needed to determine parameters without impact of IOP and CCT that are describe the biomechanical properties of the cornea.

Description

In this study, an eye twin based on finite element modeling is used to measure advanced properties of corneal biomechanics. Raw data of Corvis ST measurement are exported from the device and imported into the model. The outcome of these calculations are merged together and are compared to further clinical findings (e. g. corneal topography and tomography, axial eye length).

Further information were obtained:

Age, sex, refraction, family history, known duration of disease, previous ocular surgery, systemic diseases, systemic and topical medication; biomicroscopy, anterior optical coherence tomography (OCT), Scheimpflug-based tomography (Pentacam), Biomechanical assessment (Ocular Response Analyzer and Corneal Visualization with the Scheimpflug Technology), optical biometry, confocal microscopy, endothelium cell count.

Details
Condition Low Tension Glaucoma, Corneal disorder, Ocular Hypertension, Ocular Hypertension, Glaucoma, Glaucoma, Pigmentary glaucoma, Keratoconus, Corneal Ectasia, Corneal Astigmatism
Age 18years - 99years
Treatment Corneal biomechanics (Corvis ST, Oculus, Wetzlar, Germany), Corneal topography and tomography (Pentacam, Oculus, Wetzlar, Germany), Optic nerve head measurement
Clinical Study IdentifierNCT04475900
SponsorTechnische Universität Dresden
Last Modified on19 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

corneal ectasia (keratoconus) or ectasia suspect
glaucoma (Primary open angle glaucoma and normal Tension glaucoma) or glaucoma suspect

Exclusion Criteria

age under 18 years
pregnancy
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