Intraoperative OCT Guidance of Intraocular Surgery II
Part of paid clinical trials in Durham, North Carolina.
- Sponsor
- Duke University
- Study ID
- NCT03713268
- Status
- Recruiting
Conditions
- Cataract
- Diabetic Retinopathy
- Epiretinal Membrane
- Healthy
- Macular Holes
- Ocular Tumor
- Preretinal Fibrosis
- Retinal Detachment
- Retinal Disease
- Strabismus
Eligibility Criteria
- Sex
- ALL
- Age
- 4 Weeks - N/A
- Healthy Volunteers
- Accepted
Interventions
- Microscope integrated optical coherence tomography — DEVICEThis is translational study in which subjects will either be imaged with a microscope integrated optical coherence tomography (MIOCT) system or they will use MIOCT during surgical procedures. OCT systems are optical imaging technology that allow non-contact imaging of the microanatomy of the retina, cornea, optic nerve head and retinal blood vessels. The MIOCT has been integrated into the surgical microscope used in retinal and anterior segment surgeries so it does not touch the eye. Unlike visible light from many examination devices, the infrared OCT beam is barely visible to the human eye as it sweeps across the retina. Thus the patient is not disturbed by the light.
Study Details
The overall five-year goals of the project are to develop novel technology to provide actionable new information through provision of live volumetric imaging during surgery, improving surgical practice and outcomes. The investigators believe this technology will enable novel ophthalmic and other microsurgeries not possible due to current limitations in surgical visualization.
Key Dates
- Start date
- Sep 30, 2018
- Status verified
- Oct 2025
- Primary completion
- Dec 31, 2026
- Completion
- May 31, 2027
Study Design
- Enrollment
- 262 participants (estimated)
Arms
- Arm: Healthy (ocular health) participantsAdult subjects with normal, ocular health will be enrolled to evaluate and obtain multiple images from the microscope integrated optical coherence tomography system for reproducibility testing in humans, provide feedback to engineers, and verify that the system functions to produce high quality images of the desired areas of the eye after ex vivo development before surgical use. Each healthy subject will be imaged by the MIOCT system. There will be no surgery or intervention on these healthy volunteer subjects. We anticipate that a portion of the volunteer subjects would have repeat imaging (e.g. for reproducibility testing).
- Arm: Surgeons as research subjectsDuke Eye Center surgical trainees (residents and fellows), attending surgeons, and surgeons from other medical institutions will be enrolled as subjects as we will test their performance with and without microscope integrated optical coherence tomography and with and without advances in 4D MIOCT in model surgeries in the research wet lab to better understand the utility of specific aspects and of this next generation MIOCT as a whole for specific anterior segment and retinal surgical tasks.
- Arm: Surgical patientsAdult and minor (\> 4 months of age) surgical patients will be enrolled to evaluate and obtain multiple images from the microscope integrated optical coherence tomography system during clinically indicated vitreoretinal and anterior segment surgical procedures.
Primary Outcome Measure
Retinal and/or corneal microscope integrated optical coherence tomography image capture [ Time Frame: Year 1 ]
Central Contacts
- Neeru Sarin, MBBS919-668-5341
- Michelle N McCall, MCAPM, BA919-684-0554
Locations (1)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Duke University Eye Center | Durham | North Carolina | 27710 | Cynthia A Toth, MD (PRINCIPAL_INVESTIGATOR) Anthony Kuo, MD (PRINCIPAL_INVESTIGATOR) |
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