The aim of this study is to compare levels of lateral inhibition between healthy subjects and glaucoma patients.
ID
Source
Brief title
Condition
- Glaucoma and ocular hypertension
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Test 1: Lateral inhibition can be studied in detail with a psycho-physical
phenomenon called "illusion of movement." This phenomenon is based on the
finding that a thin (dark) line between two (sinusoidal and reverse-phased)
alternating in brightness straps on a fixed distance from the line appears to
shift (Gregory and Heard The Quarterly J of Exp Psych 1983). With a variant of
this experiment, lateral inhibition can be measured (Jansonius and Kuiper
1989). The depth of the lateral bands of the psychophysical line spread
function is a measure of lateral inhibition.
Test 2. An alternative psycho-physical test to measure lateral inhibition is
based on the Westheimer function (Westheimer G. J. Physiol. 1967). To
distinguish a stimulus on a background of constant illumination is dependent on
the diameter of the background. With a small diameter a reduced sensitivity is
found because of spatial summation (the stimulus is less visible). When the
diameter increases it fills the receptive field until lateral inhibition starts
to work. The sensitivity will increase again to a balance where both spatial
summation and lateral inhibition are 'saturated' . Endpoint is the difference
in sensitivity between healthy subjects and glaucoma patients measured with a
background in diameter where lateral inhibition is expected.
Test 3. The final way to measure lateral inhibition is based on contrast
sensitivity measurements. Here, we measure a contrast sensitivity function and
our outcome measure is the contrast sensitivity at low spatial frequencies
relative to the contrast sensitivity at medium spatial frequencies, which is a
measure of lateral inhibition.
Secondary outcome
N/A
Background summary
The hypothesis of the research described in this application is that lateral
inhibition is lost a relatively early stage of glaucoma. This may explain the
structure-function discrepancy that exists in glaucoma (the finding that a lot
of ganglion cells may be lost before perimetry with a reduced response to
measure). Because the stimulus used in perimetry used is large compared with
the receptive field of the ganglioncel, loss of lateral inhibition may result
in a greater response, that the smaller response by the loss of a part of the
ganglion cells masks.
Study objective
The aim of this study is to compare levels of lateral inhibition between
healthy subjects and glaucoma patients.
Study design
Case-control study
Study burden and risks
A single visit, in which several psychophysical tests are performed and a few
extra tests to check the healthy state of the eye. Total time invested is 1.5
to 2 hours. In health subjects, it is possible that an eye disease is
discovered during the course of this study. The resulting psychological stress
to the subject can be a disadvantage. However, the advantage is an early start
of adequate treatment. All measurements are conducted using optical techniques
that do not touch the eye and therefore are completely harmless and so there is
no risk during the experiments. No mydriasis (pupil dilation) will be
implemented.
Hanzeplein 1
Groningen 9700 RB
NL
Hanzeplein 1
Groningen 9700 RB
NL
Listed location countries
Age
Inclusion criteria
Glaucoma patients aged 18 years or older who visit the ophthalmology outpatient department of the UMCG, provide informed consent form and meet the inclusion-exclusion criteria.;Healthy subjects will consist of people who have signed in, without ophthalmic abnormalities and provide informed consent.
Exclusion criteria
Glaucoma patients:
- visual acuity below 0.8 (above 50 years) or below 1.0 (below 50 years of age)
- any other eye disease than glaucoma;Healthy subjects:
- visual acuity below 0.8 (above 50 years) or below 1.0 (below 50 years of age)
- any other eye disease
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
Register | ID |
---|---|
CCMO | NL40563.042.12 |