" En Face " OCT's Contribution in the Detection of Macular Retinal Toxicity Signs Linked to the Chronic Treatment of Synthetic Antimalarials

NCT02805686 — Not applicable, Completed, 45 participants, Fondation Ophtalmologique Adolphe de Rothschild

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RegistryNCT02805686, acronym OCTAPS
StatusCompleted
PhaseNot applicable
Study typeInterventional; na, single group, masking: none, screening
Enrollment45 (Actual)
SponsorFondation Ophtalmologique Adolphe de Rothschild (Network)
ConditionsMaculopathy
Interventionsspectral domain optical coherence tomography, multifocal electroretinogram (Device)
Datesstart 2014-06-01, primary completion 2016-02-01, completion 2016-02-01, first posted 2016-06-20, last updated 2018-01-26

Related Papers Related Patents Related Grants Related Experts
All trials for Maculopathy All trials of spectral domain optical coherence tomography All trials of multifocal electroretinogram

-Summary

The maculopathy induced by the retinal toxicity of the synthetic antimalarials must be detected at the infra-clinical state, when it can still be reversible. Identifying early retinal anatomical changes has always represented (a challenge for medical interns, dermatologists, rheumatologists, and ophthalmologists). Currently, the gold-standard for its screening and its diagnostic is the multifocal electroretinogram (mfERG), however it is a long and tedious exam, offered by only few medical centers. It is recommended to find a simple non-invasive alternative, on a commonly used equipment. The study of the ellipsoid (junction line between, the external and internal photoreceptor segments) using optical coherence tomography (OCT-SD) "en face" enables us, to obtain a panoramic viewing of the state of the photoreceptor layer, and to detect any modification, even subtle, within this layer. The OCT-SD "en face" can be easily done by any ophthalmologist who owns one.

The proportion of "en face" OCT-SD showing suggestive retinal damage and patients who present retinal damage in relation with synthetic antimalarial treatments and diagnosed by mfERG is considered in this study.

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+Arms and interventions

ArmTypeInterventionsDescription
"En face" OCT (C-scan)ExperimentalDevice: spectral domain optical coherence tomography; Device: multifocal electroretinogram
  • spectral domain optical coherence tomography (Device)
  • multifocal electroretinogram (Device)

+Outcome measures

Primary outcomes

  • concordance between mfERG and "En-face" OCT [after 1 hour]: measure of kappa coefficient

+Eligibility

Sex: All, ages: 18 Years to any

Inclusion Criteria:

* Patients treated with synthetic antimalarials with retinal damage (in relation with the antimalarial treatment) recently diagnosed by mfERG
* Patients treated with synthetic antimalarials in the past, who stopped treatment because of a supposed retinal damage not confirmed by mfERG

Exclusion Criteria:

\- State of ocular structures preventing the realization of exams