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External Influences Upon Ocular Homeostasis

External Influences Upon Ocular Homeostasis

Status
Enrolling by invitation
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00338065
Enrollment
200
Registered
2006-06-20
Start date
2006-06-30
Completion date
2027-12-31
Last updated
2025-12-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Intraocular Pressure

Keywords

Intraocular Pressure

Brief summary

Our experiments are designed to test the overall hypothesis that position-dependent or water-dependent intra-ocular pressure (IOP) spikes occur in humans, and that these challenge ocular homeostasis.

Detailed description

Glaucoma is the second leading cause of blindness in the United States, yet its pathogenesis is poorly understood. This is an insidious disorder since the loss of peripheral vision which occurs first usually is not noticed by the victim. Approximately 1 million people in the United States have glaucoma, but are not aware of it. Glaucoma is not always associated with elevated intraocular pressures so that vision screenings which measure just intraocular pressure without assessing the optic nerve will also miss these patients with glaucomatous damage. Therefore, patients are often diagnosed only when they have severe irreversible vision loss. Vascular insufficiency or abnormal autoregulation versus mechanical pressure damage has been proposed as a major factor in the development of glaucoma. Presently, therapy is based upon lowering intraocular pressure. If a contributing intermittent pressure elevation factor can be elucidated and characterized, specific treatment modalities may then be developed and their effectiveness can be monitored.

Interventions

BEHAVIORALPostural change

Intraocular pressures, blood pressures, and retinal thicknesses are measured with postural changes

BEHAVIORALWater drinking

Intraocular pressures, blood pressures, and retinal thicknesses are measured with water drinking.

Sponsors

Vanderbilt University Medical Center
Lead SponsorOTHER

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
10 Years to 90 Years
Healthy volunteers
Yes

Inclusion criteria

* Patients with autonomic dysfunction * Patients with open-angle glaucoma * Patients with normal-pressure glaucoma * Normal subjects

Exclusion criteria

* Medical students * Prisoners * Pregnant women

Design outcomes

Primary

MeasureTime frameDescription
Change in Intraocular PressureWithin 1 dayA change in intraocular pressure is measured after change in posture or drinking water.

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026