Multiple Sclerosis, Optic Neuritis
Conditions
Keywords
History of, Patients, acute
Brief summary
Incomplete remission after an optic neuritis attack is not uncommon. Visual reconstitution therapy is a software-based approach that has been shown to substantially improve residual visual field deficits in patients with pre- and postchiasmatic lesions. The primary hypothesis of this randomized, controlled clinical trial is, that visual reconstitution therapy is superior to active comparator treatment in improving the visual field after optic neuritis.
Detailed description
Patients with an acute optic neuritis (between 60 and 180 days before screening) or with residual visual deficits after a past optic neuritis are randomized in two treatment groups. Group A is instructed to perform software-based visual reconstitution therapy on a home PC daily and regularly for 30 minutes over a period of six month. Group B will perform a similarly, also software-based training program, developed to improve saccadic eye movements rather than visual fields. Patients are blinded to the respective treatment.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Definite Optic Neuritis within 60-180 Days or \< 12 months before Screening * Visus \> 0.05 * Visus \< 0.7 or confirmed visual field deficit * Ability to give Informed Consent
Exclusion criteria
* Systemic Treatment with Glucocorticosteroids within 30 days prior to Screening * Additional significant ophthalmological disease * Pregnancy * History of Epilepsy * Significant arterial Hypertension
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual field | 6 months | visual field perimetry and kampimetry at baseline and after 3 and 6 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| structural retinal changes | 6 months | Optical coherence Tomography is performe at baselline and after 6 months |
| Quality of Life | 6 months | Quality of life is determined by questionaires at baseline and after 6 months |
Countries
Germany