Abnormal Steady State Pattern Electroretinography, Elevated Retinal Venous Pressure, Glaucoma, Homocysteinemia
Conditions
Keywords
glaucoma, homocysteine plasma levels, L-methylfolate, ophthalmodynamometry, retinal venous pressure (RVP), steady state pattern electroretinography
Brief summary
The impact of targeted vitamin supplementation on retinal venous pressure (RVP) and steady state pattern ERG (SSpERG) in patients with RVP 15mmHg or more above intra-ocular pressure (IOP) and serum homocystein 12µmol/l or more, with signs of progression in spite of adequate IOP control, as evidenced by SSpERG abnormality with or without structural progression or visual field progression,
Detailed description
Provided the inclusion criteria were met, RVP measurement was repeated, and a 1 capsule/day regimen of Ocufolin® forte was subsequently carried out for a duration of 3 months, after which repeat measurements of IOP, SSpERG, and RVP were performed, along with dilated fundoscopy. .
Interventions
start of ocufolin forte 1 dd after RVP measurement, till 90 tablets are finished (3 months)
Sponsors
Study design
Eligibility
Inclusion criteria
* glaucoma and/or ocular vascular disease in at least on eye * abnormal SSpERG * RVP measured using an ophthalmodynamometer at least 15 mmHg higher than intra-ocular pressure (IOP), * fasting serum Hcy level \> 12 µmol/l * stable and well-controlled IOP (with or without IOP-lowering treatment)
Exclusion criteria
* starting other systemic or ocular medications with potential impacts on RVP within a month before entering the study or during the course of the study * starting or changing the dosage of other medications with potential impact on SSpERG within 3 months before entering the study or during the course of the study * non-adherence to the follow-up schedule * inability to perform a proper RVP measurement using ophthalmodynamometry.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| RVP effect | 3 months | measurement of RVP lowering effect |
| SSpERG effect | 3 months | measurement of improvement of SSpERG |
Countries
Belgium