Glaucoma is among the leading causes for blindness in the western world. Elevated intraocular pressure (IOP) has been identified as the most important risk factor. However, some patients progress despite adequate IOP lowering while some subjects with elevated IOP never develop glaucoma. Other patients develop glaucoma although IOP measurements were always in the normal range. Therefore, other factors must be involved. In the last years, studies using MRI have been performed and evidence has accumulated that also changes in retrobulbar structures are present, in particular in the lateral geniculate nucleus and the visual cortex. However, these studies were limited by the low spatial resolution of the MRI instruments used. The investigators propose to overcome this problem by using an ultrahigh-field Magnetom 7T whole-body MR scanner (Siemens Medical, Germany) installed at the MR Centre of Excellence at the Medical University of Vienna. This scanner is equipped with a 32-channel head coil and the SC72 high-performance gradient system and is thus perfectly suited for structural and functional imaging. The aim of the present study is to investigate whether structural and functional parameters are altered in patients with primary open angle glaucoma (POAG), normal tension glaucoma (NTG), ocular hypertension (OHT) compared to healthy control subjects. The exact topographical survey of intracranial structures such as the LGN and the assessment of neuronal structures by DTI may allow for the better assessment of therapeutic responses to new neuroprotective agents.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
SINGLE
Enrollment
120
High resolution functional and structural imaging of the visual pathway
Measurement of retinal nerve fiber thickness
Measurement of retinal nerve fiber thickness
Measurement of retinal nerve fiber thickness
Visual Field Testing
Measurement of Intraocular Pressure
Department of Clinical Pharmacology
Vienna, Austria
High resolution functional and structural imaging of the visual pathway
The visual pathway will be imaged with 7-Tesla MRI. The images will be compared between the study groups.
Time frame: once on the study day (approximately 1 hour)
Retinal nerve fiber thickness
Parameters obtained from GDX and OCT measurements will be compared between groups.
Time frame: once on the study day (approximately 10 minutes)
Visual field test
Parameters from the Humphrey visual field test will be used for classification of severity of glaucoma or to prove that subjects are healthy.
Time frame: once on the study day (approximately 20 minutes)
Intraocular Pressure
Goldmann applanation tonometry will be used for measurement of intraocular pressure.
Time frame: once on the study day (1 minute)
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