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CompletedNCT01942564HIPPUpdated Sep 25, 2017

The Head Injury-associated Photosensitivity and Pupillary Function (HIPP) Study

An observational study in Head Injury, Traumatic Brain Injury (TBI) and Photosensitivity, sponsored by Ohio State University. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-09-25.

Primary conditionBrain Injuries, TraumaticRegistry: Craniocerebral TraumaReclassifiedWhy we changed it
Registry
Craniocerebral Trauma — the first condition term the registry derived for this study.
ClinicalTrials.gg
Brain Injuries, Traumatic
Why
  1. The study's listed conditions name Brain Injuries, Traumatic, a narrower term within Craniocerebral Trauma.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Ohio State University · Observational

Study type
Observational
Model
Case-control
Time perspective
Cross-sectional
Enrollment
40
Ages
18 Years and older
Sex
All
01

Study summary

After a head injury, many people find that exposure to light causes them increased discomfort. By measuring how the pupil in the eye constricts to flashes of red and blue light, this study will investigate whether this phenomenon is due to a change in the eye's sensitivity to light.

Read the detailed description

The pupils inside the eyes constrict in response to light stimulation. Different classes of cells within the human retina initiate this response. Recent research suggests that one of the ganglion cell types involved in this pupil response also plays a role in the photophobia experienced by migraine sufferers. The main aim of this study is to determine whether this type of ganglion cell becomes 'hypersensitive' after traumatic brain injury, thereby contributing to symptoms of increased photosensitivity experienced by many of these individuals.

In the first session of this study, subjects will be asked questions about their sensitivity to light and the reaction of their eyes' pupils to flashing red and blue lights will be measured. The subjects will be given a full eye examination to rule out other causes of increased photosensitivity.

In some cases, subjects will be asked to attend a second session roughly two weeks later. They will be asked to wear a watch that measures their daily activity/sleep rhythms and light exposure during this inter-session period. During the second session, further testing of the pupil responses to blue and red flickering light will be performed.

02

Conditions studied

  • Head Injury
  • Traumatic Brain Injury (TBI)
  • Photosensitivity
  • Photophobia

Keywords

  • traumatic brain injury
  • photophobia
  • photosensitivity
  • pupil
03

In context

Brain Injuries, Traumatic Reclassified

1,721 studies on the registry are indexed under Brain Injuries, Traumatic; 447 are open to participants now.

This study's enrollment of 40 is below the median of 117 across 557 observational studies indexed under Brain Injuries, Traumatic.

Browse Brain Injuries, Traumatic studies →

Lead sponsor

Ohio State University is the lead sponsor of 663 studies on the registry; 148 are open to participants now.

Of its 67 completed or terminated interventional studies of FDA-regulated products, 49 (73%) have results posted.

Compared within Brain Injuries, Traumatic, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Craniocerebral Trauma. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Cases: Age 18 or older with symptoms of increased photosensitivity since experiencing a head injury.

Controls: Matched to cases in age, sex and race.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 18+ years old
  • reports a previous head injury that occurred at least 6 months ago
  • score of 2 or 3 (mild TBI) on OSU-TBI ID Survey
  • best-corrected visual acuity of at least 20/30 in both eyes
  • reliable visual field

Exclusion criteria

Exclusion Criteria:

  • pregnancy
  • significant afferent pupillary defect
  • previous history of neurodegenerative disease
  • intraocular pressure more than 21 mm Hg
  • significant visual field defect
  • active corneal pathology
  • history of retinal or optic nerve disease
  • strabismus (eye turn)
05

Study design

Observational model
Case-control
Time perspective
Cross-sectional
Enrollment
40 participants (actual)
Patient registry
No

Groups and cohorts

  • Case Subjects

    1. Age 18 years or older 2. Had a head injury that occurred at least 6 months prior to entering study 3. Have found lights more bothersome since injury

  • Control Subjects

    1. Age 18 years or older 2. Have not had a previous head injury 3. Have had a full eye examination at Ohio State University College of Optometry during last 6 months.

06

What researchers measure

Primary outcomes

  1. Pupil Responses

    The pupil fluctuation evoked by blue and red flickering lights will be measured in patients with a prior brain injury and compared to matched controls.

    Time frame: 2 weeks

Secondary outcomes

  1. Sleep Rhythms

    Daily rhythms of sleep and activity will be assessed in subjects with prior brain injury and compared to matched controls.

    Time frame: 2 weeks

  2. Light Exposure

    The exposure to red, blue and green components of the light spectrum will be quantified in patients with a prior brain injury, and compared to matched controls.

    Time frame: 2 weeks

  3. Photosensitivity Symptoms

    Subjects will complete survey indicating symptoms they have experienced related to light sensitivity and will grade their discomfort after exposed to brief flashes of light.

    Time frame: Single visit - one day

07

Study locations

1 site
  • College of Optometry
    Columbus, Ohio 43210, United States
08

References and documents

Publications

  • Barker F, Cockerham G, Goodrich G, Hartwick A, Kardon R, Mick AB, Swanson M. Brain Injury Impact on the Eye and Vision. Optom Vis Sci. 2017 Jan;94(1):4-6. doi: 10.1097/OPX.0000000000001001. No abstract available. PubMed 28009763 ↗
  • Yuhas PT, Shorter PD, McDaniel CE, Earley MJ, Hartwick AT. Blue and Red Light-Evoked Pupil Responses in Photophobic Subjects with TBI. Optom Vis Sci. 2017 Jan;94(1):108-117. doi: 10.1097/OPX.0000000000000934. PubMed 27464575 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 25, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01942564
Responsible party
Andrew Hartwick (Assistant Professor, Ohio State University) — Principal investigator
First posted
Sep 16, 2013
Start date
Aug 2013
Primary completion
Dec 2014
Completion
Dec 2015
Last update
Sep 25, 2017

Study contacts

Andrew Hartwick, OD, PhD
principal investigator · Ohio State University

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2017. You cannot join it, but the record below documents what was studied.

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