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CompletedNCT02265133Updated Aug 21, 2024

Corneal Sensitivity in Patients With Sleep Apnea Syndrome

An observational study in Sleep Apnea, sponsored by University of Texas Southwestern Medical Center. Completed at 2 sites in United States. Open to participants aged 18 Years to 90 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-08-21.

Sponsored by University of Texas Southwestern Medical Center · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
130
Ages
18 Years to 90 Years
Sex
All
01

Study summary

This study is a prospective, single center clinical trial to assess corneal sensitivity and nerve fiber morphology in patients with sleep apnea compared to normal controls. Healthy volunteers with no history of ocular or uncontrollable systemic disease will be encouraged to participate in the study. After execution and review of the consenting procedures, a detailed history will be taken and a slit lamp examination performed, verifying ocular health. This consists of an examination of both eyes including assessments of ocular lids, lashes, cornea and conjunctival evaluation. Corneal touch thresholds will be tested with a Cochet-Bonnet aesthesiometer, a standard non-invasive measure of corneal sensitivity. Corneal nerves will be imaged using a modified HRT in vivo confocal microscope. The in vivo confocal microscope allows for high resolution imaging of the nerve plexus under the corneal epithelium. This corneal nerve plexus is responsible for corneal sensitively and changes or loss have been established as an early, sensitive indicator of corneal neuropathy. The investigators anticipate that this study will require approximately 30 patients for each group and will last approximately 12 months for recruitment and completion of subject visit phases. There is only one clinical visit designed for this project, unscheduled visits may be scheduled in case of an adverse event.

Patient recruitment will be complete at the one-year time point. At the 14 month time point, all data points will have been collected and assessment of the outcome measure (corneal sensitivity in sleep apnea patients versus control patients) will be complete.

Read the detailed description

Screening Assessment: Following the execution of informed consent, subjects will be carefully screened for ocular signs and symptoms, consistent with the protocol inclusion and exclusion criteria. This includes review of ocular and medical history including use of concomitant \& ocular medications and surgeries performed in the past. Researchers will also collect age, ethnicity, demographics, ophthalmic notes and eye exam history. Upon completion of the screening exam, subjects will be deemed eligible based on study criteria the testing procedures will be performed by the investigators.

Testing procedures: The visit will include:

Slit Lamp Microscopy:

An ocular examination of the external (lids, lashes) along with internal (cornea, lens, retina) structures of the eye can be performed with the aid of a slit lamp. This instruments uses lenses and an external light source that can be refracted at different angles and intensities to assess ocular structures for diagnostic purposes.

Corneal sensitivity measurement:

  1. Corneal touch sensitivity will be determined using a Cochet-Bonnet aesthesiometer mounted on a standard slit lamp biomicroscope. The Cochet-Bonnet aesthesiometer is routinely used for clinical research purposes to investigate corneal touch thresholds.
  2. For sensitivity measurements, a 0.12 mm diameter nylon thread will be slowly brought forward to briefly touch the cornea perpendicularly and then quickly withdrawn.
  3. On each occasion, the patient will be asked to respond whenever a stimulus is felt.
  4. Thread length is used to quantitatively assess sensitivity. The longest thread length is used first (6 cm), as this provides the lowest stimulus intensity.
  5. If the subject is unable to detect the touch stimulus, the thread will be systematically shortened in length by 0.5 cm steps until the stimulus is felt.
  6. The criterion for the sensitivity threshold will be the filament length which gives a 50% positive response from four stimulus applications.

In Vivo Confocal Microscope

  1. Corneal nerves will be imaged using a modified in vivo confocal microscope which is routinely used in our clinics (HRT Rostock corneal module, Heidelberg Engineering).
  2. The HRT In Vivo Confocal microscope was modified by adding a motor to automate the focus. This does not alter the integrity, the application, the intent or the light source of the instrument.
  3. Corneas will be anesthetized with a topical anesthetic, proparacaine, prior to scanning.
  4. The confocal microscope will briefly touch the patient's eye and the images saved for further analysis.
02

Conditions studied

  • Sleep Apnea
03

In context

Sleep Apnea Syndromes

2,183 studies on the registry are indexed under Sleep Apnea Syndromes; 284 are open to participants now.

This study's enrollment of 130 is above the median of 109 across 659 observational studies indexed under Sleep Apnea Syndromes.

Browse Sleep Apnea Syndromes studies →

Lead sponsor

University of Texas Southwestern Medical Center is the lead sponsor of 1,009 studies on the registry; 201 are open to participants now.

Of its 138 completed or terminated interventional studies of FDA-regulated products, 105 (76%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Sleep Apnea and normal controls

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

  1. Healthy, non-smoking volunteers.
  2. Patients with a diagnosis of sleep apnea.
  3. Non-contact lens wearers of any gender and race, ages 18 and up.
  4. Minority representation will be proactively encouraged.
  5. Patients that are willing to review, understand, and sign the written Informed Consent.
  6. Written authorization for use or release of health and research study information.
  7. Patients that are willing and able to cooperate with the Investigator and follow all instructions.

Exclusion criteria

Exclusion Criteria:

  1. Use of ocular drops including over the counter (OTC) dry eye drops.
  2. Previous history of corneal surgery.
  3. Previous history of ocular trauma.
  4. History of Diabetes Mellitus.
  5. Current active or previous history of Herpes virus keratitis.
  6. Current or former Contact lens wear.
  7. Chronic history of dry eye disease.
05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
130 participants (actual)
06

What researchers measure

Primary outcomes

  1. Corneal Sensitivity

    To investigate whether diminished corneal sensitivity contributes to corneal problems commonly reported in patients with sleep apnea. Specifically, this study will correlate changes in corneal touch thresholds with corneal nerve fiber morphology using in vivo confocal microscopy.

    Time frame: 1-Day

07

Study locations

2 sites
  • Parkland Hospital
    Dallas, Texas 75235, United States
  • Aston Ambulatory Care Center
    Dallas, Texas 75390, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jul 2015 to primary completion in Jul 2022, 83 months.

Of 236 non-industry observational studies under Sleep Apnea Syndromes, half reached primary completion within 35 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 67. This study's 83 months is above that.

Counting every sponsor, half of 264 studies reached it within 35 months; a quarter within 17 and three quarters within 70.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 21, 2011
First posted
Oct 15, 2014
StartActual
Jul 17, 2015
Primary completionActual
Jul 1, 2022
CompletionActual
Aug 20, 2024
Last update
Aug 21, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 21, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02265133
Responsible party
Danielle Robertson (Associate Professor of Medicine, University of Texas Southwestern Medical Center) — Principal investigator
First posted
Oct 15, 2014
Start date
Jul 17, 2015
Primary completion
Jul 1, 2022
Completion
Aug 20, 2024
Last update
Aug 21, 2024

Study contacts

Danielle Robertson, O.D, PhD
principal investigator · UTSW Medical Center at Dallas

Oversight

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

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This study is completed, as verified in Aug 2024. You cannot join it, but the record below documents what was studied.

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