An interventional study of Formal Perimetry (Goldman or Octopus visual Field) and Albert's visual inattention test in Eye Abnormalities and Stroke, sponsored by NHS Greater Glasgow and Clyde. Status unknown at 1 site in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-09-03.
Sponsored by NHS Greater Glasgow and Clyde · Not applicable, Interventional, and Screening
Visual impairment can affect up to 70% of stroke survivors, but many do not have their vision adequately assessed in hospital. An unidentified visual defect can cause significant problems for recovery and quality of life. The Stroke Vision app (an application currently scaled for a 10" Android tablet) has been developed to act as a screening tool for visual problems in stroke survivors; to help identify visual problems earlier and thereby improve rehabilitation outcomes. The app includes a suite of tests for assessing the patient's acuity, their visual fields and to aid in the identification of visual neglect / inattention. Furthermore, it includes educational information on visual stroke in order to better educate staff, patients and their carers. This study seeks to validate the novel digital assessments included in the Stroke Vision app against the current methods used for screening (clinical examination by confrontation field testing). Both screening measures will be compared with the gold standard methods for visual assessments, Octopus perimetry for fields and paper-based methods for visuospatial neglect
28 studies on the registry are indexed under Eye Abnormalities; 3 are open to participants now.
This study's planned enrollment of 62 is above the median of 22 across 13 interventional studies indexed under Eye Abnormalities.
Browse Eye Abnormalities studies →NHS Greater Glasgow and Clyde is the lead sponsor of 220 studies on the registry; 39 are open to participants now.
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Exclusion Criteria:
* Formal perimetry (Goldman or Octopus visual field) * Albert's visual inattention test * Star cancellation visual inattention test * line bisection test * These are performed as part of the routine assessment in the visual stroke orthoptic clinic and neuro-ophthalmology clinics. * The time to perform the assessments or if the participant is unable to complete the assessment will be recorded. * Researcher will record a score (0-10) to quantify the participant's compliance
Procedure: Formal Perimetry (Goldman or Octopus visual Field) · Procedure: Albert's visual inattention test · Procedure: Star cancellation visual inattention test
* Visual field assessment to confrontation * Visual inattention assessment to bilateral stimuli * The time to perform the assessments or if the participant is unable to complete the assessment will be recorded. * Researcher will record a score (0-10) to quantify the participant's compliance
Procedure: Visual field assessment to confrontation · Procedure: Visual inattention assessment to bilateral stimuli
* Digital tumbling E visual accuity assessment * Digital visual field assessment * Digital line crossing assessment * Digital shape cancellation assessment * The time to perform the assessments or if the participant is unable to complete the assessment will be recorded. * Researcher will record a score (0-10) to quantify the participant's compliance
Device: Digital tumbling E visual accuity assessment · Device: Digital visual field assessment · Device: Digital line crossing assessment · Device: Digital shape cancellation assessment
Accuracy of Stroke Vision Tablet App to support assessment of visual field defects when compared with visual field assessment to confrontation in standard clinical practice
Visual field will be captured either by the Stroke Vision App or by confrontation. Visual field will be reported by assessors (blinded to referral and comparator assessment) as either defect present, no defect present or unable to test. Agreement between visual field assessment supported by the Stroke Vision App and visual field assessment to confrontation in standard clincial practice will be quantified by the Kappa statistic. Accuracy metrics of sensitivity/specificity/predictive values will also be reported.
Time frame: All assessments will be conducted following consent at standard clinical assessment visit
Accuracy of Stroke Vision Tablet App to support assessment of visual inattention defects when compared to visual inattention assessment to bilateral stimuli in standard clinical practice
Visual inattention tests will be conducted either by the Stroke Vision App or by inattention to bilateral stimuli in standard clinical practice. Inattention will be reported by assessors (blinded to referral and comparator assessment) as either defect present, no defect present or unable to test. Agreement between visual inattention assessment supported by the Stroke Vision App and inattention to bilateral stimuli in standard clincial practice will be quantified by the Kappa statistic. Accuracy metrics of sensitivity/specificity/predictive values will also be reported.
Time frame: All assessments will be conducted following consent at standard clinical assessment visit
Accuracy of Stroke Vision Tablet App to support assessment of visual field defects when compared with "Gold standard" formal perimetry assessments
Visual field will be captured either by the Stroke Vision App or by formal perimetry assessments. Visual field will be reported by assessors (blinded to referral and comparator assessment) as either defect present, no defect present or unable to test. Agreement between visual field assessment supported by the Stroke Vision App and visual field assessment to formal perimetry will be quantified by the Kappa statistic. Accuracy metrics of sensitivity/specificity/predictive values will also be reported.
Time frame: All assessments will be conducted following consent at standard clinical assessment visit
Accuracy of Stroke Vision Tablet App to support assessment of visual inattention defects when compared with "Gold standard" Albert's visual inattention test, Star cancellation visual inattention test, Line Bisection test
Visual inattention tests will be conducted either by the Stroke Vision App or by Gold standard" Albert's visual inattention test, Star cancellation visual inattention test, Line Bisection test conducted by a clinician. Inattention will be reported by assessors (blinded to referral and comparator assessment) as either defect present, no defect present or unable to test. Agreement between visual inattention assessment supported by the Stroke Vision App and "Gold standard" Albert's visual inattention test, Star cancellation visual inattention test, Line Bisection test will be quantified by the Kappa statistic. Accuracy metrics of sensitivity/specificity/predictive values will also be reported.
Time frame: All assessments will be conducted following consent at standard clinical assessment visit
Proportion of patients completing Gold standard vision assessments
Time frame: All assessments will be conducted following consent at standard clinical assessment visit
Proportion of patients competing usual clinical practice vision assessments
Time frame: All assessments will be conducted following consent at standard clinical assessment visit
Proportion of patients competing Stroke vision app assessments
Time frame: All assessments will be conducted following consent at standard clinical assessment visit
Time to complete Gold standard vision assessments
Time frame: All assessments will be conducted following consent at standard clinical assessment visit
Time to complete usual clinical practice vision assessments
Time frame: All assessments will be conducted following consent at standard clinical assessment visit
Time to complete Stroke vision app assessments
Time frame: All assessments will be conducted following consent at standard clinical assessment visit
This study is status unknown, as verified in Aug 2015. You cannot join it, but the record below documents what was studied.
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NHS Greater Glasgow and Clyde →