Genetics of Inherited Eye Disease

  • STATUS
    Recruiting
  • End date
    Sep 1, 2022
  • participants needed
    1250
  • sponsor
    National Eye Institute (NEI)
Updated on 25 December 2020
Investigator
For more information at the NIH Clinical Center contact Office of Patient Recruitment (OPR)
Primary Contact
National Institutes of Health Clinical Center, 9000 Rockville Pike (9.7 mi away) Contact

Summary

Background

Research has identified some of the genes involved in inherited eye diseases. But for many of these diseases, the genes are not yet known. Researchers want to try to find these genes. They also hope to learn more about how symptoms differ in people with similar gene changes.

Objective

To learn more about genes involved in eye diseases.

Eligibility

People who have a known or suspected inherited eye disease, and their relatives.

Design
  • All participants will have a medical history, physical exam, and eye exam. They may have blood taken.
  • Participants with an eye disease may have eye cell samples taken using a swab or biopsy procedure.
  • Participants may have a skin biopsy. A (Omega)-inch piece of skin will be removed.
  • Participants may have blood drawn and the red blood cells removed. The remaining serum will be made into an eye drop solution for the participant.
  • Participants may provide samples of tears, urine, saliva, stool, hair, or inner cheek cells.
  • Participants may have a retina test. They may also have a test that uses light to measure retina thickness.
  • Participants may have an eye movement test. Electrodes will be placed on the skin next to both eyes.
  • Participants may have a fluorescein angiography. A dye will be given through an intravenous line in the arm. A camera will take pictures of the dye as it flows through the eyes blood vessels.
  • Participants may have microperimetry. They will sit at a computer screen and press a button when they see a light.
  • Participants may have an eye movement test. They will wear contact lenses or goggles and watch a series of spots on a computer screen.

Description

OBJECTIVE

Molecular genetics and genomics are revolutionizing the delivery of medicine in general and ophthalmology in particular. New treatment and prevention strategies rely on a detailed understanding of the genetics and molecular pathogenesis of vision-threatening disease. In addition, in order to determine whether an intervention is therapeutic, we must first have some understanding of what the best clinical outcome variables are for measuring a treatment effect. Because our ultimate goal is to develop disease-specific protocols for specific inherited conditions, establishing this protocol will help us establish an initial critical mass of patients and of knowledge to write such protocols; as such, this protocol will be hypothesis generating. A secondary aim of this protocol is to provide a mechanism for obtaining research samples from subjects that may be used for laboratory investigations; in this case, the basic research may be both hypothesis generating and/or hypothesis testing. Lastly, the Ophthalmic Genetics Branch, as a leader in the field and a sponsor of a clinical training program, should have the ability to serve as a tertiary referral center for the nation in the area of undiagnosed genetic eye diseases.

STUDY POPULATION:

Nine-hundred twenty-five (925) individuals with inherited eye diseases and 325 healthy volunteers (the unaffected relatives of affected participants) will be enrolled.

DESIGN

This is a combined evaluation/treatment protocol and a genetic repository study. In general, participants will undergo a complete, age-appropriate, baseline examination and provide a blood sample. Some participants may undergo more specialized ophthalmic and/or

systemic testing, if clinically indicated by the investigator. The data and images obtained from these tests may be used for determining eligibility into another NEI protocol. Additionally, the collection of these data will help meet the primary research objectives of this study. In a small number of cases, collection of blood, readily available biospecimens and body fluids (e.g., urine, saliva, tear fluid, stool, hair or cheek swab samples), conjunctival swab or lacrimal gland biopsy, impression cytology, and/or a punch skin biopsy may also be performed for research purposes.

OUTCOME MEASURES:

Given the breadth of ages and disease processes covered under this protocol, we will not systematically obtain any single outcome variable beyond visual acuity on research subjects. However, detailed, disease-specific findings will be collected through the NEI electronic medical record. Findings from systemic testing and from outside exams may be tabulated in a separate, secure database in the laboratory of the Principal Investigator (PI).

Details
Clinical Study IdentifierNCT02471287
SponsorNational Eye Institute (NEI)
Last Modified on25 December 2020

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Eligibility

Yes No Not Sure

Inclusion Criteria

Gender: Male or Female
Do you have Genetic Eye Disease?
Do you have any of these conditions: Do you have Genetic Eye Disease??
Do you have any of these conditions: Do you have Genetic Eye Disease??
Do you have any of these conditions: Do you have Genetic Eye Disease??
Do you have any of these conditions: Do you have Genetic Eye Disease??
Do you have any of these conditions: Do you have Genetic Eye Disease??
Participants will be eligible if they
Have a known or suspected inherited eye disease OR are an unaffected (usually first degree) relative of a participant with a known or suspected inherited eye disease
Have the ability to cooperate with an age-appropriate eye exam
Have the ability to understand and sign an informed consent or have a parent/legal guardian to do so if they are minor children or have a legally authorized representative if they are adults without consent capacity. Unaffected adult relatives of a participant should be able
to provide consent

Exclusion Criteria

Participants will not be eligible if
They are unwilling or unable to be followed as clinically indicated
They have a clear, non-genetic disease etiology (unless they are an unaffected relative)
Their participation would not contribute to the NEI research mission, at the discretion of the PI
Exclusion Criteria for MRI (if applicable)
Participants will not be eligible for optional MRI procedure if
They have metal in their body which would make having an MRI scan unsafe, such as pacemakers, stimulators, pumps, aneurysm clips, metallic prostheses, artificial heart valves, cochlear implants or shrapnel fragments, or if they were a welder or metal worker, since they may small metal fragments in the eye
They have claustrophobia and would feel uncomfortable in the MRI machine
They are not able to lie comfortably on their back for up to one (1) hour
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