Status:

RECRUITING

Glaucoma Rehabilitation With Action viDeo Games and Exercise - GRADE

Lead Sponsor:

The Hong Kong Polytechnic University

Collaborating Sponsors:

University of Waterloo

The University of Hong Kong

Conditions:

Glaucoma

Visual Impairment

Eligibility:

All Genders

55-80 years

Phase:

NA

Brief Summary

Falls are one of the most serious public health concerns for seniors, with significant medical and economic consequences. This concern is even higher in patients with peripheral field loss due to glau...

Detailed Description

A prospective, 2-arm, randomized, single-blind, active-control trial will enroll 56 moderately- to severely-affected glaucoma patients with stable peripheral field loss, intact cognitive function, and...

Eligibility Criteria

Inclusion

  • Presence of moderate to severe bilateral glaucomatous optic neuropathy (GON) from primary open-angle (including normal tension) or angle-closure glaucoma, as determined by an ophthalmologist, with abnormal Glaucoma Hemifield Test on standard Humphrey Field Analyzer 24-2 testing and matching nerve-fiber layer thinning on optical coherence tomography;
  • Stable vision and visual field loss for at least 3 months;
  • With a best-corrected distance acuity of 6/12 or better (equivalent to 0.3 logMAR acuity or better to confirm that participant's central vision is preserved);
  • With a cognitive functional score of 22 or above in the Montreal Cognitive Assessment - Hong Kong version (to confirm participants' intact cognitive function).

Exclusion

  • Advanced glaucoma with GON of median deviation worse than -25 decibel;
  • Ocular diseases other than glaucoma (e.g., age-related macular degeneration, diabetic retinopathy, and moderate to severe cataract);
  • Severe medical problems (e.g., stroke, Parkinson's disease) or self-reported neurological (e.g. brain surgery, brain tumor and peripheral neuropathy), or cognitive disorders (e.g., diagnosed dementia or cognitive impairment);
  • Physical impairments (e.g. need the use of orthopedic and mobility aids) or physical limitations restricting them from independent walking;
  • Self-reported or medically diagnosed vestibular/ cerebellar dysfunction, history of vertigo, or severe hearing loss;
  • Using any medications for any neurological conditions or psychiatric drugs (e.g. sedative, hypnotic) that might interfere motor control; and
  • Currently attending any intensive physical/balance training.

Key Trial Info

Start Date :

September 9 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 30 2025

Estimated Enrollment :

56 Patients enrolled

Trial Details

Trial ID

NCT06000865

Start Date

September 9 2023

End Date

December 30 2025

Last Update

July 28 2025

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The Hong Kong Polytechnic University

Hong Kong, Hong Kong, Hong Kong, 000000