TES: Electric Stimulation of the Eye to Improve Vision After Trauma

Sponsor
Wills Eye (Other)
Overall Status
Completed
CT.gov ID
NCT02019927
Collaborator
United States Department of Defense (U.S. Fed)
97
1
6
50
1.9

Study Details

Study Description

Brief Summary

Transcorneal Electrical Stimulation (TES) using the "OkuStimĀ®" device delivers electrical impulses to damaged and/or diseased photoreceptor cells. This electric stimulation of the retina may help to preserve visual acuity and/or the visual field.

Condition or Disease Intervention/Treatment Phase
  • Device: Transcorneal Electrical Stimulation
  • Device: Sham
N/A

Detailed Description

The finely detailed, precise anatomy of the retina and optic nerve capture light impulses from the environment through a biochemical process and then transmit these images to the brain via electrical impulses conducted from the inner retina to the optic nerve and ultimately to the occipital cortex.

In the human eye, three types of specialized ganglion cells transmit electrical impulses to the brain. Among these three cell populations are rod and cone cells, which participate in the photo-transduction step of light perception, along with other light sensitive ganglion cells. It is a system whereby the photosensitive pigment rhodopsin (or one of its analogs) rearranges in response to light, and this change in chemical structure fires electrical impulses to the brain which in turn interprets the incoming impulses as a visual image.

Transcorneal Electrical Stimulation (TES) using the "OkuStimĀ®" device delivers electrical impulses to damaged and/or diseased photoreceptor cells. This electric stimulation of the retina may help to preserve VA and/or the visual field.

Study Design

Study Type:
Interventional
Actual Enrollment :
97 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
Evaluation of the Effectiveness and Safety of Transcorneal Electrical Stimulation to Improve Visual Function After Ocular Trauma
Study Start Date :
Jul 1, 2013
Actual Primary Completion Date :
Sep 1, 2017
Actual Study Completion Date :
Sep 1, 2017

Arms and Interventions

Arm Intervention/Treatment
Experimental: Non-arthritic ischemic optic neuropathy

Treatment of decreased vision due to NAION with the transcorneal electrical stimulation device (6+ months post-event).

Device: Transcorneal Electrical Stimulation
The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy.
Other Names:
  • TES
  • OkuVision
  • Experimental: Multiple Sclerosis

    Treatment of decreased vision due to multiple sclerosis with the transcorneal electrical stimulation device (3+ months post visual changes).

    Device: Transcorneal Electrical Stimulation
    The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy.
    Other Names:
  • TES
  • OkuVision
  • Experimental: Ocular Trauma

    Treatment of decreased vision due to ocular trauma with the transcorneal electrical stimulation device (3+ months post-trauma).

    Device: Transcorneal Electrical Stimulation
    The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy.
    Other Names:
  • TES
  • OkuVision
  • Sham Comparator: Sham - Non-arthritic ischemic optic neuropathy

    Sham treatment of decreased vision due to NAION with the transcorneal electrical stimulation device (6+ months post-event).

    Device: Sham
    Sham

    Sham Comparator: Sham - Multiple Sclerosis

    Sham treatment of decreased vision due to multiple sclerosis with the transcorneal electrical stimulation device (3+ months post visual changes).

    Device: Sham
    Sham

    Sham Comparator: Sham - Ocular Trauma

    Sham treatment of decreased vision due to ocular trauma with the transcorneal electrical stimulation device (3+ months post-trauma).

    Device: Sham
    Sham

    Outcome Measures

    Primary Outcome Measures

    1. Evaluation of the Effectiveness and Safety of Transcorneal Electrical Stimulation to Improve Visual Acuity [Change from Baseline (week 1) to 1-week post initial treatment (week 8)]

      The primary outcomes are change in high-contrast LogMar VA from baseline (week 1) to initial post treatment (week 8). Participants read letters from a chart and receive 1 point for each letter correctly identified. Scores are converted to logMAR scale and analyzed for changes in visual acuity. Improvement in visual acuity is defined as a decrease in logMAR of 0.2 or more.

    Secondary Outcome Measures

    1. Intra-Ocular Pressure (IOP) [Change from Baseline (week 1) to 1-week post initial treatment (week 8)]

      Measured by Applanation (Galdmann) Tonometry method

    2. Visual Field Mean Deviation [Change from Baseline (week 1) to 1 - week post initial treatment (week 8)]

      The Humphrey 24-2 Swedish Interactive Threshold Algorithm Standard perimeter was used to test visual field. Reported values are a change from baseline to 1-week post initial treatment.

    3. Ocular Coherent Tomography, Retinal Nerve Fiber Layer Thickness in Superior Quadrant [Change from Baseline (week 1) to 1 - week post initial treatment (week 8)]

      Assessed the change in thickness of the retinal nerve fiber layer 1-week post treatment compared to baseline

    4. Ocular Coherent Tomography, Retinal Nerve Fiber Layer Thickness in Nasal Quadrant [Change from Baseline (week 1) to 1 - week post initial treatment (week 8)]

      Assessed the change in thickness of the retinal nerve fiber layer 1-week post treatment compared to baseline

    5. Ocular Coherent Tomography, Retinal Nerve Fiber Layer Thickness in Inferior Quadrant [Change from Baseline (week 1) to 1 - week post initial treatment (week 8)]

      Assessed the change in thickness of the retinal nerve fiber layer 1-week post treatment compared to baseline

    6. Ocular Coherent Tomography, Retinal Nerve Fiber Layer Thickness in Temporal Quadrant [Change from Baseline (week 1) to 1 - week post initial treatment (week 8)]

      Assessed the change in thickness of the retinal nerve fiber layer 1-week post treatment compared to baseline

    7. Ocular Coherent Tomography, Retinal Nerve Fiber Layer Thickness in Center Quadrant [Change from Baseline (week 1) to 1 - week post initial treatment (week 8)]

      Assessed the change in thickness of the retinal nerve fiber layer 1-week post treatment compared to baseline

    8. National Eye Institute's Visual Functioning Questionnaire - 25 [Change from Baseline to 1 - week post initial treatment]

      Test to measure Unweighted of scores within test ranging from 0-100 with higher scores meaning better outcome

    9. Symbol Digit Modality Testing [Change from Baseline to 1 - week post initial treatment]

      Scores range from 0-110 with higher scores meaning better visual information processing speed

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • You are 18 years or older.

    • You have sustained trauma (more than 3 months before this study) OR been diagnosed with Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION) (more than 6 months before this study) OR been diagnosed with Multiple Sclerosis (MS) and suffered visual loss (more than 3 months before this study).

    • You are willing and able to give written informed consent.

    • You are able to commit to enrolling in the study during the full time period of up to 6 months.

    Exclusion Criteria:
    • You have any other significant ophthalmologic disease or condition (such as glaucoma, retinal degeneration, proliferative diabetic retinopathy, +/- six diopters of myopia, retinal detachment, exudative age-related macular degeneration).

    • You have amblyopia (lazy eye) in affected eye, previously diagnosed.

    • You are participating in any other interventional clinical trial.

    • If you are pregnant OR a woman with childbearing potential who is unwilling to use medically acceptable means of birth control for study duration OR woman unwilling to perform a pregnancy test at study entry/screening.

    • You are unable to give signed consent due to memory, medical, communication, language, or mental health problems.

    • You are less than 18 years old.

    • You are unable or unwilling to complete the evaluation or questionnaire.

    • Visual acuity better than 20/40

    • Inability to detect phosphenes during threshold detection

    • You are on seizure medications, or have a history of epilepsy.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Wills Eye Hospital Philadelphia Pennsylvania United States 19107

    Sponsors and Collaborators

    • Wills Eye
    • United States Department of Defense

    Investigators

    • Principal Investigator: Julia Haller, MD, Wills Eye Hospital

    Study Documents (Full-Text)

    More Information

    Publications

    None provided.
    Responsible Party:
    Julia Haller, Evaluation of the Effectiveness of Transcorneal Electrical Stimulation to Improve Visual Function Following Ocular Trauma, Wills Eye
    ClinicalTrials.gov Identifier:
    NCT02019927
    Other Study ID Numbers:
    • 12-232
    First Posted:
    Dec 24, 2013
    Last Update Posted:
    Jan 18, 2020
    Last Verified:
    Jan 1, 2020
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Keywords provided by Julia Haller, Evaluation of the Effectiveness of Transcorneal Electrical Stimulation to Improve Visual Function Following Ocular Trauma, Wills Eye
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title Non-arteritic Ischemic Optic Neuropathy Non-arteritic Ischemic Optic Neuropathy (NAION) Sham Multiple Sclerosis Multiple Sclerosis Sham Ocular Trauma Ocular Trauma Sham
    Arm/Group Description Treatment of decreased vision due to NAION with the transcorneal electrical stimulation device (6+ months post-event). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment for Non-arteritic ischemic optic neuropathy group Treatment of decreased vision due to multiple sclerosis with the transcorneal electrical stimulation device (3+ months post visual changes). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment for optic neuritis with Multiple Sclerosis group Treatment of decreased vision due to ocular trauma with the transcorneal electrical stimulation device (3+ months post-trauma). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment for ocular trauma group
    Period Title: Overall Study
    STARTED 46 23 9 5 10 4
    COMPLETED 44 19 8 3 7 3
    NOT COMPLETED 2 4 1 2 3 1

    Baseline Characteristics

    Arm/Group Title Non-arteritic Ischemic Optic Neuropathy Non-arteritic Ischemic Optic Neuropathy Sham Multiple Sclerosis Multiple Sclerosis Sham Ocular Trauma Ocular Trauma Sham Total
    Arm/Group Description Treatment of decreased vision due to NAION with the transcorneal electrical stimulation device (6+ months post-event). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham comparator for the Non-arteritic ischemic optic neuropathy group Treatment of decreased vision due to multiple sclerosis with the transcorneal electrical stimulation device (3+ months post visual changes). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham comparator for the multiple sclerosis group Treatment of decreased vision due to ocular trauma with the transcorneal electrical stimulation device (3+ months post-trauma). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham comparator for the ocular trauma group Total of all reporting groups
    Overall Participants 46 23 9 5 10 4 97
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    62.6
    (8.8)
    66
    (7.4)
    40.6
    (9.7)
    41
    (9.2)
    49.2
    (14.2)
    45.5
    (13.2)
    50.8
    (10.9)
    Sex: Female, Male (Count of Participants)
    Female
    13
    28.3%
    11
    47.8%
    7
    77.8%
    3
    60%
    2
    20%
    1
    25%
    37
    38.1%
    Male
    33
    71.7%
    12
    52.2%
    2
    22.2%
    2
    40%
    8
    80%
    3
    75%
    60
    61.9%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    1
    2.2%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    1
    1%
    Not Hispanic or Latino
    44
    95.7%
    23
    100%
    9
    100%
    5
    100%
    8
    80%
    4
    100%
    93
    95.9%
    Unknown or Not Reported
    1
    2.2%
    0
    0%
    0
    0%
    0
    0%
    2
    20%
    0
    0%
    3
    3.1%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Asian
    1
    2.2%
    0
    0%
    1
    11.1%
    0
    0%
    0
    0%
    0
    0%
    2
    2.1%
    Native Hawaiian or Other Pacific Islander
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Black or African American
    1
    2.2%
    2
    8.7%
    1
    11.1%
    2
    40%
    0
    0%
    0
    0%
    6
    6.2%
    White
    43
    93.5%
    21
    91.3%
    7
    77.8%
    3
    60%
    8
    80%
    4
    100%
    86
    88.7%
    More than one race
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Unknown or Not Reported
    1
    2.2%
    0
    0%
    0
    0%
    0
    0%
    2
    20%
    0
    0%
    3
    3.1%
    Region of Enrollment (participants) [Number]
    United States
    46
    100%
    23
    100%
    9
    100%
    5
    100%
    10
    100%
    4
    100%
    97
    100%

    Outcome Measures

    1. Primary Outcome
    Title Evaluation of the Effectiveness and Safety of Transcorneal Electrical Stimulation to Improve Visual Acuity
    Description The primary outcomes are change in high-contrast LogMar VA from baseline (week 1) to initial post treatment (week 8). Participants read letters from a chart and receive 1 point for each letter correctly identified. Scores are converted to logMAR scale and analyzed for changes in visual acuity. Improvement in visual acuity is defined as a decrease in logMAR of 0.2 or more.
    Time Frame Change from Baseline (week 1) to 1-week post initial treatment (week 8)

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Non-arteritic Ischemic Optic Neuropathy Sham - Non-arteritic Ischemic Optic Neuropathy Multiple Sclerosis Sham - Multiple Sclerosis Ocular Trauma Sham - Ocular Trauma
    Arm/Group Description Treatment of decreased vision due to NAION with the transcorneal electrical stimulation device (6+ months post-event). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to NAION with the transcorneal electrical stimulation device (6+ months post-event). Treatment of decreased vision due to multiple sclerosis with the transcorneal electrical stimulation device (3+ months post visual changes). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to Multiple Sclerosis Treatment of decreased vision due to ocular trauma with the transcorneal electrical stimulation device (3+ months post-trauma). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to ocular trauma
    Measure Participants 46 23 9 5 10 4
    Mean (95% Confidence Interval) [logMAR]
    -0.23
    -0.14
    -0.08
    -0.06
    -0.29
    -0.05
    2. Secondary Outcome
    Title Intra-Ocular Pressure (IOP)
    Description Measured by Applanation (Galdmann) Tonometry method
    Time Frame Change from Baseline (week 1) to 1-week post initial treatment (week 8)

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Non-arteritic Ischemic Optic Neuropathy Sham - Non-arteritic Ischemic Optic Neuropathy (NAION) Multiple Sclerosis Sham - Multiple Sclerosis (MS) Ocular Trauma Sham - Ocular Trauma
    Arm/Group Description Treatment of decreased vision due to NAION with the transcorneal electrical stimulation device (6+ months post-event). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to NAION Treatment of decreased vision due to multiple sclerosis with the transcorneal electrical stimulation device (3+ months post visual changes). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to MS Treatment of decreased vision due to ocular trauma with the transcorneal electrical stimulation device (3+ months post-trauma). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to ocular trauma
    Measure Participants 41 21 6 5 8 2
    Mean (95% Confidence Interval) [mmHg]
    -0.32
    -1.13
    -0.27
    0.52
    0.52
    -0.57
    3. Secondary Outcome
    Title Visual Field Mean Deviation
    Description The Humphrey 24-2 Swedish Interactive Threshold Algorithm Standard perimeter was used to test visual field. Reported values are a change from baseline to 1-week post initial treatment.
    Time Frame Change from Baseline (week 1) to 1 - week post initial treatment (week 8)

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Non-arteritic Ischemic Optic Neuropathy Sham - NAION Multiple Sclerosis Sham - Multiple Sclerosis Ocular Trauma Sham - Ocular Trauma
    Arm/Group Description Treatment of decreased vision due to NAION with the transcorneal electrical stimulation device (6+ months post-event). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to NAION Treatment of decreased vision due to multiple sclerosis with the transcorneal electrical stimulation device (3+ months post visual changes). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to multiple sclerosis Treatment of decreased vision due to ocular trauma with the transcorneal electrical stimulation device (3+ months post-trauma). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to ocular trauma
    Measure Participants 44 23 9 5 9 4
    Mean (95% Confidence Interval) [Decibels (dB)]
    1.49
    2.09
    1.31
    0.96
    1.70
    0.25
    4. Secondary Outcome
    Title Ocular Coherent Tomography, Retinal Nerve Fiber Layer Thickness in Superior Quadrant
    Description Assessed the change in thickness of the retinal nerve fiber layer 1-week post treatment compared to baseline
    Time Frame Change from Baseline (week 1) to 1 - week post initial treatment (week 8)

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Non-arteritic Ischemic Optic Neuropathy Sham - NAION Multiple Sclerosis Sham - Multiple Sclerosis Ocular Trauma Sham - Ocular Trauma
    Arm/Group Description Treatment of decreased vision due to NAION with the transcorneal electrical stimulation device (6+ months post-event). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to NAION Treatment of decreased vision due to multiple sclerosis with the transcorneal electrical stimulation device (3+ months post visual changes). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to multiple sclerosis Treatment of decreased vision due to ocular trauma with the transcorneal electrical stimulation device (3+ months post-trauma). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to ocular trauma
    Measure Participants 42 21 9 5 9 4
    Mean (95% Confidence Interval) [um]
    -0.70
    12.41
    -3.80
    -5.97
    0.37
    1.42
    5. Secondary Outcome
    Title Ocular Coherent Tomography, Retinal Nerve Fiber Layer Thickness in Nasal Quadrant
    Description Assessed the change in thickness of the retinal nerve fiber layer 1-week post treatment compared to baseline
    Time Frame Change from Baseline (week 1) to 1 - week post initial treatment (week 8)

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Non-arteritic Ischemic Optic Neuropathy Sham - NAION Multiple Sclerosis Sham - Multiple Sclerosis Ocular Trauma Sham - Ocular Trauma
    Arm/Group Description Treatment of decreased vision due to NAION with the transcorneal electrical stimulation device (6+ months post-event). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to NAION Treatment of decreased vision due to multiple sclerosis with the transcorneal electrical stimulation device (3+ months post visual changes). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to multiple sclerosis Treatment of decreased vision due to ocular trauma with the transcorneal electrical stimulation device (3+ months post-trauma). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to ocular trauma
    Measure Participants 42 21 9 5 9 4
    Mean (95% Confidence Interval) [um]
    -0.48
    -1.24
    -3.60
    0.28
    0.49
    -1.36
    6. Secondary Outcome
    Title Ocular Coherent Tomography, Retinal Nerve Fiber Layer Thickness in Inferior Quadrant
    Description Assessed the change in thickness of the retinal nerve fiber layer 1-week post treatment compared to baseline
    Time Frame Change from Baseline (week 1) to 1 - week post initial treatment (week 8)

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Non-arteritic Ischemic Optic Neuropathy Sham - NAION Multiple Sclerosis Sham - Multiple Sclerosis Ocular Trauma Sham - Ocular Trauma
    Arm/Group Description Treatment of decreased vision due to NAION with the transcorneal electrical stimulation device (6+ months post-event). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to NAION Treatment of decreased vision due to multiple sclerosis with the transcorneal electrical stimulation device (3+ months post visual changes). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to multiple sclerosis Treatment of decreased vision due to ocular trauma with the transcorneal electrical stimulation device (3+ months post-trauma). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to ocular trauma
    Measure Participants 42 21 9 5 9 4
    Mean (95% Confidence Interval) [um]
    -0.04
    -0.64
    -2.37
    1.07
    0.57
    -1.53
    7. Secondary Outcome
    Title Ocular Coherent Tomography, Retinal Nerve Fiber Layer Thickness in Temporal Quadrant
    Description Assessed the change in thickness of the retinal nerve fiber layer 1-week post treatment compared to baseline
    Time Frame Change from Baseline (week 1) to 1 - week post initial treatment (week 8)

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Non-arteritic Ischemic Optic Neuropathy Sham - NAION Multiple Sclerosis Sham - Multiple Sclerosis Ocular Trauma Sham - Ocular Trauma
    Arm/Group Description Treatment of decreased vision due to NAION with the transcorneal electrical stimulation device (6+ months post-event). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to NAION Treatment of decreased vision due to multiple sclerosis with the transcorneal electrical stimulation device (3+ months post visual changes). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to multiple sclerosis Treatment of decreased vision due to ocular trauma with the transcorneal electrical stimulation device (3+ months post-trauma). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to ocular trauma
    Measure Participants 42 21 9 5 9 4
    Mean (95% Confidence Interval) [um]
    2.15
    -0.64
    -0.49
    1.07
    -0.35
    -1.53
    8. Secondary Outcome
    Title Ocular Coherent Tomography, Retinal Nerve Fiber Layer Thickness in Center Quadrant
    Description Assessed the change in thickness of the retinal nerve fiber layer 1-week post treatment compared to baseline
    Time Frame Change from Baseline (week 1) to 1 - week post initial treatment (week 8)

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Non-arteritic Ischemic Optic Neuropathy Sham - NAION Multiple Sclerosis Sham - Multiple Sclerosis Ocular Trauma Sham - Ocular Trauma
    Arm/Group Description Treatment of decreased vision due to NAION with the transcorneal electrical stimulation device (6+ months post-event). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to NAION Treatment of decreased vision due to multiple sclerosis with the transcorneal electrical stimulation device (3+ months post visual changes). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to multiple sclerosis Treatment of decreased vision due to ocular trauma with the transcorneal electrical stimulation device (3+ months post-trauma). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to ocular trauma
    Measure Participants 37 22 8 5 7 4
    Mean (95% Confidence Interval) [um]
    -0.07
    3.89
    -2.83
    -1.07
    -0.62
    -0.42
    9. Secondary Outcome
    Title National Eye Institute's Visual Functioning Questionnaire - 25
    Description Test to measure Unweighted of scores within test ranging from 0-100 with higher scores meaning better outcome
    Time Frame Change from Baseline to 1 - week post initial treatment

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Non-arteritic Ischemic Optic Neuropathy Sham - NAION Multiple Sclerosis Sham - Multiple Sclerosis Ocular Trauma Sham - Ocular Trauma
    Arm/Group Description Treatment of decreased vision due to NAION with the transcorneal electrical stimulation device (6+ months post-event). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to NAION Treatment of decreased vision due to multiple sclerosis with the transcorneal electrical stimulation device (3+ months post visual changes). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to multiple sclerosis Treatment of decreased vision due to ocular trauma with the transcorneal electrical stimulation device (3+ months post-trauma). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to ocular trauma
    Measure Participants 45 23 9 5 9 4
    Mean (95% Confidence Interval) [score on a scale - change from baseline]
    -0.59
    0.16
    4.59
    4.57
    3.64
    5.27
    10. Secondary Outcome
    Title Symbol Digit Modality Testing
    Description Scores range from 0-110 with higher scores meaning better visual information processing speed
    Time Frame Change from Baseline to 1 - week post initial treatment

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Non-arteritic Ischemic Optic Neuropathy Sham - NAION Multiple Sclerosis Sham - Multiple Sclerosis Ocular Trauma Sham - Ocular Trauma
    Arm/Group Description Treatment of decreased vision due to NAION with the transcorneal electrical stimulation device (6+ months post-event). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to NAION Treatment of decreased vision due to multiple sclerosis with the transcorneal electrical stimulation device (3+ months post visual changes). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to multiple sclerosis Treatment of decreased vision due to ocular trauma with the transcorneal electrical stimulation device (3+ months post-trauma). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to ocular trauma
    Measure Participants 30 14 7 5 7 3
    Mean (95% Confidence Interval) [score on a scale - change from baseline]
    -0.03
    -0.01
    2.98
    -0.77
    4.08
    6.14

    Adverse Events

    Time Frame 3 years
    Adverse Event Reporting Description
    Arm/Group Title Non-arteritic Ischemic Optic Neuropathy Sham - Non-arteritic Ischemic Optic Neuropathy Multiple Sclerosis Sham - Multiple Sclerosis Ocular Trauma Sham - Ocular Trauma
    Arm/Group Description Treatment of decreased vision due to NAION with the transcorneal electrical stimulation device (6+ months post-event). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to NAION Treatment of decreased vision due to multiple sclerosis with the transcorneal electrical stimulation device (3+ months post visual changes). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to Multiple Sclerosis Treatment of decreased vision due to ocular trauma with the transcorneal electrical stimulation device (3+ months post-trauma). Transcorneal Electrical Stimulation: The clinical trial will investigate whether Transcorneal Electrical Stimulation delivered by the Okuvision Stimulation Set manufactured by Okuvision GmbH, Reutlingen, Germany, is a potentially effective therapy for the restoration and rehabilitation of vision loss as measured by improvements in visual acuity in the following three patient populations: patients with ocular trauma, patients with optic neuritis associated with multiple sclerosis and patients with Non-arteritic Anterior Ischemic Optic Neuropathy. Sham treatment of decreased vision due to ocular trauma
    All Cause Mortality
    Non-arteritic Ischemic Optic Neuropathy Sham - Non-arteritic Ischemic Optic Neuropathy Multiple Sclerosis Sham - Multiple Sclerosis Ocular Trauma Sham - Ocular Trauma
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/45 (0%) 0/23 (0%) 0/9 (0%) 0/5 (0%) 0/9 (0%) 0/4 (0%)
    Serious Adverse Events
    Non-arteritic Ischemic Optic Neuropathy Sham - Non-arteritic Ischemic Optic Neuropathy Multiple Sclerosis Sham - Multiple Sclerosis Ocular Trauma Sham - Ocular Trauma
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/45 (0%) 0/23 (0%) 0/9 (0%) 0/5 (0%) 0/9 (0%) 0/4 (0%)
    Other (Not Including Serious) Adverse Events
    Non-arteritic Ischemic Optic Neuropathy Sham - Non-arteritic Ischemic Optic Neuropathy Multiple Sclerosis Sham - Multiple Sclerosis Ocular Trauma Sham - Ocular Trauma
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 15/45 (33.3%) 0/23 (0%) 3/9 (33.3%) 0/5 (0%) 5/9 (55.6%) 0/4 (0%)
    Eye disorders
    Minor ocular surface irritation 15/45 (33.3%) 15 0/23 (0%) 0 3/9 (33.3%) 3 0/5 (0%) 0 5/9 (55.6%) 5 0/4 (0%) 0

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    All Principal Investigators ARE employed by the organization sponsoring the study.

    There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

    Results Point of Contact

    Name/Title Ann Murchison MD
    Organization Will Eye Hopsital
    Phone 267-733-9617
    Email Visionresearch@willseye.org
    Responsible Party:
    Julia Haller, Evaluation of the Effectiveness of Transcorneal Electrical Stimulation to Improve Visual Function Following Ocular Trauma, Wills Eye
    ClinicalTrials.gov Identifier:
    NCT02019927
    Other Study ID Numbers:
    • 12-232
    First Posted:
    Dec 24, 2013
    Last Update Posted:
    Jan 18, 2020
    Last Verified:
    Jan 1, 2020