Safety and acceptability of an organic light-emitting diode sleep mask as a potential therapy for retinal disease

作者: J N Sahni , G Czanner , T Gutu , S A Taylor , K M Bennett

DOI: 10.1038/EYE.2016.259

关键词:

摘要: The purpose of the study was to effect an organic light-emitting diode sleep mask on daytime alertness, wellbeing, and retinal structure/function in healthy volunteers diabetic macular oedema (DMO). Healthy two groups, 18–30 yrs (A), 50–70 (B) people with DMO (C) wore masks (504 nm wavelength; 80 cd/m2 luminance; ≤8 h) nightly for 3 months followed by a 1-month recovery period. Changes from baseline were measured (means): psychomotor vigilance task (PVT) (number lapses (NL), response time (RT)), sleep, depression, psychological wellbeing (PW), visual acuity, contrast sensitivity, colour, electrophysiology, microperimetry, thickness OCT. Of 60 participants, 16 (27%) withdrew, 8 (13%) before month 1, due disturbances intolerance. About 36/55 (65%) who continued beyond 1 reported ≥1 adverse event. At mean PVT worsened Group A (RT (7.65%, P<0.001), NL (43.3%, P=0.005)) PW all groups (A 28.0%, P=0.01, B 21.2%, P=0.03, C 12.8%, P<0.05). No other clinically significant safety signal detected. Cysts reduced/resolved OCT subfield maximal pathology 67% eyes. Thinning greater at 4 (central P<0.001, Sleep showed no major apart small impairment alertness moderate wellbeing. Masks acceptable some participants. Preliminary data suggest beneficial DMO. This novel therapeutic approach is ready large clinical trials.

参考文章(24)
Steven W. Lockley, Debra J. Skene, Josephine Arendt, Visual impairment and circadian rhythm disorders Dialogues in clinical neuroscience. ,vol. 9, pp. 301- 314 ,(2007)
R A Linsenmeier, L B Padnick, G A Lutty, R D Braun, J Ahmed, M A McRipley, D S McLeod, D L Hatchell, Retinal hypoxia in long-term diabetic cats. Investigative Ophthalmology & Visual Science. ,vol. 39, pp. 1647- 1657 ,(1998)
G.B Arden, J.E Wolf, Y Tsang, Does dark adaptation exacerbate diabetic retinopathy? Evidence and a linking hypothesis. Vision Research. ,vol. 38, pp. 1723- 1729 ,(1998) , 10.1016/S0042-6989(98)00004-2
S.D. Baulk, S.N. Biggs, K.J. Reid, C.J. van den Heuvel, D. Dawson, Chasing the silver bullet: Measuring driver fatigue using simple and complex tasks Accident Analysis & Prevention. ,vol. 40, pp. 396- 402 ,(2008) , 10.1016/J.AAP.2007.07.008
G B Arden, S Jyothi, C H Hogg, Y F Lee, S Sivaprasad, Regression of early diabetic macular oedema is associated with prevention of dark adaptation Eye. ,vol. 25, pp. 1546- 1554 ,(2011) , 10.1038/EYE.2011.264
Tanyth E. de Gooyer, Kathryn A. Stevenson, Pete Humphries, David A. C. Simpson, Tom A. Gardiner, Alan W. Stitt, Retinopathy is reduced during experimental diabetes in a mouse model of outer retinal degeneration. Investigative Ophthalmology & Visual Science. ,vol. 47, pp. 5561- 5568 ,(2006) , 10.1167/IOVS.06-0647
Susana Martinez-Conde, Stephen L. Macknik, David H. Hubel, The role of fixational eye movements in visual perception Nature Reviews Neuroscience. ,vol. 5, pp. 229- 240 ,(2004) , 10.1038/NRN1348
Nicole Lamond, J Dorrian, GD Roach, K McCulloch, AL Holmes, HJ Burgess, A Fletcher, D Dawson, The impact of a week of simulated night work on sleep, circadian phase, and performance Occupational and Environmental Medicine. ,vol. 60, pp. 13e- 13 ,(2003) , 10.1136/OEM.60.11.E13
Pierre Philip, Jacques Taillard, Patricia Sagaspe, Cedric Valtat, Montserrat Sanchez-Ortuno, Nicholas Moore, Andre Charles, Bernard Bioulac, Age, performance and sleep deprivation. Journal of Sleep Research. ,vol. 13, pp. 105- 110 ,(2004) , 10.1111/J.1365-2869.2004.00399.X