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NCT Number: NCT06854198

Glaucoma Screening to Enhance At-Risk Californians' Health

The vast majority of glaucoma cases in the United States go undetected and untreated until the late stages of the disease. Open-angle glaucoma is a progressive condition that is asymptomatic in its early to moderate stages and may be amenable to screening through telemedicine-based approaches. This study is a randomized trial to evaluate whether glaucoma screening with established tests (e.g., optical coherence tomography, fundus photography, and tonometry) is more effective for detecting undiagnosed glaucoma cases compared to education alone or delayed intervention.

Recruiting

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Key information

Age range

50 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Baywell Health, Oakland, California, United States

Loading trial locations.

About this study

Specific Aim 1: To determine the effectiveness of a telemedicine-based glaucoma screening program for detecting glaucoma. The investigators hypothesize that a mobile screening intervention incorporating optical coherence tomography (OCT), fundus photography, and tonometry will result in a greater number of new glaucoma diagnoses compared to education alone or delayed treatment.

Specific Aim 2: To determine whether a telemedicine-based glaucoma screening program provides benefits beyond glaucoma detection. The investigators hypothesize that (A) individuals randomized to the screening intervention will have higher rates of cataract surgery and distance vision correction one year after screening, and (B) those in the screening intervention will report higher vision-related quality of life one year after screening.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Black people aged 50 years or older
  • Hispanic people aged 65 years or older
  • People with diabetes aged 50 years or older
  • Must have been seen at the Federally Qualified Health Center (FQHC) within the past month

Exclusion criteria

  • Patients without a valid phone number or mailing address
  • Patients who have had an optometry appointment within the past year

Treatment and study plan

Glaucoma screening with optical coherence tomography (OCT), color fundus photography, and tonometry

Other

Participants will be called and offered a screening appointment. At the appointment, visual acuity, OCT, color fundus photography, tonometry, and visual field testing will be performed. The images will be assessed for abnormalities. Participants meeting referral criteria will be referred for a comprehensive eye examination with an eye care provider.

Educational Brochure

Other

A brochure about glaucoma screening will be mailed to participants. The brochure will include contact information of a staff member who can schedule an appointment for a comprehensive eye examination.

Primary outcomes

  1. Glaucoma Diagnosis or Glaucoma Suspect Requiring Treatment

    Time frame: 3 months from randomization

Secondary outcomes

  1. Cataract surgery

    Time frame: 12 months

    Self-reported cataract surgery

  2. Eyeglasses

    Time frame: 12 months

    Self-reported purchase of new distance eyeglasses

  3. Quality of Life survey

    Time frame: 12 months

    Self-reported quality of life on VisQol instrument

Study contacts

Contact information is provided by the study sponsor or research team.

Atnasia Mekonnen, MS

CONTACT

[email protected]

510-603-3330

Dionna Wittberg, MPH

CONTACT

[email protected]

330-308-3016

Sponsors and collaborators

Lead sponsor

University of California, San Francisco

Other

Collaborators

  • Centers for Disease Control and Prevention

Registry information

Official study title

Novel Telehealth Technologies to Detect and Manage Glaucoma and Vision-threatening Eye Diseases in High-risk Populations

Acronym: G-SEARCH

Important dates

Study start
2026
Primary completion
2029
Study completion
2029
First posted
Mar 3, 2025
Registry last updated
Apr 15, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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