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NCT Number: NCT06961864

Investigating Brain Function in People With and Without Visual Snow Syndrome Using Adaptation to Visual Stimuli

The goal of this study is to learn more about the brain pathways and activity involved in creating Visual Snow Syndrome (VSS). The main questions it aims to answer are:

* Does VSS arise from spontaneous activity in brain pathways? * Where in the brain does the activity contributing to VSS arise? * How does brain activity contribute to VSS?

Participants will:

1. Undergo assessments and questionnaires to understand visual and mental symptoms, cognitive, and sensory function. 2. Make visual judgements based on images presented to them both inside and outside a magnetic resonance imaging (MRI) machine. 3. Undergo scanning of their brain while inside of an MRI machine.

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Key information

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

for People with Visual Snow Syndrome:

  • Between the ages of 18 and 60 years old
  • Normal (20/25 or better in each eye) or corrected-to-normal vision (MR-compatible glasses will be provided as needed)
  • Ability to comply with study instructions
  • Individuals who have a current diagnosis of VSS from a neuro-ophthalmologist or meet diagnostic criteria of VSS (experience of dynamic dots across the visual field persisting longer than 3 months and at least 2 of the following additional visual symptoms: palinopsia, entoptic phenomena, trails behind moving objects, photophobia, or nyctalopia)
  • Individuals living in Minnesota within 2 hours of the study site

Inclusion criteria

for Non-snow Controls:

  • Between the ages of 18 and 60 years old
  • Normal (20/25 or better in each eye) or corrected-to-normal vision (MR-compatible glasses will be provided as needed)
  • Ability to comply with study instructions
  • Individuals living in Minnesota within 2 hours of the study site

Exclusion criteria

for People with Visual Snow Syndrome:

  • Not being fluent in English or another language for which interpretation/translation services are available
  • A diagnosed or self-reported intellectual disability
  • Current substance dependence (besides nicotine), or drug dependence with tolerance or withdrawal within past 12 months
  • Hallucinogenic substance use within the past 12 months or hallucinogenic substance use within 12 months prior to onset of VSS symptoms
  • Severe central nervous system disease
  • Head injury with skull fracture or loss of consciousness for more than thirty minutes
  • Presence of a physical problem that would render study measures difficult or impossible to administer or interpret (e.g., visual field loss)
  • Age less than 18 years or greater than 60 years
  • MRI exclusions (for MR visits only):
  • Metal in the body that cannot be approved by the CMRR safety committee
  • Pregnancy
  • Conditions that affect neuro-hemodynamic coupling
  • Claustrophobia
  • Inability to lie still for at least an hour
  • Weight in excess of 440 lbs
  • CT scan exclusion only: Research-related radiation exposure within the last 12 months
  • Any vision anomaly aside from VS or refractive error (e.g., strabismus/ crossed eyes, lazy eyes, color blindness)
  • Current psychotic episode

Exclusion criteria

for Non-snow Controls:

  • Not being fluent in English or another language for which interpretation/translation services are available
  • A diagnosed or self-reported intellectual disability
  • Current substance dependence (besides nicotine), or drug dependence with tolerance or withdrawal within past 12 months
  • Hallucinogenic substance use within the past 12 months
  • Severe central nervous system disease
  • Head injury with skull fracture or loss of consciousness for more than thirty minutes
  • Presence of a physical problem that would render study measures difficult or impossible to administer or interpret (e.g., visual field loss)
  • Age less than 18 years or greater than 60 years
  • MRI exclusions (for MR visits only):
  • Metal in the body that cannot be approved by the CMRR safety committee
  • Pregnancy
  • Conditions that affect neuro-hemodynamic coupling
  • Claustrophobia
  • Inability to lie still for at least an hour
  • Weight in excess of 440 lbs
  • CT scan exclusion only: Research-related radiation exposure within the last 12 months
  • Any vision anomaly or refractive error (e.g. strabismus/ crossed eyes, lazy eyes, color blind)
  • A personal history of VSS symptoms or a diagnosis with VSS
  • Current psychotic episode

Treatment and study plan

Visual Adaptation

Behavioral

Presentation of visual stimuli to quantify the appearance of visual snow or its effects in the visual system of the brain.

Assessments and Questionnaires

Behavioral

Administration of clinical assessments and questionnaires to gather information about visual and mental symptoms, cognitive, and sensory function.

Functional Magnetic Resonance Imaging (fMRI)

Device

7 tesla fMRI data will be acquired during visual paradigms designed to measure neural responses with and without adaptation.

Magnetic Resonance Imaging (MRS)

Device

7 tesla MRS data will be acquired to quantify the concentrations of different brain chemicals in brain regions including visual cortex.

Primary outcomes

  1. Psychophysical Adaptation Task Performance

    Time frame: 1.5-2 hours per session, with experiments divided across multiple (e.g., 3) sessions

    Visual tasks will consist of perceptual judgments following adaptation (e.g., subject will report when internal or external / simulated visual snow appears the same on the left or right side of the screen). Measures will be compared for visual target stimuli in different task conditions and experiments, with the goal of understanding the neural basis of visual snow.

  2. Functional Magnetic Resonance Imaging (fMRI) Measures

    Time frame: 1-2 hours per session, with experiments split across multiple (e.g., 3) sessions

    7 tesla fMRI data will be acquired during visual paradigms designed to measure neural responses with and without adaptation. FMRI data will be processed and analyzed to quantify the effect of adaptation across different regions in visual cortex.

  3. Magnetic Resonance Spectroscopy (MRS)

    Time frame: 1-2 hours

    7 telsa MRS data will be acquired to quantify the concentration of different brain chemicals in brain areas including visual cortex.

Secondary outcomes

  1. Clinical Symptom Scores

    Time frame: 1-2 hours

    Measures of visual and mental symptoms, cognitive, and sensory function (e.g., Visual Snow Questionnaire), will be collected using self-report and interview methods. Scores will be compared across groups to differences in visual and mental symptoms in people with and without visual snow syndrome (VSS).

Study contacts

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

Hannah Moser, Ph.D.

CONTACT

[email protected]

Michael-Paul Schallmo, Ph.D.

CONTACT

[email protected]

(612) 273-9130

Sponsors and collaborators

Lead sponsor

University of Minnesota

Other

Collaborators

  • Mayo Clinic
  • National Eye Institute (NEI)
  • National Institutes of Health (NIH)

Registry information

Official study title

Visual Perception in Visual Snow Syndrome

Acronym: VPVSS

Important dates

Study start
2025
Primary completion
2030
Study completion
2030
First posted
May 8, 2025
Registry last updated
Jan 14, 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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