Trial of Yellow 577 nm Laser Versus Green 532 nm Laser for Proliferative Diabetic Retinopathy (UMPDR)
Recruitment status was Recruiting
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Purpose
The purpose of this study is to measure effectiveness of yellow 577 nm laser compared to conventional green laser 532 nm for diabetic retinopathy in terms of number of treatment sessions required and visual acuity outcome.
The study also compares pain score of patients receiving laser treatment and side effects of laser treatment.
| Condition | Intervention |
|---|---|
|
Proliferative Diabetic Retinopathy |
Procedure: Pan retinal photocoagulation laser treatment |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | A Randomised Control Trial Comparing the Effectiveness of Yellow 577 nm Laser to Conventional Green 532 nm Laser for Proliferative Diabetic Retinopathy |
- Visual acuity measurement by logarithm of the minimum angle of resolution (logMAR) [ Time Frame: 2 years ] [ Designated as safety issue: No ]
- Patient pain score during laser procedure [ Time Frame: 2 years ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 120 |
| Study Start Date: | September 2009 |
| Estimated Study Completion Date: | October 2011 |
| Estimated Primary Completion Date: | September 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: green laser 532 nm conventional
Current type of laser used for treatment of proliferative diabetic retinopathy
|
Procedure: Pan retinal photocoagulation laser treatment
Eyes with PDR are randomised to treatment with either the green laser 532 nm or 577 nm yellow laser.
Other Name: Quantel Supra 577nm laser
|
|
Active Comparator: Yellow 577 nm laser
new laser wavelength for treatment of PDR
|
Procedure: Pan retinal photocoagulation laser treatment
Eyes with PDR are randomised to treatment with either the green laser 532 nm or 577 nm yellow laser.
Other Name: Quantel Supra 577nm laser
|
Detailed Description:
Diabetes mellitus (DM) is a major medical problem throughout the world. The most common and potentially most blinding of these complications is proliferative diabetic retinopathy (PDR).
Panretinal photocoagulation is established as the gold standard of treatment, supported by the data of the Diabetic Retinopathy Study (DRS).This study found that laser treatment reduced the rate of severe visual loss by 50%. Currently the green 532nm laser is the most common wavelength used. However, this conventional green laser has some complications such as pain, vitreous haemorrhage, choroidal effusion and visual field loss.
Due to the complication of conventional lasers, the yellow laser (577 nm)with peak absorption of oxyhemoglobin and good absorption of melanin is postulated to be more effective at producing retinal laser burns with a lower power and less pain compared to the green laser.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patient more than 18 year of age
- Eyes with proliferative diabetic retinopathy requiring laser PRP
- Newly diagnosed patient
- Patients with no other intervention/surgeries done before the study
Exclusion Criteria:
- Eyes with media opacity not allowing adequate laser photocoagulation
- Patients who have had previous laser photocoagulation
- Patients who have had previous vitreoretinal surgery
Contacts and Locations| Contact: Thirupathy Annamalai, MBBS | +79492060 | thirusukan@yahoo.com |
| Malaysia | |
| University of Malaya Eye Research Centre | Recruiting |
| Kuala Lumpur, Malaysia, 50603 | |
| Contact: Kenneth C Fong, FRCOphth +60379492060 fongcsk@um.edu.my | |
| Principal Investigator: | Kenneth C Fong, FRCOphth | University of Malaya Eye Research Centre |
| Principal Investigator: | Nurliza Khaliddin, FRCS | University of Malaya Eye Research Centre |
More Information
No publications provided
| Responsible Party: | Assoc Prof Kenneth C S Fong, University of Malaya |
| ClinicalTrials.gov Identifier: | NCT01044875 History of Changes |
| Other Study ID Numbers: | UMERC002 |
| Study First Received: | January 7, 2010 |
| Last Updated: | January 7, 2010 |
| Health Authority: | Malaysia: Ministry of Health |
Keywords provided by University of Malaya:
|
Diabetic retinopathy Laser treatment Complications Laser wavelength |
Additional relevant MeSH terms:
|
Diabetic Retinopathy Retinal Diseases Eye Diseases Diabetic Angiopathies Vascular Diseases |
Cardiovascular Diseases Diabetes Complications Diabetes Mellitus Endocrine System Diseases |
ClinicalTrials.gov processed this record on May 16, 2013