Outcomes of Vitrectomy Combined With Subtenon Triamcinolone Injection for the Idiopathic Epiretinal Membrane
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Purpose
This study compares the anatomical and visual outcomes of patients with idiopathic epiretinal membrane(ERM) treated by vitrectomy and membrane peeling with or without subtenon triamcinolone acetonide injection
| Condition | Intervention |
|---|---|
|
Epiretinal Membrane |
Procedure: Vitrectomy only group Procedure: Combined therapy group |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Anatomic and Functional Outcomes of 23-gauge Vitrectomy Combined With Posterior Subtenon Triamcinolone Injection for the Treatment of Idiopathic Epiretinal Membrane |
- Changes of best corrected visual acuity and central retinal thickness [ Time Frame: 6 months ] [ Designated as safety issue: No ]Changes of best corrected visual acuity and central retinal thickness on optical coherence tomography (OCT) at baseline and 1, 3, 6 months after injection
- Changes in status of ISOS line [ Time Frame: 6 months ] [ Designated as safety issue: No ]Changes in status of ISOS line on optical coherence tomography (OCT) at baseline and 1, 3, 6 months after injection
| Estimated Enrollment: | 50 |
| Study Start Date: | January 2012 |
| Estimated Study Completion Date: | January 2013 |
| Estimated Primary Completion Date: | January 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Sham Comparator: Vitrectomy only group
The patients who will underwent 23- gauge transconjunctival sutureless vitrectomy only.
|
Procedure: Vitrectomy only group
The patients who will underwent 23- gauge transconjunctival sutureless vitrectomy only. The procedure will be done under retrobulbar anesthesia.
|
|
Experimental: Combined therapy group
The patients who will underwent 23- gauge transconjunctival sutureless vitrectomy with concomitant posterior subtenon Triamcinolone acetate injection.
|
Procedure: Combined therapy group
The patients who will underwent 23- gauge transconjunctival sutureless vitrectomy with concomitant posterior subtenon Triamcinolone acetate injection. For the posterior subtenon Triamcinolone acetate injection injection, a 1 ml of a 40 mg/ml of triamcinolone acetonide was given in the inferotemporal quadrant using a 27-gauge needle on 3-ml syringe. The conjunctiva and the Tenon's capsule were penetrated with the bevel of the needle toward the globe. The needle was advanced toward the macular area, taking care to remain in contact with the globe until the hub was firmly pressed against the conjunctival fornix and then the corticosteroid was slowly injected.
|
Eligibility| Ages Eligible for Study: | 20 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- 1.The participant must have idiopathic epiretinal membrane 2.The participant must be willing and able to comply with the protocol.
Exclusion Criteria:
1. The participant has idiopathic epiretinal membrane with other ocular vascular diseases such as Diabetes retinopathy, BRVO, etc.
2. The participant has any additional ocular diseases that have irreversibly compromised or could likely compromise the visual acuity of the study eye including amblyopia, anterior ischemic optic neuropathy, clinically significant diabetic macular edema, severe non proliferative diabetic retinopathy, or proliferative diabetic retinopathy.
3. The participant has had intraocular surgery (including lens replacement surgery).
4. The participant has a history of (within the last six months), or current ocular or periocular infection (including any history of ocular herpes zoster or simplex).
Contacts and Locations| Korea, Republic of | |
| Yeungnam University College of Medicine | Recruiting |
| Daegu, Korea, Republic of, 705-717 | |
| Contact: Min Sagong 82-53-620-4191 msagong@ynu.ac.kr | |
| Principal Investigator: Min Sagong | |
More Information
No publications provided
| Responsible Party: | Min Sagong, Assistant Professor, Yeungnam University College of Medicine |
| ClinicalTrials.gov Identifier: | NCT01630876 History of Changes |
| Other Study ID Numbers: | YUH-12-0309-M2 |
| Study First Received: | June 26, 2012 |
| Last Updated: | October 1, 2012 |
| Health Authority: | Korea: Institutional Review Board |
Keywords provided by Yeungnam University College of Medicine:
|
Epiretinal membrane triamcinolone acetonide |
Additional relevant MeSH terms:
|
Epiretinal Membrane Retinal Diseases Eye Diseases Triamcinolone hexacetonide Triamcinolone Triamcinolone Acetonide Triamcinolone diacetate Anti-Inflammatory Agents Therapeutic Uses |
Pharmacologic Actions Glucocorticoids Hormones Hormones, Hormone Substitutes, and Hormone Antagonists Physiological Effects of Drugs Immunosuppressive Agents Immunologic Factors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on May 19, 2013