A Comparison of Hydrogel Dressings and Ocular Lubricants in the Prevention on Corneal Damage in the Critically Ill
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Purpose
Corneal damage in critically ill patients is common. There are currently two popular methods of treatment in the UK; hydrogel dressings and lubricating ointment. We propose to randomise patients to have a different treatment for each eye and see which one is more effective.
| Condition | Intervention |
|---|---|
|
Keratitis |
Other: Hydrogel dressing Other: Lacrilube ointment |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind Primary Purpose: Prevention |
| Official Title: | Randomised Trial Comparing the Efficacy of Ocular Lubricant (Lacrilube) and Polyacrylamide Hydrogel Dressing (Geliperm) for the Prevention of Exposure Keratopathy in the Critically Ill |
- Development of clinically significant corneal exposure [ Time Frame: throughout length of admission to ITU ]
| Enrollment: | 40 |
| Study Start Date: | September 2004 |
| Study Completion Date: | February 2005 |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: 1
Geliperm Hydrogel Dressing
|
Other: Hydrogel dressing
3x3cm hydrogel dressing over closed eye
|
|
Active Comparator: 2
Lacrilube ointment
|
Other: Lacrilube ointment
lubricant put into eye (inferior formix)
|
Detailed Description:
Microbial keratitis, particularly pseudomonas-related, has been widely reported amongst Intensive therapy unit (ITU) patients and the need for effective eye care in ITU has been recognised for some time. We compare two popular methods of eye care; a hydrogel dressing and lacrilube ointment. Each recruited patient had each eye randomised to different treatments. Daily ophthalmology ward rounds were undertaken to identify any corneal exposure keratopathy. Patients were removed from the trial if one eye developed significant exposure needing treatment.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- All patients admitted to Intensive care and expected to stay for more than 2 days
Exclusion Criteria:
- Primary orbital injury
Contacts and Locations
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00513734 History of Changes |
| Other Study ID Numbers: | 003171 |
| Study First Received: | August 8, 2007 |
| Last Updated: | August 8, 2007 |
| Health Authority: | United Kingdom: Medicines and Healthcare Products Regulatory Agency |
Keywords provided by Barts & The London NHS Trust:
|
keratopathy exposure intensive care |
eye ulcer Corneal |
Additional relevant MeSH terms:
|
Critical Illness Keratitis Disease Attributes |
Pathologic Processes Corneal Diseases Eye Diseases |
ClinicalTrials.gov processed this record on May 23, 2013