Efficacy and Safety of Intravitreal Triamcinolone Acetonide in Eyes With Post Vitrectomy Diabetic Vitreous Hemorrhage

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified June 2007 by Asan Medical Center.
Recruitment status was:  Recruiting
Information provided by:
Asan Medical Center
ClinicalTrials.gov Identifier:
First received: March 7, 2006
Last updated: June 12, 2007
Last verified: June 2007
The Purpose of this study is compare the efficacy of intravitreal triamcinolone in clearing recurrent post-vitrectomy diabetic hemorrhage with conventional treatment, air-fluid exchange.

Condition Intervention
Post Vitrectomy State
Recurrent Diabetic Vitreous Hemorrhage
Procedure: Intravitreal triamcinolone injection
Procedure: Air-fluid exchange

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Comparative,Randomized Study Between Intravitreal Triamcinolone Acetonide and Air-Fluid Exchange in Eyes With Post Vitrectomy Diabetic Vitreous Hemorrhage

Resource links provided by NLM:

Further study details as provided by Asan Medical Center:

Primary Outcome Measures:
  • day 1 : intraocular pressure, biomicroscope exam, fundus exam
  • day 7 : intraocular pressure, biomicroscope exam, fundus exam
  • 2 weeks : intraocular pressure, biomicroscope exam, fundus exam
  • 4weeks: intraocular pressure, biomicroscope exam, fundus exam, fluorescein angiography
  • 2 months : intraocular pressure, biomicroscope exam, fundus exam
  • 3months : intraocular pressure, biomicroscope exam, fundus exam
  • 6 months : intraocular pressure, biomicroscope exam, fundus exam

Estimated Enrollment: 30
Study Start Date: January 2006
Estimated Study Completion Date: May 2007
Detailed Description:

Vitreous hemorrhage is the most common complication of vitrectomy for diabetic retinopathy. Despite measures to prevent and control this bleeding, it can lead to air–fluid exchange in the office or to additional surgery in the operating room. Air-fluid exchange does not result in clear vision immediately after the procedure, and the patient has to maintain a face-down position. Vitreous lavage, a more invasive procedure performed in the operating room, may give rise to complications such as iatrogenic retinal breaks, incarcerations of vitreous in the sclerotomy sites, retinal detachment, rubeosis iridis, neovascular glaucoma, infective endophthalmitis, and sympathetic ophthalmia. In contrast, IVT injection as a treatment of post vitrectomy diabetic vitreous hemorrhage is a less invasive procedure and provides more prompt visual recovery, while avoiding the face-down position.

We believe that the rapid clearing of vitreous hemorrhage results from as follows: (1) triamcinolone delivered in vitreous cavity can give rise to mechanical sediment entangled with remaining blood (2) direct vascular stabilizing effect may be induced (3) antiangiogenic effect may play a role.


Ages Eligible for Study:   20 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Previous vitrectomy due to proliferative diabetic retinopathy
  • Recurrent diabetic vitreous hemorrhage

Exclusion Criteria:

  • Monocular vision
  • Uncontrollable intraocular pressure
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Please refer to this study by its ClinicalTrials.gov identifier: NCT00300014

Korea, Republic of
Asan Medical Center
Seoul, Korea, Republic of, 138-736
Sponsors and Collaborators
Asan Medical Center
Principal Investigator: Sun Young Lee, MD Asan Medical Center
Principal Investigator: He Won Chung, MD Asan Medical Center
Principal Investigator: Young Hee Yoon, MD Asan Medical Center
Principal Investigator: June-Gone Kim, MD Asan Medical Center
  More Information

ClinicalTrials.gov Identifier: NCT00300014     History of Changes
Other Study ID Numbers: IVT in vitreous hemorrhage 
Study First Received: March 7, 2006
Last Updated: June 12, 2007

Keywords provided by Asan Medical Center:
Post vitrectomy
Recurrent diabetic vitreous hemorrhage
Intravitreal triamcinolone injection

Additional relevant MeSH terms:
Vitreous Hemorrhage
Pathologic Processes
Eye Hemorrhage
Eye Diseases
Triamcinolone hexacetonide
Triamcinolone Acetonide
Triamcinolone diacetate
Anti-Inflammatory Agents
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 January 19, 2017