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A Comparison of Hydrogel Dressings and Ocular Lubricants in the Prevention on Corneal Damage in the Critically Ill

This study has been completed.
Information provided by:
Barts & The London NHS Trust Identifier:
First received: August 8, 2007
Last updated: NA
Last verified: August 2007
History: No changes posted
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
Intervention Model: Parallel Assignment
Masking: Single
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

Resource links provided by NLM:

Further study details as provided by Barts & The London NHS Trust:

Primary Outcome Measures:
  • 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.

Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
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
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Please refer to this study by its identifier: NCT00513734

Sponsors and Collaborators
Barts & The London NHS Trust
Study Director: Marie Healy, FRCA Lead Clinicain, Dept. of Intensive Care Medicine, Royal London Hospital, London E1 1BB
  More Information Identifier: NCT00513734     History of Changes
Other Study ID Numbers: 003171
Study First Received: August 8, 2007
Last Updated: August 8, 2007

Keywords provided by Barts & The London NHS Trust:
intensive care

Additional relevant MeSH terms:
Critical Illness
Disease Attributes
Pathologic Processes
Corneal Diseases
Eye Diseases processed this record on September 18, 2017