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Study of Two-step Anesthesia in Posterior Vitrectomy

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ClinicalTrials.gov Identifier: NCT03577574
Recruitment Status : Unknown
Verified May 2018 by Aier School of Ophthalmology, Central South University.
Recruitment status was:  Recruiting
First Posted : July 5, 2018
Last Update Posted : July 5, 2018
Sponsor:
Information provided by (Responsible Party):
Aier School of Ophthalmology, Central South University

Brief Summary:
A prospective, randomised, single-masked comparison of local anaesthetic approaches including topical anesthesia combined sub-conjunctival anesthesia(two-step anesthesia) for minimally invasive vitrectomy(TAMIV)vs peribulbar block vs retrobulbar block

Condition or disease Intervention/treatment Phase
Anesthesia, Local Procedure: retrobulbar anesthesia Procedure: peribulbar anesthesia Procedure: two step anesthesia Not Applicable

Detailed Description:
Purpose: topical anesthesia combined sub-conjunctival anesthesia(two-step anesthesia) for minimally invasive vitrectomy Methods: This prospective, randomized, single-blinded clinical trail is conducted at Shanghai Aier Eye Hospital. Selected group of 60 patients with retinal-vitreous diseases will be randomized divided into 3 groups and underwent 25-gauge vitrectomy. Group1 uses two-step anesthesia , whereas Group 2 uses retrobulbar anesthesia, group 3 uses peribulbar anesthesia. A 5-point Visual Analogue Pain Scale is used to assess patients' pain score and surgeon's ease while operating. Any complications therefore will be made note of.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 90 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Other
Official Title: A Prospective, Randomised, Single-masked Comparison of Retrobulbar Anesthesia, Peribulbar Anesthesia and Topical Combined Subconjunctival(Two-step) Anesthesia in Posterior Vitrectomy
Estimated Study Start Date : August 2, 2018
Estimated Primary Completion Date : January 1, 2019
Estimated Study Completion Date : January 1, 2019

Arm Intervention/treatment
Active Comparator: retrobulbar anesthesia group
2% lidocaine 4ml injected into retrobulbar space
Procedure: retrobulbar anesthesia
2% lidocaine 4ml injected into retrobulbar space

Active Comparator: peribulbar anesthesia group
2% lidocaine 4 to 8ml injected into peribulbar space
Procedure: peribulbar anesthesia
2% lidocaine 4 to 8ml injected into peribulbar space

Experimental: two step anesthesia group
conjunctival cul-de-sac anesthetized with 0.5% proparacaine hydrochloride drops three times + 2% lidocaine 0.6 to 0.8ml subconjunctival injection
Procedure: two step anesthesia
conjunctival cul-de-sac anesthetized with 0.5% proparacaine hydrochloride drops three times + 2% lidocaine 0.6 to 0.8ml subconjunctival injection




Primary Outcome Measures :
  1. pain scores [ Time Frame: During surgery ]
    5-point Visual Analogue Pain Scale(VAPS): Grade 1: No pain or discomfort; Grade 2: mild pain or discomfort; Grade 3: moderate pain or discomfort; Grade 4: severe pain or discomfort;


Secondary Outcome Measures :
  1. surgeon's ease [ Time Frame: During surgery ]
    Grade 1: No discomfort; Grade 2: mild discomfort; Grade 3: moderate discomfort; Grade 4: severe discomfort;



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Ages Eligible for Study:   30 Years to 85 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Proliferative diabetic retinopathy (PDR);
  • Vitreous haemorrhage (VH);
  • Retinal detachment (RD);
  • Retinal vein occlusion(RVO);
  • Other diseases (idiopathic macular hole, macular pucker and high myopic maculopathy);
  • Silicone oil-filled eye.

Exclusion Criteria:

  • Communication problems;
  • Allergy to amide-type local anaesthetic agents;
  • History of vitreoretinal surgery or orbital surgery;
  • Orbital deformity;
  • With episcleral adjunct surgery;
  • Trauma;
  • Keratitis;
  • Conjunctivitis and active uveitis.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03577574


Contacts
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Contact: Hua Fan +8618988761617 fanhua1116@163.com

Locations
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China
Wensheng Li Recruiting
Shanghai, China
Contact: Hua Fan    +8618988761617    fanhua1116@163.com   
Sponsors and Collaborators
Aier School of Ophthalmology, Central South University
Investigators
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Study Director: Wensheng Li Shanghai Aier Eye Hosptial
Publications:
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Responsible Party: Aier School of Ophthalmology, Central South University
ClinicalTrials.gov Identifier: NCT03577574    
Other Study ID Numbers: SHIRB2018013
First Posted: July 5, 2018    Key Record Dates
Last Update Posted: July 5, 2018
Last Verified: May 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Anesthetics
Central Nervous System Depressants
Physiological Effects of Drugs