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Diagnostic Yield of Vitreous Biopsy in Sarcoid Uveitis

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ClinicalTrials.gov Identifier: NCT00609687
Recruitment Status : Completed
First Posted : February 7, 2008
Last Update Posted : April 11, 2013
Sponsor:
Information provided by (Responsible Party):
Duke University

Brief Summary:
The usefulness of diagnostic vitrectomy in patients with suspected sarcoidosis with posterior segment involvement (in whom a diagnosis cannot be determined by conventional methods) has not been well described. We hypothesized that diagnostic vitrectomy would help establish the diagnosis in these challenging cases. Herein, we evaluated the diagnostic yield of vitreous biopsy in patients with suspected sarcoidosis-associated uveitis that affected the posterior segment.This is a retrospective interventional case series. Cases of intermediate, posterior or panuveitis that could not be characterized by clinical examination, ancillary, and laboratory tests were considered for diagnostic pars plana vitrectomy. Retrospective chart review was conducted on consecutive eyes that underwent diagnostic, or diagnostic and therapeutic vitrectomy by a single surgeon from January 1989 to June 2006.

Condition or disease Intervention/treatment Phase
Sarcoidosis-associated Ocular Inflammation Procedure: Diagnostic Vitrectomy Not Applicable

  Show Detailed Description

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 150 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Diagnostic
Official Title: Diagnostic Yield of Vitreous Biopsy in Sarcoid Uveitis
Study Start Date : January 2007
Actual Primary Completion Date : October 2007
Actual Study Completion Date : January 2008

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Biopsy Sarcoidosis

Arm Intervention/treatment
A
Patients with suspected sarcoid-related posterior segment inflammation with inconclusive clinical exam findings, ancillary testing, and laboratory results
Procedure: Diagnostic Vitrectomy

Three-port, 20-gauge pars plana vitrectomy instrumentation was utilized. An infusion line was inserted into one sclerotomy and secured to the globe. A second sclerotomy was made, and a fiberoptic light pipe was immediately inserted to minimize vitreous egress. A third sclerotomy was created, and the vitreous cutter was inserted. To obtain an undiluted vitreous sample, the vitreous was cut mechanically with the vitreous cutter, while the assistant surgeon simultaneously manually aspirated the vitreous. After sufficient undiluted sample was obtained, infusion fluid was allowed to enter the eye and a diluted vitreous sample was obtained in a similar manner. The samples were personally carried to the clinical laboratories by the operating surgeon.

Vitreous fluid analysis was guided by clinical suspicion based on the pre-operative differential diagnosis and the intraoperative posterior segment appearance.





Primary Outcome Measures :
  1. To determine the diagnostic yield of vitreous biopsy in patients with suspected sarcoid uveitis [ Time Frame: January 1989 to June 2006 ]


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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Cases were included if intraocular vitreous specimens were obtained for diagnostic testing.

Exclusion Criteria:

  • Patients with acute postoperative or traumatic endophthalmitis from this study were excluded.

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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): NCT00609687


Locations
United States, North Carolina
Duke University Eye Center
Durham, North Carolina, United States, 27710
Sponsors and Collaborators
Duke University
Investigators
Principal Investigator: Glenn J Jaffe, MD Duke University Eye Center

Publications of Results:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Duke University
ClinicalTrials.gov Identifier: NCT00609687     History of Changes
Other Study ID Numbers: Pro00014310
First Posted: February 7, 2008    Key Record Dates
Last Update Posted: April 11, 2013
Last Verified: January 2008

Keywords provided by Duke University:
sarcoidosis
diagnostic vitrectomy
vitreous biopsy
sarcoidosis-associated ocular inflammation

Additional relevant MeSH terms:
Inflammation
Uveitis
Sarcoidosis
Pathologic Processes
Uveal Diseases
Eye Diseases
Lymphoproliferative Disorders
Lymphatic Diseases