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

NCT ID: NCT00300014

Last Updated: 2007-06-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-01-31

Study Completion Date

2007-05-31

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Post Vitrectomy State Recurrent Diabetic Vitreous Hemorrhage

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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Intravitreal triamcinolone injection

Intervention Type PROCEDURE

Air-fluid exchange

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

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

Exclusion Criteria

* Monocular vision
* Uncontrollable intraocular pressure
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Asan Medical Center

OTHER

Sponsor Role lead

Principal Investigators

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Sun Young Lee, MD

Role: PRINCIPAL_INVESTIGATOR

Asan Medical Center

He Won Chung, MD

Role: PRINCIPAL_INVESTIGATOR

Asan Medical Center

Young Hee Yoon, MD

Role: PRINCIPAL_INVESTIGATOR

Asan Medical Center

June-Gone Kim, MD

Role: PRINCIPAL_INVESTIGATOR

Asan Medical Center

Locations

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Asan Medical Center

Seoul, , South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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Sun Young Lee, MD

Role: CONTACT

82-2-3010-3970

June-Gone Kim, MD

Role: CONTACT

82-2-3010-3673

Facility Contacts

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Sun Young Lee, MD

Role: primary

82-2-3010-3970

June-Gone Kim, MD

Role: backup

82-3010-3673

Other Identifiers

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IVT in vitreous hemorrhage

Identifier Type: -

Identifier Source: org_study_id