Vitrectomy for Branch Retinal Vein Occlusion

NCT ID: NCT00685490

Last Updated: 2008-05-28

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

COMPLETED

Total Enrollment

70 participants

Study Classification

OBSERVATIONAL

Study Start Date

1995-07-31

Study Completion Date

2006-11-30

Brief Summary

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To evaluate the long term outcomes of pars plana vitrectomy (PPV), with and without internal limiting membrane (ILM) peeling, in eyes with persistent macular edema secondary to branch retinal vein occlusion (BRVO).

Results suggest the following hypothesis:

* PPV, with and without ILM peeling, appears to be beneficial in eyes with persistent macular edema due to BRVO
* Effectiveness is maintained long term
* ILM peeling does not significantly affect postoperative best corrected visual acuity (BCVA)

Detailed Description

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Conditions

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Vitrectomy

Keywords

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branch retinal vein occlusion internal limiting membrane macular edema vitrectomy

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

RETROSPECTIVE

Study Groups

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Surgical

Retrospective chart review of 70 eyes of 70 consecutive patients who underwent PPV, with and without ILM peeling, for persistent macular edema associated with BRVO

Vitrectomy w/o ILM peeling for macular edema with BRVO

Intervention Type PROCEDURE

Concurrent phacoemulsification and intraocular lens insertion in the capsular bag was performed, followed by PPV with separation of the posterior hyaloid from the optic disk and posterior retina with a posterior vitreous detachment was not present. Indocyanine green (ICG)-assisted peeling was performed in all consecutive patients between April 2000 and June 2003. 0.1% ICG solution was injected over the macular region. Immediately after application, the dye was washed out using a vitreous cutter. Repeated injection of ICG was not required. Triamcinolone acetonide (TA)-assisted ILM peeling was performed in all consecutive patients from July 2003 to November 2006.

Interventions

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Vitrectomy w/o ILM peeling for macular edema with BRVO

Concurrent phacoemulsification and intraocular lens insertion in the capsular bag was performed, followed by PPV with separation of the posterior hyaloid from the optic disk and posterior retina with a posterior vitreous detachment was not present. Indocyanine green (ICG)-assisted peeling was performed in all consecutive patients between April 2000 and June 2003. 0.1% ICG solution was injected over the macular region. Immediately after application, the dye was washed out using a vitreous cutter. Repeated injection of ICG was not required. Triamcinolone acetonide (TA)-assisted ILM peeling was performed in all consecutive patients from July 2003 to November 2006.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* duration of symptoms lasting 27 weeks

Exclusion Criteria

* vitreous hemorrhage
* severe cataract
* biomicroscopic vitreomacular traction and epiretinal membrane
* previous vitreoretinal surgery
* other ocular diseases that could contribute to visual loss.
* patients with macular branch vein occlusion
* patients with a history of previous grid laser photocoagulation
Minimum Eligible Age

45 Years

Maximum Eligible Age

86 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shinjo Ophthalmologic Institute

OTHER

Sponsor Role lead

Responsible Party

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Shinjo Ophthalmologic Institute

Principal Investigators

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Kazuyuki Kumagai, MD

Role: PRINCIPAL_INVESTIGATOR

Shinjo Ophthalmologic Institute

Locations

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Shinjo Ophthalmologic Institute

Miyazaki, Miyazaki, Japan

Site Status

Countries

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Japan

Other Identifiers

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Kumagai BRVO

Identifier Type: -

Identifier Source: secondary_id

KK-R-207-430R1

Identifier Type: -

Identifier Source: org_study_id