A New More Efficient Cycloplegia Scheme

NCT ID: NCT02177539

Last Updated: 2014-06-27

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

PHASE4

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-05-31

Study Completion Date

2014-09-30

Brief Summary

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The purpose of this study is to determine whether tropicamide + phenylephrine cyclopentolate + applied for once waiting 30 minutes to retinoscopy (new scheme) is not inferior to apply cyclopentolate alone and wait 45 minutes to retinoscopy (traditional scheme)

Detailed Description

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Conditions

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Refractive Errors

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

SINGLE

Investigators

Study Groups

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Cyclopentolate

Group Type ACTIVE_COMPARATOR

Cyclopentolate

Intervention Type DRUG

Traditional scheme. Cyclopentolate, repeat dosage 5 minutes and then wait 40 minutes to retinoscopy. Total wait 45 minutes.

Cyclopentolate+tropicamide+phenylephrine

Intervention Type DRUG

New scheme. All drugs together and wait 30 minutes for retinoscopy

Cyclopentolate+tropicamide+phenylephrine

Group Type EXPERIMENTAL

Cyclopentolate

Intervention Type DRUG

Traditional scheme. Cyclopentolate, repeat dosage 5 minutes and then wait 40 minutes to retinoscopy. Total wait 45 minutes.

Cyclopentolate+tropicamide+phenylephrine

Intervention Type DRUG

New scheme. All drugs together and wait 30 minutes for retinoscopy

Interventions

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Cyclopentolate

Traditional scheme. Cyclopentolate, repeat dosage 5 minutes and then wait 40 minutes to retinoscopy. Total wait 45 minutes.

Intervention Type DRUG

Cyclopentolate+tropicamide+phenylephrine

New scheme. All drugs together and wait 30 minutes for retinoscopy

Intervention Type DRUG

Other Intervention Names

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Cyclogyl Cyclogyl, Mydfrin, Mydriacyl

Eligibility Criteria

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Inclusion Criteria

* Children between 1 and 10 years

Exclusion Criteria

* Strabismus
* Ocular surgery
* Another ocular disease than ametropias (i.e uveitis, cataract)
* Cardiovascular or neurologic disease.
* Allergy to any of drugs used in the study
Minimum Eligible Age

1 Year

Maximum Eligible Age

10 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Pontificia Universidad Catolica de Chile

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Cristian Salgado

Role: STUDY_CHAIR

Pontificia Universidad Catolica de Chile

Locations

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Pontificia Universidad Catolica de Chile, Departamento de OftalmologĂ­a

Santiago, Santiago Metropolitan, Chile

Site Status RECRUITING

Countries

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Chile

Central Contacts

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Osvaldo H Berger, MD

Role: CONTACT

+56966076844

Facility Contacts

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Osvaldo H Berger, MD

Role: primary

+56966076844

References

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Fan DS, Rao SK, Ng JS, Yu CB, Lam DS. Comparative study on the safety and efficacy of different cycloplegic agents in children with darkly pigmented irides. Clin Exp Ophthalmol. 2004 Oct;32(5):462-7. doi: 10.1111/j.1442-9071.2004.00863.x.

Reference Type BACKGROUND
PMID: 15498055 (View on PubMed)

McMullen M, Netland PA. Wait time as a driver of overall patient satisfaction in an ophthalmology clinic. Clin Ophthalmol. 2013;7:1655-60. doi: 10.2147/OPTH.S49382. Epub 2013 Aug 20.

Reference Type BACKGROUND
PMID: 23986630 (View on PubMed)

Bagheri A, Givrad S, Yazdani S, Reza Mohebbi M. Optimal dosage of cyclopentolate 1% for complete cycloplegia: a randomized clinical trial. Eur J Ophthalmol. 2007 May-Jun;17(3):294-300. doi: 10.1177/112067210701700303.

Reference Type BACKGROUND
PMID: 17534806 (View on PubMed)

Alimgil ML, Erda N. [The cycloplegic effect of atropine in comparison with the cyclopentolate-tropicamide-phenylephrine combination]. Klin Monbl Augenheilkd. 1992 Jul;201(1):9-11. doi: 10.1055/s-2008-1045860. German.

Reference Type BACKGROUND
PMID: 1513131 (View on PubMed)

Ebri A, Kuper H, Wedner S. Cost-effectiveness of cycloplegic agents: results of a randomized controlled trial in nigerian children. Invest Ophthalmol Vis Sci. 2007 Mar;48(3):1025-31. doi: 10.1167/iovs.06-0604.

Reference Type BACKGROUND
PMID: 17325142 (View on PubMed)

Manny RE, Fern KD, Zervas HJ, Cline GE, Scott SK, White JM, Pass AF. 1% Cyclopentolate hydrochloride: another look at the time course of cycloplegia using an objective measure of the accommodative response. Optom Vis Sci. 1993 Aug;70(8):651-65. doi: 10.1097/00006324-199308000-00013.

Reference Type BACKGROUND
PMID: 8414387 (View on PubMed)

Twelker JD, Mutti DO. Retinoscopy in infants using a near noncycloplegic technique, cycloplegia with tropicamide 1%, and cycloplegia with cyclopentolate 1%. Optom Vis Sci. 2001 Apr;78(4):215-22. doi: 10.1097/00006324-200104000-00010.

Reference Type BACKGROUND
PMID: 11349929 (View on PubMed)

Kleinstein RN, Mutti DO, Manny RE, Shin JA, Zadnik K. Cycloplegia in African-American children. Optom Vis Sci. 1999 Feb;76(2):102-7. doi: 10.1097/00006324-199902000-00017.

Reference Type BACKGROUND
PMID: 10082056 (View on PubMed)

Jones LW, Hodes DT. Possible allergic reactions to cyclopentolate hydrochloride: case reports with literature review of uses and adverse reactions. Ophthalmic Physiol Opt. 1991 Jan;11(1):16-21.

Reference Type BACKGROUND
PMID: 2034449 (View on PubMed)

Rengstorff RH, Doughty CB. Mydriatic and cycloplegic drugs: a review of ocular and systemic complications. Am J Optom Physiol Opt. 1982 Feb;59(2):162-77.

Reference Type BACKGROUND
PMID: 7039329 (View on PubMed)

Hofmeister EM, Kaupp SE, Schallhorn SC. Comparison of tropicamide and cyclopentolate for cycloplegic refractions in myopic adult refractive surgery patients. J Cataract Refract Surg. 2005 Apr;31(4):694-700. doi: 10.1016/j.jcrs.2004.10.068.

Reference Type BACKGROUND
PMID: 15899444 (View on PubMed)

Egashira SM, Kish LL, Twelker JD, Mutti DO, Zadnik K, Adams AJ. Comparison of cyclopentolate versus tropicamide cycloplegia in children. Optom Vis Sci. 1993 Dec;70(12):1019-26. doi: 10.1097/00006324-199312000-00005.

Reference Type BACKGROUND
PMID: 8115124 (View on PubMed)

Chen J, Xie A, Hou L, Su Y, Lu F, Thorn F. Cycloplegic and noncycloplegic refractions of Chinese neonatal infants. Invest Ophthalmol Vis Sci. 2011 Apr 14;52(5):2456-61. doi: 10.1167/iovs.10-5441.

Reference Type BACKGROUND
PMID: 21087952 (View on PubMed)

Salazar M, Shimada K, Patil PN. Iris pigmentation and atropine mydriasis. J Pharmacol Exp Ther. 1976 Apr;197(1):79-88.

Reference Type BACKGROUND
PMID: 1263134 (View on PubMed)

Nishizawa AR, Orton RB, Cadera W. Comparison of 0.5% cyclopentolate plus 0.5% tropicamide and 1% cyclopentolate alone for mydriasis of dark irides. Can J Ophthalmol. 1988 Dec;23(7):299-300.

Reference Type BACKGROUND
PMID: 3228775 (View on PubMed)

Lovasik JV. Pharmacokinetics of topically applied cyclopentolate HCl and tropicamide. Am J Optom Physiol Opt. 1986 Oct;63(10):787-803. doi: 10.1097/00006324-198610000-00001.

Reference Type BACKGROUND
PMID: 3777109 (View on PubMed)

Lovasik JV, Kergoat H. Time course of cycloplegia induced by a new phenylephrine-tropicamide combination drug. Optom Vis Sci. 1990 May;67(5):352-8. doi: 10.1097/00006324-199005000-00009.

Reference Type BACKGROUND
PMID: 2367089 (View on PubMed)

Anderson HA, Bertrand KC, Manny RE, Hu YS, Fern KD. Comparison of two drug combinations for dilating dark irides. Optom Vis Sci. 2010 Feb;87(2):120-4. doi: 10.1097/OPX.0b013e3181cc8da3.

Reference Type BACKGROUND
PMID: 20035241 (View on PubMed)

Lin LL, Shih YF, Hsiao CH, Su TC, Chen CJ, Hung PT. The cycloplegic effects of cyclopentolate and tropicamide on myopic children. J Ocul Pharmacol Ther. 1998 Aug;14(4):331-5. doi: 10.1089/jop.1998.14.331.

Reference Type BACKGROUND
PMID: 9715436 (View on PubMed)

Other Identifiers

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12-344

Identifier Type: -

Identifier Source: org_study_id

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