Peri-operative Application of Eyeprotx General Anesthesia Goggles As Prevention Against Corneal Injury Post Intubation.

NCT ID: NCT03762889

Last Updated: 2019-06-06

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

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2019-06-30

Study Completion Date

2019-12-31

Brief Summary

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This is a randomized controlled trial that seeks to examine the effectiveness of Eyeprotx™ protective goggles in comparison to traditional methods against ocular injury that can occur perioperatively under general anesthesia.

Detailed Description

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Ocular injury is but a devastating condition that can occur perioperatively under general anesthesia. Corneal abrasion is the most common ocular injury during general anesthesia, surpassing case incidence of damage caused by patient movement in ophthalmologic surgery. Causes of ocular injury include corneal drying due to the suppression of tear ducts from anesthetic agents, direct physical trauma, or agitation from the volatile anesthetic used. Ocular injury may also occur due to bacterial infection with MRSA, preventative methods, or rubbing of the eyes postoperatively due to agitation. Agitation may be caused by corneal drying or by shift or disruption in rapid eye movement sleep cycle from light penetration through the eyelids. Attempts at prevention of corneal abrasion have been used, including taping the eyelids shut, manual eye closure, paraffin-based ointment application into the conjunctival sac, and the use of hydrophilic contact lenses, although only a few studies have validated the comparison of these methods' effectiveness.

Eyeprotx™ Protective Goggles have been designed specifically for use in the operating room or in any scenario where general anesthesia must be used, such as intubation in an emergency. Current ocular protective measures such as tapes during anesthesia have been associated with injury and infection. With this study, we hope to find a safer preventative technique against ocular injury during the perioperative period.

Conditions

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Corneal Injuries

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

In this cohort study, 100 preoperative patients from Jackson Memorial Hospital would be randomly assigned based on age, gender, and type of anesthesia to three samples: anesthesia with Eyeprotx™ Goggles, anesthesia with eyelid tape, and anesthesia with ointment application. Analysis of samples will be based on length of procedure, length of preventative measure application, position during operation(supine or prone), and postoperative events. Patient discomfort or pain, eye dryness intensity would be rated on numerical rating scale. Qualitative analysis will include additional comments from patients and the anesthesiologist.
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Eyeprotx™ Group

This group of participants will use the Eyeprotx™ General Anesthesia Protective Goggles when intubated perioperatively under general anesthesia.

Group Type EXPERIMENTAL

Eyeprotx™ General Anesthesia Protective Goggles

Intervention Type DEVICE

Eyeprotx™ Protective Goggles have been designed specifically for use in the operating room or in any scenario where general anesthesia must be used, such as intubation in an emergency. The integral function is to reduce intraocular pressure while in place, prevent operating room bright light penetration, facilitate a swift placement preventative measure with straps, form a barrier against bacterial invasion and mechanical damage. This study would seek to examine this goggles' effectiveness as a preventative measure as vs. other measures.

Eyelid Tape Group

This group of participants will be receiving the eyelid tape as the preventative measure when intubated perioperatively under general anesthesia.

Group Type ACTIVE_COMPARATOR

Eyelid Tape

Intervention Type DEVICE

Taping the eyelids during intubation is one of the standard techniques used perioperatively under general anesthesia. This intervention would be used for the Eyelid Tape Group.

Eye Ointment Group

This group of participants will be receiving the ointment application when intubated perioperatively under general anesthesia.

Group Type ACTIVE_COMPARATOR

Eye Ointment

Intervention Type DEVICE

Another standard technique used perioperatively under general anesthesia is to apply an ointment to the eye for lubrication. This intervention would be applied to the Eye Ointment Group.

Interventions

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Eyeprotx™ General Anesthesia Protective Goggles

Eyeprotx™ Protective Goggles have been designed specifically for use in the operating room or in any scenario where general anesthesia must be used, such as intubation in an emergency. The integral function is to reduce intraocular pressure while in place, prevent operating room bright light penetration, facilitate a swift placement preventative measure with straps, form a barrier against bacterial invasion and mechanical damage. This study would seek to examine this goggles' effectiveness as a preventative measure as vs. other measures.

Intervention Type DEVICE

Eyelid Tape

Taping the eyelids during intubation is one of the standard techniques used perioperatively under general anesthesia. This intervention would be used for the Eyelid Tape Group.

Intervention Type DEVICE

Eye Ointment

Another standard technique used perioperatively under general anesthesia is to apply an ointment to the eye for lubrication. This intervention would be applied to the Eye Ointment Group.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patients undergoing general anesthesia
* Patients admitted to Jackson Memorial Hospital

Exclusion Criteria

* Patients unable to communicate, for whatever reason
* Patients predisposed to eye conditions
* Patients with history of increased intraocular pressure
* Patients with a medical history of Sicca syndrome
* Patients with claustrophobia
* Patients with pseudoexfoliation syndromes
* Patients with a current exopthalmic condition
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Miami

OTHER

Sponsor Role lead

Responsible Party

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Leo Kleyman

Research Fellow

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Adam M Au, DO MD PHD

Role: PRINCIPAL_INVESTIGATOR

Jackson Health System

Locations

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Jackson Memorial Hospital

Miami, Florida, United States

Site Status

Countries

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United States

References

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Gild WM, Posner KL, Caplan RA, Cheney FW. Eye injuries associated with anesthesia. A closed claims analysis. Anesthesiology. 1992 Feb;76(2):204-8. doi: 10.1097/00000542-199202000-00008.

Reference Type BACKGROUND
PMID: 1736697 (View on PubMed)

Figueiro MG, Rea MS. Preliminary evidence that light through the eyelids can suppress melatonin and phase shift dim light melatonin onset. BMC Res Notes. 2012 May 7;5:221. doi: 10.1186/1756-0500-5-221.

Reference Type BACKGROUND
PMID: 22564396 (View on PubMed)

White E, Crosse MM. The aetiology and prevention of peri-operative corneal abrasions. Anaesthesia. 1998 Feb;53(2):157-61. doi: 10.1046/j.1365-2044.1998.00269.x.

Reference Type BACKGROUND
PMID: 9534639 (View on PubMed)

Related Links

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Other Identifiers

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20180875

Identifier Type: -

Identifier Source: org_study_id

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