Internal Limiting Membrane and Macular Hole

NCT ID: NCT03799575

Last Updated: 2019-01-10

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

Total Enrollment

10 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-01-02

Study Completion Date

2019-07-02

Brief Summary

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Observational study of Internal Limiting Membrane peeled in macular Hole surgery and studied by Transmission electronic Microscopy (TEM) and Optical Coherence Tomography (OCT) findings in closed holes.

Detailed Description

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A non-randomized prospective study of eyes with MH willing to have surgery at the Department of Ophthalmology of Santa Maria Hospital, Lisbon.

Surgeries are performed under local or general anesthesia, pars plana vitrectomy with internal limiting membrane peeling, fluid gas exchange and face down position.

Two samples of discarded ILM peeled in Macular hole surgery is studied in Laboratory.

Laboratory Analysis Two samples of ILM per patient are harvested, one will be immediately fixed and submitted to Optic Microscopy (OM) and Transmission Electron Microscopy (TEM) analysis, and another sample will be incubated in enriched medium 199 (Gibco) for 20 minutes at room temperature, after which it will also be fixed and submitted to OM and TEM analysis. Both samples from same patient will follow the protocol available at dx.doi.org/10.17504/protocols.io.qjiduke.

Image acquisition Six electron-micrographs will be acquired for each fragment, using a Hitachi H-7000 electron microscope equipped with a megaview III digital camera. Fields of interest will be randomly selected, and acquisition of 15,000x magnification images.

Histology and immunohistochemistry ILM samples will be stained with anti-GFAP antibody (anti-glial fibrillary acidic protein), to detect this protein in glial cells.

Results:

Only successful macular hole closure will be considered, BCVA will be compared before and after surgery and related to OCT findings. ILM findings in TEM analysis will be compared with and without enriched medium.

Conditions

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C11.768.740

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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A

Two samples of ILM per patient are harvested, group A will be immediately fixed and submitted to Optic Microscopy (OM) and Transmission Electron Microscopy (TEM) analysis, and another sample will be incubated in enriched medium 199 (Gibco) for 20 minutes at room temperature, after which it will also be fixed and submitted to OM and TEM analysis.

Transmission Electron Microscopy analysis

Intervention Type BEHAVIORAL

Morphology of two vitreal side of Internal Limiting Membrane in contact

B

Group B sample will be incubated in enriched medium 199 (Gibco) for 20 minutes at room temperature, after which it will also be fixed and submitted to OM and TEM analysis.

Transmission Electron Microscopy analysis

Intervention Type BEHAVIORAL

Morphology of two vitreal side of Internal Limiting Membrane in contact

Interventions

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Transmission Electron Microscopy analysis

Morphology of two vitreal side of Internal Limiting Membrane in contact

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* All macular holes were staged based on recent OCT based classification and only full thickness macular hole, grade 2 to 4 IMH are considered for study.

Exclusion Criteria

* Excluding criteria are maculopathy other than IMH, surgeries of recurrence of IMH, other retinal diseases, or an axial length greater than 26.0 mm. Mean follow-up will be at least 12 months after surgery.
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospital de Santa Maria, Portugal

OTHER

Sponsor Role lead

Responsible Party

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Mun Yueh de Faria

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mun Y Faria, MD

Role: PRINCIPAL_INVESTIGATOR

Hospital Santa Maria, Centro Hospitalar Universitário Lisboa Norte, 1649-035 Lisboa, PT

Locations

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Hospital Santa Maria

Lisbon, Lisbon District, Portugal

Site Status RECRUITING

Countries

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Portugal

Central Contacts

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Nuno P Ferreira, MD

Role: CONTACT

+351918503467

Andreia L Pinto, MSC

Role: CONTACT

+351969721099

Facility Contacts

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Mun Y Faria, MD

Role: primary

+351966026791

References

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Faria MY, Sousa DC, Almeida BC, Pinto AL, Ferreira NP. Morphology of Peeled Internal Limiting Membrane in Macular Hole Surgery. J Ophthalmol. 2019 May 2;2019:1345683. doi: 10.1155/2019/1345683. eCollection 2019.

Reference Type DERIVED
PMID: 31191990 (View on PubMed)

Other Identifiers

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MD26339

Identifier Type: -

Identifier Source: org_study_id

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