Effect of Intracameral Steroids During Phacoemulsification on the Cornea

NCT ID: NCT05271058

Last Updated: 2022-03-08

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

Clinical Phase

PHASE3

Total Enrollment

69 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-06-16

Study Completion Date

2020-08-15

Brief Summary

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Prospective, interventional case control study. Sixty-nine eyes were randomized into 3 groups, 23 eyes each : 2groups received intracameral dexamethasone and triamcinolone (TA) respectively, while controls didn't receive any intraoperative steroids.

Intracameral steroids at the conclusion of phacoemulsification significantly improved corneal edema and spared corneal endothelium.

Detailed Description

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Purpose: Investigating the effect of intracameral steroids at the end of phacoemulsification on corneal edema and endothelial count.

Methods: Prospective, interventional case control study. Sixty-nine eyes were randomized into 3 groups, 23 eyes each : 2groups received intracameral dexamethasone and triamcinolone (TA) respectively, while controls didn't receive any intraoperative steroids.

On the first postoperative day corneal edema in control compared to dexamethasone and TA groups respectively.

One month later, the mean increase of corneal thickness in control compared to intracameral dexamethasone and TA groups, respectively.

mean endothelial cell loss in control compared to intracameral dexamethasone and TA groups respectively.

Conditions

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Corneal Edema

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Purpose: Investigating the effect of intracameral steroids at the end of phacoemulsification on corneal edema and endothelial count.

Methods: Prospective, interventional case control study. Sixty-nine eyes were randomized into 3 groups, 23 eyes each : 2groups received intracameral dexamethasone and triamcinolone (TA) respectively, while controls didn't receive any intraoperative steroids.
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Control group 1

23 eyes that did not receive any intraoperative steroids

Group Type SHAM_COMPARATOR

Control group

Intervention Type OTHER

23 eyes that didn't receive any intraoperative steroids

Dexamethasone group 2

23 eyes that received intracameral dexamethasone

Group Type ACTIVE_COMPARATOR

Dexamethasone group

Intervention Type DRUG

23 eyes each received intracameral dexamethasone at the conclusion of phacoemulsification Received intracameral 0.4 mg in / 0.1 ml dexamethasone (8mg/2ml®; Amriya or Epico) at the end of phacoemulsification.

Triamcinolone (TA) group 3

23 eyes that received intracameral triamcinolone (TA)

Group Type ACTIVE_COMPARATOR

Triamcinolone (TA) group

Intervention Type DRUG

23 eyes each received intracameral triamcinolone (TA) at the conclusion of phacoemulsification Received intracameral 2 mg/0.05 ml triamcinolone (TA) (Kenacort-A®; Bristol-Myers Squibb) at the end of phacoemulsification.

Interventions

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Control group

23 eyes that didn't receive any intraoperative steroids

Intervention Type OTHER

Dexamethasone group

23 eyes each received intracameral dexamethasone at the conclusion of phacoemulsification Received intracameral 0.4 mg in / 0.1 ml dexamethasone (8mg/2ml®; Amriya or Epico) at the end of phacoemulsification.

Intervention Type DRUG

Triamcinolone (TA) group

23 eyes each received intracameral triamcinolone (TA) at the conclusion of phacoemulsification Received intracameral 2 mg/0.05 ml triamcinolone (TA) (Kenacort-A®; Bristol-Myers Squibb) at the end of phacoemulsification.

Intervention Type DRUG

Other Intervention Names

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No intraoperative steroids Intracameral Dexamethasone Intracameral triamcinolone (TA)

Eligibility Criteria

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Inclusion Criteria

* Cataract grades 2 to 5 nuclear cataract (LOCS III scale)
* uneventful phacoemulsification operation

Exclusion Criteria

* extremely hard cataract grade 6 nuclear cataract (LOCS III scale)
* soft cataract
* subluxated lenses or zonular dehiscence
* associated ocular pathology such as glaucoma
* any signs of uveitis
* trauma
* retinal detachment
* vitrectomized or silicone filled eyes
* corneal disease such as Fuch's dystrophy, corneal opacity
* previous refractive corneal surgery
* Cases that developed ruptured posterior capsule and vitreous loss
* those lost to follow up were excluded and randomly replaced by the next chronological patient
Minimum Eligible Age

50 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Beni-Suef University

OTHER

Sponsor Role collaborator

Cairo University

OTHER

Sponsor Role lead

Responsible Party

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khaled gamal abueleinen

professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Khaled G Abueleinen, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Ophthalmology department, Faculty of Medicine Cairo University

Locations

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Khaled G Abueleinen

Giza, Cairo Governorate, Egypt

Site Status

Countries

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Egypt

Other Identifiers

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FMBSUREC/30042019/Mohamed

Identifier Type: -

Identifier Source: org_study_id

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