Intraocular Gas Tamponade for Treatment of Large Idiopathic Macular Holes

NCT ID: NCT06927544

Last Updated: 2025-04-17

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

ENROLLING_BY_INVITATION

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-02-01

Study Completion Date

2027-02-01

Brief Summary

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The goal of this clinical trial is to evaluate the visual and anatomical outcomes of large (410-1000 μm) full-thickness macular holes repair surgery using perfluoropropane (15% C3F8), sulfur hexafluoride (20% SF6) gas tamponade.

Detailed Description

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The project is a randomized clinical trial with a follow up time of 6 months comparing the effects of surgical treatment of large (410-1000 μm) idiopathic macular holes. Patients are randomized to vitrectomy surgery with internal limiting membrane peeling using perfluoropropane (15% C3F8), sulfur hexafluoride (20% SF6) gas tamponad. Intra- and postoperative complications are registered.

Conditions

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Idiopathic Macular Hole Macular Hole Macular Holes Full Thickness Macular Hole

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Perfluoropropane (15% C3F8) gas tamponade

Macular hole surgery with ILM-peeling and 15% C3F8 gas tamponade

Group Type OTHER

Pars plana vitrectomy

Intervention Type PROCEDURE

All operations are performed in a similar fashion using the vitrectomy system with 23-gauge and 25-gauge vitrectomy probes. Surgical approach and technique include the use of tissue-staining dyes, choice of endotamponade, and postoperative face-down positioning regimen.

Hexafluoride (20% SF6) gas tamponade

Macular hole surgery with ILM-peeling and hexafluoride (20% SF6) gas tamponade

Group Type OTHER

Pars plana vitrectomy

Intervention Type PROCEDURE

All operations are performed in a similar fashion using the vitrectomy system with 23-gauge and 25-gauge vitrectomy probes. Surgical approach and technique include the use of tissue-staining dyes, choice of endotamponade, and postoperative face-down positioning regimen.

Interventions

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Pars plana vitrectomy

All operations are performed in a similar fashion using the vitrectomy system with 23-gauge and 25-gauge vitrectomy probes. Surgical approach and technique include the use of tissue-staining dyes, choice of endotamponade, and postoperative face-down positioning regimen.

Intervention Type PROCEDURE

Other Intervention Names

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PPV

Eligibility Criteria

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Inclusion Criteria

* Patient age 50 or above.
* Duration of Symptoms ≤ 12 months.
* Macular holes having a diameter 410-1000 μm.
* Informed consent.

Exclusion Criteria

* Patients under 50 years of age.
* A patient who has already undergone treatment (surgery, laser etc.) for any disease of the retina.
* Traumatic or pediatric macular holes, and associated retinal detachment.
* History of any retinal disease such as high myopia, retinal dystrophies, central serous retinopathy, retinal vascular diseases, diabetic retinopathy, uveitis etc.
* Previous history of glaucoma or ocular hypertension.
* Failure to give informed consent.
Minimum Eligible Age

50 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ukrainian Vitreoretinal Society

OTHER

Sponsor Role collaborator

The Filatov Institute of Eye Diseases and Tissue Therapy

OTHER

Sponsor Role lead

Responsible Party

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Mykola Umanets

Mykola Umanets, MD, PhD, Head of Department of Retina and Vitreous Pathology SI "The Filatov Institute of Eye Diseases and Tissue Therapy", President of Ukrainian Vitreoretinal Society

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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The Filatov Institute of Eye Diseases and Tissue Therapy

Odesa, , Ukraine

Site Status

Countries

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Ukraine

Other Identifiers

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23/12/2024

Identifier Type: -

Identifier Source: org_study_id

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