Oct Angiography Changes After Local Anesthesia in Cataract Surgery

NCT ID: NCT07298746

Last Updated: 2025-12-23

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-31

Study Completion Date

2027-03-31

Brief Summary

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Assessement of retinal microvasculature detected by OCT-angio after peribulbar \&retrobulbar anesthesia in cases undergoing cataract surgery .

Detailed Description

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prospective , interventional,comparative , clinical study utilizing a pre-post, within-subject design ,which will be conducted in the Department of Ophthalmology ,Sohag University Hospital ,Egypt.

Optical coherence tomography angiography (OCTA) will be performed before and after the administration of retrobulbar and peribulbar local anesthesia in the same cohort of patients, in order to evaluate the immediate effects of the anesthetic intervention on retinal microvascular parameters.the study will be conducted on patients aged 40-80 years with elective cataract surgery requiring regional block.the study will be divided into two main groups :

1. Group with peribulbar anesthesia injection.
2. Group with retrobulbar anesthesia injection.

Conditions

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OCTA Changes With Local Anesthesia

Keywords

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OCTA , local anesthesia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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group A

peribulbar anesthesia injection of two anesthetic agents ( lidocaine 2 %+ hyaluronidase 150IU\\ML )

Group Type ACTIVE_COMPARATOR

Local Anesthesia (peribular injection of both lidocaine 2 % and hyaluronidase 150IU\ML)

Intervention Type DRUG

peribular injection of both lidocaine 2 % and hyaluronidase 150IU\\ML

group A1

peribulbar anesthesia injection ( mepivacaine 2% + hyaluronidase 150IU\\ML )

Group Type ACTIVE_COMPARATOR

Local Anesthesia (peribulbar anesthesia injection of mepivacaine 2% and hyaluronidase 150IU\ML)

Intervention Type DRUG

peribulbar anesthesia injection of mepivacaine 2% and hyaluronidase 150IU\\ML

group B

retrobulbar anesthesia injection ( lidocaine 2 %+ hyaluronidase 150IU\\ML )

Group Type ACTIVE_COMPARATOR

Local Anesthesia (retrobulbar anesthesia injection of lidocaine 2 % and hyaluronidase 150IU\ML)

Intervention Type DRUG

retrobulbar anesthesia injection of lidocaine 2 % and hyaluronidase 150IU\\ML

group B1

retrobulbar anesthesia injection ( mepivacaine 2% + hyaluronidase 150IU\\ML )

Group Type ACTIVE_COMPARATOR

local Anesthesia (retrobulbar anesthesia injection of mepivacaine 2% and hyaluronidase 150IU\ML)

Intervention Type DRUG

retrobulbar anesthesia injection of mepivacaine 2% and hyaluronidase 150IU\\ML

Interventions

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Local Anesthesia (peribular injection of both lidocaine 2 % and hyaluronidase 150IU\ML)

peribular injection of both lidocaine 2 % and hyaluronidase 150IU\\ML

Intervention Type DRUG

Local Anesthesia (peribulbar anesthesia injection of mepivacaine 2% and hyaluronidase 150IU\ML)

peribulbar anesthesia injection of mepivacaine 2% and hyaluronidase 150IU\\ML

Intervention Type DRUG

Local Anesthesia (retrobulbar anesthesia injection of lidocaine 2 % and hyaluronidase 150IU\ML)

retrobulbar anesthesia injection of lidocaine 2 % and hyaluronidase 150IU\\ML

Intervention Type DRUG

local Anesthesia (retrobulbar anesthesia injection of mepivacaine 2% and hyaluronidase 150IU\ML)

retrobulbar anesthesia injection of mepivacaine 2% and hyaluronidase 150IU\\ML

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. patients aged 40-80 years.
2. patients with elective cataract surgery requiring regional block.

Exclusion Criteria

* 1.Allergy to study drugs. 2. Media opacities affecting OCT imaging (corneal pathologies, dense cataracts, vitreous.

opacities, etc). 3. Patients with any other retinal vascular diseases (retinal vein occlusion, central serous chorioretinopathy, age-related macular degeneration, etc).

4\. Patients who have had previous intravitreal injections or Laser treatment. 5. Patients who underwent previous vitreoretinal surgeries. 6. Patients with uncontrolled glaucoma or ocular inflammations (eg: vitritis). 7.Patients with diabetes mellitus or hypertension.
Minimum Eligible Age

40 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sohag University

OTHER

Sponsor Role lead

Responsible Party

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Amira Aldesoky Ahmed

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Amira aldesoky abdelazeem ahmed, resident

Role: CONTACT

Phone: 01055330581

Email: [email protected]

Mohamed Anber Abdellatif, professor

Role: CONTACT

Phone: 01009801966

References

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Ali H, Eissa S, Magdy H, Khashba M. Dexmedetomidine as an Additive to Local Anesthesia for Decreasing Intraocular Pressure in Glaucoma Surgery: A Randomized Trial. Anesth Pain Med. 2020 Jun 27;10(3):e100673. doi: 10.5812/aapm.100673. eCollection 2020 Jun.

Reference Type RESULT
PMID: 32944557 (View on PubMed)

Rao HL, Pradhan ZS, Suh MH, Moghimi S, Mansouri K, Weinreb RN. Optical Coherence Tomography Angiography in Glaucoma. J Glaucoma. 2020 Apr;29(4):312-321. doi: 10.1097/IJG.0000000000001463.

Reference Type RESULT
PMID: 32053551 (View on PubMed)

Kalra G, Zarranz-Ventura J, Chahal R, Bernal-Morales C, Lupidi M, Chhablani J. Optical coherence tomography (OCT) angiolytics: a review of OCT angiography quantitative biomarkers. Surv Ophthalmol. 2022 Jul-Aug;67(4):1118-1134. doi: 10.1016/j.survophthal.2021.11.002. Epub 2021 Nov 5.

Reference Type RESULT
PMID: 34748794 (View on PubMed)

Other Identifiers

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Soh-Med-25-9-22MS

Identifier Type: -

Identifier Source: org_study_id