Proliferative Diabetic Retinopathy Clinical Trial
Official title:
Peripheral Retinal Cryoapplication Versus Anti-VEGF Intravitreal Injection Before Vitrectomy for Complicated Proliferative Diabetic Retinopathy
Pars-plana vitrectomy (PPV) is the cornerstone of surgical treatment for eyes with complicated proliferative diabetic retinopathy. Anti-VEGF intravitreal injection before PPV has shown a good effect on surgical outcomes. However, many patients present with co-morbidities that contraindicate the usage of anti-VEGF in the pre-operative period. Thus, cryoapplication, an old therapeutic tool for proliferative diabetic retinopathy may be a good alternative. The investigators present herein a comparative study between peripheral retinal cryoapplication and anti-VEGF before vitrectomy for complicated proliferative diabetic retinopathy.
Status | Recruiting |
Enrollment | 60 |
Est. completion date | December 31, 2022 |
Est. primary completion date | November 30, 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Type 1 or 2 diabetes mellitus - Vitreous or retro-hyaloidal hemorrhage and/or tractional retinal detachment threatening or involving the macula - No or less than 1000 impacts of preoperative retinal photocoagulation and/or iris rubeosis - Only one eye per participant Exclusion Criteria: - Negative light perception - Previous vitrectomy - Contraindication to anti-VEGF therapy or retinal cryoapplication - Associated rhegmatogenous retinal detachment |
Country | Name | City | State |
---|---|---|---|
Tunisia | Fattouma Bourguiba University Hospital - Ophthalmology Department | Monastir |
Lead Sponsor | Collaborator |
---|---|
Khairallah Moncef |
Tunisia,
Arevalo JF, Lasave AF, Kozak I, Al Rashaed S, Al Kahtani E, Maia M, Farah ME, Cutolo C, Brito M, Osorio C, Navarro P, Wu L, Berrocal MH, Morales-Canton V, Serrano MA, Graue-Wiechers F, Sabrosa NA, Alezzandrini AA, Gallego-Pinazo R; Pan-American Collaborative Retina Study (PACORES) Group. Preoperative Bevacizumab for Tractional Retinal Detachment in Proliferative Diabetic Retinopathy: A Prospective Randomized Clinical Trial. Am J Ophthalmol. 2019 Nov;207:279-287. doi: 10.1016/j.ajo.2019.05.007. Epub 2019 May 13. — View Citation
Lim AS, Ang BC. Cryoapplication in diabetic retinopathy. Int Ophthalmol. 1986 May;9(2-3):139-41. — View Citation
Zhang ZH, Liu HY, Hernandez-Da Mota SE, Romano MR, Falavarjani KG, Ahmadieh H, Xu X, Liu K. Vitrectomy with or without preoperative intravitreal bevacizumab for proliferative diabetic retinopathy: a meta-analysis of randomized controlled trials. Am J Ophthalmol. 2013 Jul;156(1):106-115.e2. doi: 10.1016/j.ajo.2013.02.008. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Total surgical time | Duration of vitrectomy from the placement of the trocars until their removal | at the end of the vitrectomy | |
Primary | Intraoperative bleeding | occurrence of intravitreal bleeding during vitrectomy | at the end of the vitrectomy | |
Secondary | Postoperative bleeding | occurrence of intravitreal bleeding after vitrectomy | one month after the vitrectomy | |
Secondary | Visual acuity | Best corrected logMAR visual acuity | one month after the vitrectomy |
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