Retinal Detachment Clinical Trial
Official title:
A Prospective, Randomized Study Comparing the Effects of Topical Aqueous Suppressants on Intraocular Gas Duration Following Pars Plana Vitrectomy
The purpose of this study is to see if glaucoma eye drops (dorzolamide-timolol) have any effect on the duration of an intraocular gas bubble following pars plana vitrectomy.
At the end of some retinal surgeries, a gas bubble is placed in the eye. In surgeries for
retinal detachment, this gas bubble helps to keep the tear(s) in the retina sealed up while
the eye is healing and prevent the retina from re-detaching. In macular hole surgeries (a
defect in the center part of the retina), the gas bubble helps to seal up this hole in the
center part of the retina. The gas bubble (sulfur hexafluoride) will slowly disappear from
the eye over the course of approximately 2 weeks.
In some cases, the gas bubble disappears more quickly than the surgeon would wish. Several
eye drops are currently available which help to lower the eye pressure in conditions such as
glaucoma where the eye pressure is unacceptably elevated and is causing or may cause vision
loss. These drops have been shown to keep the eye pressure controlled after surgery with
injection of a gas bubble in the eye. However, little is known about the effect of these
drops on the duration of the gas bubble. The goal of this study is to see if these glaucoma
eye drops have any effect on the amount of time the gas bubble remains in the eye.
After surgery with a gas bubble (sulfur hexafluoride) is completed, patients will be randomly
assigned (like a flip of a coin) to receive a glaucoma drop (dorzolamide-timolol) or no
glaucoma drop. These drops are currently available from pharmacies with a prescription and
are not "experimental." However, the use of these drops in this protocol is not to treat
glaucoma but represents an "off-label" use. Patients assigned to receive a glaucoma drop will
be provided with the medication. All patients will receive the standard post-operative drops
regardless of which group they are assigned to. Patients will be taken care of before and
after the surgery like any other patient undergoing this procedure. The investigators expect
that you will be enrolled in this study for 3 months.
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