Cystoid Macular Edema Clinical Trial
Official title:
Evaluation of Birdshot RETINE CHOROIDOPATHY Treatment by Either Steroid or Interferon alpha2a
Birdshot Retine choroidopathy (BRC) is a sight threatening posterior uveitis. The long term visual outcome has recently be studied showing a legal blindness to 14% at 5 years. Visual acuity is threatened by macular edema (80%), macular atrophy, and choroidal neovascularization.
Birdshot Retine choroidopathy (BRC) is a sight threatening posterior uveitis. The long term
visual outcome has recently be studied showing a legal blindness to 14% at 5 years. Visual
acuity is threatened by macular edema (80%), macular atrophy, and choroidal
neovascularization.
The conventional therapy includes in first line steroid therapy of which side effects are
well known. If the daily steroid dose necessary to control the intra ocular inflammation is
superior to 0.3 mg/kg/d a combined therapy to immunosuppressive drug is suggested in order
to do a steroid sparing effect. Immunosuppressive drugs include increased infectious risks,
hematologic and sterility troubles, and secondary malignancies. Moreover immunosuppressive
drugs have a own toxic effect and The classical immunosuppressive drug used in BRC the
cyclosporineA has a high level of nephrotoxicity.
That is the reason why immunomodulatory drugs as interferons have been suggested in BRC.
Interferon alpha2 a has been shown efficient in uveitis in Behcet's disease. We propose to
analyse the potential therapeutic effect of Interferon alpha2 a versus Steroid therapy with
a control group for a 4 months period. This short period could not make the disease worse
because of the slow pathologic processus.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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