Intraocular Steroid After Cataract Surgery Study

The use of one dose of an antibiotic and steroid injected into the eye at the end of cataract surgery is as safe and effective as the post operative use of eyedrops after cataract surgery...

Date First Received: May 24, 2007

Last Updated: May 24, 2007

Verified by: Dean Health System, May 2007

Clinical Trial Phase: N/A | Start Date: March 2006

Overall Status: Completed

Estimated Enrollment: 41

Brief Summary

Official Title: “Intracameral Use of Triamcinolone and Gatifloxacin Versus Standard Postoperative Steroid and Antibiotic Eye Drops After Cataract Surgery”

Condition Keyword(s):

The use of one dose of an antibiotic and steroid injected into the eye at the end of cataract surgery is as safe and effective as the post operative use of eyedrops after cataract surgery.

Study Type: Interventional

Study Design: Treatment, Randomized, Open Label, Active Control, Single Group Assignment, Safety/Efficacy Study

Detailed Clinical Trial Description

This prospective randomized controlled trial included 80 eyes of 40 patients having routine phacoemulsification of cataract. Patients between 40 and 80 years of age who met enrollment criteria, required cataract surgery in both eyes, and agreed to participate, were enrolled in the study over a nine month period in 2006 at the office of one cataract surgeon. Eyes were randomly assigned to receive either the eye drop or injection protocol on the initial consultative visit. All surgery was preformed by one surgeon (JGS) using topical anesthesia, the Infiniti phacoemulsification system (Alcon) and an Acrysof SN60WF (Alcon) intraocular lens. The fellow eye was operated upon using the same technique and instrumentation two weeks later and was assigned to the group opposite the first eye. All eyes were examined by the operating surgeon at days 1, 8, 15, 30 and 90 postoperatively with uncorrected visual acuity, best corrected visual acuity, intraocular pressure, corneal edema, anterior chamber cell and flare recorded.

Intervention(s) in this Clinical Trial

  • Drug: intraocular triamcinolone and gatifloxicin

Outcome Measures for this Clinical Trial

Primary Measures

  • visual acuity
    • Time Frame: 90 days

Secondary Measures

  • intraocular inflammation
    • Time Frame: 90 days

Criteria for Participation in this Clinical Trial

Inclusion Criteria:

    • Inclusion criteria for patients to enter the study included age 40 to 80 years, clinically significant cataract in both eyes, the patient’s willingness to enter the study and have cataract surgery preformed on each eye in a sequentially within a two or three week time frame.
    • Exclusion Criteria:

        • Exclusion criteria included a history of glaucoma, retinopathy of any type, pseudoexfoliation, other significant ocular co morbidity and systemic diabetes.

Gender Eligibility for this Clinical Trial: Both

Minimum Age for this Clinical Trial: 40 Years

Maximum Age for this Clinical Trial: 80 Years

Are Healthy Volunteers Accepted for this Clinical Trial?: Accepts Healthy Volunteers

Clinical Trial Sponsor Information

Lead Sponsor: Dean Health System

Overall Clinical Trial Officials and Contacts

Jonathan G Stock, MD Principal Investigator Dean Health Systems  

Related Publications

References

Gills JP, Gills P. Effect of intracameral triamcinolone to control inflammation following cataract surgery. J Cataract Refract Surg. 2005 Aug;31(8):1670-1. No abstract available.

Additional Information

Information obtained from ClinicalTrials.gov on November 20, 2008

Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT00478764

Study ID Number: IOSS

ClinicalTrials.gov Identifier: NCT00478764

Health Authority: United States: Institutional Review Board

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