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Comparison of Two Intraocular Gas Injection Techniques in Macula Hole Surgery

Primary Purpose

Macular Holes

Status
Completed
Phase
Phase 4
Locations
Brazil
Study Type
Interventional
Intervention
small amount of undiluted C3F8
Sponsored by
Universidade Federal de Pernambuco
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Macular Holes focused on measuring macular holes, Injections, Intra-Ocular, gases

Eligibility Criteria

50 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • pseudophakia
  • without previous vitreoretinal surgery
  • diagnosed with a full-thickness macula hole on the optical coherence tomography exam.
  • duration of symptoms less than 6 months
  • inform consent

Exclusion Criteria:

  • ocular trauma
  • allergy to any of the products used in the study,
  • need to travel by plane in the first 60 postoperative days
  • myopia over 6 diopters or axial diameter over 26 mm
  • retinal dystrophies
  • retinal detachment
  • abnormal eye shape
  • glaucoma
  • diabetic retinopathy or other eye comorbidities.

Sites / Locations

  • UFPE Ophthalmology

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Active Comparator

Active Comparator

Active Comparator

Arm Label

small amount of undiluted C3F8

large amount of diluted C3f8

small amount of undiluted SF6

large amount of diluted SF6

Arm Description

Outcomes

Primary Outcome Measures

Gas duration
duration of intraocular gas
macula hole closure
closure of the macular hole after the primary surgical procedure

Secondary Outcome Measures

visual acuity
corrected distance visual acuity
intraocular pressure
intraocular pressure

Full Information

First Posted
August 23, 2020
Last Updated
December 7, 2020
Sponsor
Universidade Federal de Pernambuco
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1. Study Identification

Unique Protocol Identification Number
NCT04527848
Brief Title
Comparison of Two Intraocular Gas Injection Techniques in Macula Hole Surgery
Official Title
Comparison of Two Intraocular Gas Injection Techniques in Macula Hole Surgery
Study Type
Interventional

2. Study Status

Record Verification Date
December 2020
Overall Recruitment Status
Completed
Study Start Date
May 10, 2016 (Actual)
Primary Completion Date
July 31, 2020 (Actual)
Study Completion Date
July 31, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Universidade Federal de Pernambuco

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
To undertake a prospective randomized clinical trial of vitrectomy and gas tamponade to treat macular hole, utilizing a small amount of undiluted C3F8 (perfluoropropane) versus a large amount of diluted C3F8 versus a small amount of undiluted SF6 (sulfur hexafluoride) versus a large amount of diluted SF6.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Macular Holes
Keywords
macular holes, Injections, Intra-Ocular, gases

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantOutcomes Assessor
Masking Description
The individuals were randomized in a 1: 1: 1: 1 ratio. Block sizes of 4 individuals stratified according to gas type were used (SF6 or C3F8). In each block, two individuals were allocated to each group (0.9-1.0 mL of 100% gas or 15-20 mL of 20% gas).
Allocation
Randomized
Enrollment
48 (Actual)

8. Arms, Groups, and Interventions

Arm Title
small amount of undiluted C3F8
Arm Type
Experimental
Arm Title
large amount of diluted C3f8
Arm Type
Active Comparator
Arm Title
small amount of undiluted SF6
Arm Type
Active Comparator
Arm Title
large amount of diluted SF6
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
small amount of undiluted C3F8
Intervention Description
vitrectomy followed by peeling of the internal limiting membrane and, after that, intraocular gas injection
Primary Outcome Measure Information:
Title
Gas duration
Description
duration of intraocular gas
Time Frame
up to 60 days
Title
macula hole closure
Description
closure of the macular hole after the primary surgical procedure
Time Frame
26 weeks
Secondary Outcome Measure Information:
Title
visual acuity
Description
corrected distance visual acuity
Time Frame
preoperative, 26 weeks
Title
intraocular pressure
Description
intraocular pressure
Time Frame
preoperative, 1 day, 26 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: pseudophakia without previous vitreoretinal surgery diagnosed with a full-thickness macula hole on the optical coherence tomography exam. duration of symptoms less than 6 months inform consent Exclusion Criteria: ocular trauma allergy to any of the products used in the study, need to travel by plane in the first 60 postoperative days myopia over 6 diopters or axial diameter over 26 mm retinal dystrophies retinal detachment abnormal eye shape glaucoma diabetic retinopathy or other eye comorbidities.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Rodrigo PC Lira, PhD
Organizational Affiliation
UFPE
Official's Role
Principal Investigator
Facility Information:
Facility Name
UFPE Ophthalmology
City
Recife
State/Province
PE
ZIP/Postal Code
50740600
Country
Brazil

12. IPD Sharing Statement

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Comparison of Two Intraocular Gas Injection Techniques in Macula Hole Surgery

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