PST/Laser v. Laser Alone for CSME
Combined Posterior Sub-Tenon Injection of Triamcinolone Acetonide and Laser Photocoagulation for the Treatment of Clinically Significant Macular Edema
1 other identifier
interventional
60
1 country
1
Brief Summary
Prospective randomized clinical trial comparing Laser Alone v. Laser and posterior sub-tenon injection of triamcinolone acetonide for primary and refractory clinically significant macular edema.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Sep 2005
Shorter than P25 for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2005
CompletedFirst Submitted
Initial submission to the registry
September 28, 2005
CompletedFirst Posted
Study publicly available on registry
September 30, 2005
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2006
CompletedSeptember 30, 2005
September 1, 2005
September 28, 2005
September 28, 2005
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Vision loss
Vision gain
Central macular thickness
Secondary Outcomes (1)
Increased intraocular pressure
Interventions
Eligibility Criteria
You may qualify if:
- The criteria listed below must be satisfied in order for the patient to be eligible for the study.
- Age 25 to 80, inclusive.
- Primary CSME: CSME secondary to diabetic retinopathy as defined by the ETDRS in one or both eyes with no previous history of focal/grid laser photocoagulation.
- Refractory CSME: CSME secondary to diabetic retinopathy as defined by the ETDRS in one or both eyes with at least one session of focal/grid laser photocoagulation. Additionally, the eye must have a central macular thickness of at least 300 μM (normal, 200 μM) as measured by OCT and vision loss from baseline.
- All patients in the Hines VA Eye Clinic with suspicion of CSME will be referred to the Hines VA Retina Clinic where they will be evaluated by a Retina specialist (Dr. De Alba) and where the diagnosis of CSME will be confirmed by clinical examination and fluorescein angiography.
You may not qualify if:
- Unwilling or unable to give consent.
- Unable to return for scheduled follow-up visits.
- No light perception, light perception, count fingers, or hand motion vision.
- History of glaucoma (any form).
- History of ocular hypertension.
- History of IOP elevation with ocular and/or systemic steroid treatment.
- Baseline IOP greater than 22 mmHg.
- All patients with IOP elevation greater than 22 mmHg following treatment with topical prednisolone acetate.
- All patients with IOP elevation greater than 5 mmHg from baseline measurement following treatment with topical Prednisolone acetate.
- Advanced proliferative diabetic retinopathy.
- History of retinal detachment in either eye.
- Any ocular disease (anterior or posterior segment) obstructing the view of the fundus (i.e., dense cataract, vitreous hemorrhage).
- History of PST or intravitreal triamcinolone acetonide injection in either eye six months prior to the study.
- History of 20/200 vision or worse from any cause in the fellow eye.
- Active inflammatory, infectious, or idiopathic keratitis.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Edward Hines Jr. VAH
Hines, Illinois, 60141, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Felipe de Alba, MD
Edward Hines Jr. VAH
- PRINCIPAL INVESTIGATOR
Anuradha Khanna, MD
Edward Hines Jr. VAH
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- FED
Study Record Dates
First Submitted
September 28, 2005
First Posted
September 30, 2005
Study Start
September 1, 2005
Study Completion
September 1, 2006
Last Updated
September 30, 2005
Record last verified: 2005-09