Morphologic Changes After Membrane Peeling With Air Tamponade and Balanced Salt Solution
Changes of the Subfoveal Hyporeflective Zone After Membrane Peeling With Air Tamponade and Balanced Salt Solution - a Pilot Study
2 other identifiers
interventional
85
1 country
1
Brief Summary
During the last decade optical coherence tomography (OCT) extended the possibilities for in vivo macula diagnostic and was increasingly used for pre- and post-operative imaging of retinal diseases. Spectral-domain optical coherence tomography (SD-OCT) with its increased scanning speed and image-resolution provides more detailed information of microstructures in the macula. Epiretinal membrane (ERM) is a disorder involving the posterior pole of the eyeball. It can be idiopathic or caused secondarily in various ocular conditions, such as uveitis, trauma, retinal detachment or retinal vascular diseases. In patients who suffer from loss of vision and metamorphopsia, vitrectomy and membrane peeling is usually performed to remove the ERM. Different study groups showed that intraoperative use of SD-OCT is possible. Two groups already achieved to work operation microscope integrated SD-OCT setup. Due to the high axial resolution of the SD-OCT some groups reported about an increased hyporeflective zone in the subfoveal region appearing directly after the membrane peeling procedure. It was hypothesized that this phenomenon could be an expression of surgical trauma, as this hyporeflective zone disappears in follow up OCT 10 days after surgery.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jun 2014
Typical duration for not_applicable
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
June 1, 2014
CompletedFirst Submitted
Initial submission to the registry
June 2, 2014
CompletedFirst Posted
Study publicly available on registry
December 18, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2016
CompletedOctober 31, 2017
October 1, 2017
2.3 years
June 2, 2014
October 29, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Proportion of eyes with presence of a hyporeflective zone on the 7th postoperative day on OCT scan
An expert in the field of reading retinal OCT scans will assess whether or not a hyporeflective zone on the 7th postoperative day is visible on the OCT scan
7 days postoperatively
Secondary Outcomes (3)
Change in retinal thickness 3 months after surgery assessed with OCT
3 months
Attachment of the posterior hyaloid membrane before starting surgery assessed with intraoperative OCT
intraoperatively
Best corrected visual acuity
3 months postoperatively
Study Arms (2)
Air tamponade
ACTIVE COMPARATORAir is injected after vitrectomy/membrane peeling
Balanced salt solution filling
ACTIVE COMPARATORBalances salt solution is injected after vitrectomy/membrane peeling
Interventions
Eligibility Criteria
You may qualify if:
- Epiretinal membrane and the indication for surgery (visual symptoms)
- Age 21 and older
- written informed consent prior to surgery
You may not qualify if:
- Patients who have already undergone vitrectomy
- In case of pregnancy (pregnancy test will be taken preoperatively in women of reproductive age)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Oliver Findl
Vienna, 1140, Austria
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Oliver Findl, MD,Prof,MBA
VIROS - Vienna Institute for Research in Ocular Surgers - Departement of Opthalmology - Hanusch Hospital Vienna, Vienna, Austria 1140
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Prim.Prof.Dr.MBA
Study Record Dates
First Submitted
June 2, 2014
First Posted
December 18, 2014
Study Start
June 1, 2014
Primary Completion
September 1, 2016
Study Completion
September 1, 2016
Last Updated
October 31, 2017
Record last verified: 2017-10