Corneal Endothelium After Glaucoma Surgery
Recruitment status was Recruiting
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Purpose
The purpose of this trial is to study the change in corneal endothelial cell after glaucoma surgery, non-contact specular microscopic examination is performed for the patients who underwent glaucoma surgery; trabeculectomy and Ahmed glaucoma valve implant surgery prospectively. Change in corneal endothelial cell density, hexagonality, and coefficient of variation of cell area will be analyzed and compared to the baseline and between the types of the surgeries.
| Condition |
|---|
|
Glaucoma Corneal Damage Intraocular Pressure |
| Study Type: | Observational |
| Study Design: | Observational Model: Case Control Time Perspective: Prospective |
| Official Title: | Change in Corneal Endothelium After Glaucoma Surgery; Trabeculectomy and Glaucoma Implant Surgery |
- Change in corneal endothelial cell density, hexagonality, and coefficient of variation of cell area [ Time Frame: 1 and 2 years longitudinal follow up ] [ Designated as safety issue: No ]
- Clinical factors associated with the damage of corneal endothelium after glaucoma surgery [ Time Frame: 1 and 2 years longitudinal follow up ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 100 |
| Study Start Date: | August 2003 |
| Estimated Study Completion Date: | December 2010 |
| Estimated Primary Completion Date: | August 2009 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
Control
Eyes with glaucoma and on anti-glaucoma medication but without glaucoma surgery
|
|
Implant surgery
Eyes underwent Ahmed glaucoma valve implantation
|
|
Trabeculectomy
Eyes underwent conventional trabeculectomy with mitomycin-C
|
Detailed Description:
To study the change in corneal endothelial cell after glaucoma surgery, non-contact specular microscopic examination is performed for the patients who underwent glaucoma surgery; trabeculectomy and Ahmed glaucoma valve implant surgery prospectively. Specular microscopy using non-contact type specular microscope (Noncon Robo SP-8000, Konan Medical Inc., Tokyo, Japan) was performed by one experienced examiner before surgery and 1, 6, 12, 18, and 24 months after surgery. All examinations were done at the center, superior, superonasal, and superotemporal area of the cornea, while the patient maintain fixation at the target in the equipment. The follow-up was stopped if serious complication requiring surgical treatment was developed or additional intraocular pressure lowering surgery is needed, and the data before the second surgery were collected.
Eligibility| Ages Eligible for Study: | 20 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
Patients who underwent glaucoma surgery; trabeculectomy and Ahmed glaucoma valve implant surgery
Inclusion Criteria:
- Patients who need glaucoma surgery for intraocular pressure control
Exclusion Criteria:
- congenital glaucoma
- Pre-existing corneal abnormality
- lost from follow up without any ocular problem within 6 months from surgery
Contacts and Locations| Contact: Chang-sik Kim, MD, PhD | 82-42-280-7606 | kcs61@cnu.ac.kr |
| Contact: Eun-kyung Lww, MD | 82-42-280-7604 | med001@hanmail.net |
| Korea, Republic of | |
| Chungnam National University Hospital | Recruiting |
| Daejeon, Korea, Republic of, 301-721 | |
| Contact: Chang-sik Kim, MD, PhD 82-42-280-7600 kcs61@cnu.ac.kr | |
| Contact: Eun-kyung Lee, MD 82-42-280-7604 med001@hanmail.net | |
| Principal Investigator: Chang-sik Kim, MD, PhD | |
| Study Director: | Young-ha Lee, MD, PhD | Research Institute for Medical Science, Chungnam National University |
| Principal Investigator: | Chang-sik Kim, MD, PhD | Ophthalmology, College of Medicine, Chungnam National University |
More Information
No publications provided by Chungnam National University
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Chang-sik Kim, Department of Ophthalmology, College of Medicine, Chungnam national university |
| ClinicalTrials.gov Identifier: | NCT00863018 History of Changes |
| Other Study ID Numbers: | CNUMC-09-04 |
| Study First Received: | March 16, 2009 |
| Last Updated: | March 16, 2009 |
| Health Authority: | Korea: Food and Drug Administration |
Keywords provided by Chungnam National University:
|
Corneal endothelial cell Specular microscopy Glaucoma implant surgery Ahmed glaucoma valve Trabeculectomy |
Additional relevant MeSH terms:
|
Glaucoma Ocular Hypertension Eye Diseases |
ClinicalTrials.gov processed this record on June 17, 2013