Changes in Ciliary Body Thickness in Patients With Diabetic Macular Edema After Vitrectomy
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Purpose
The purpose of this study is to determine whether ciliary body thickness increased in the presence of diabetic macular edema and whether it changed after pars plana vitrectomy.
| Condition | Intervention |
|---|---|
|
Diabetic Macular Edema |
Procedure: Pars Plana Vitrectomy |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Diagnostic |
- ciliary body thickness [ Time Frame: up to four months after surgery ] [ Designated as safety issue: No ]ciliary body thickness was determined using ultrasound biomicroscopy
- central macular thickness [ Time Frame: up to four months after surgery ] [ Designated as safety issue: No ]central macular thickness was determined using optical coherence tomography
| Enrollment: | 82 |
| Study Start Date: | September 2008 |
| Study Completion Date: | May 2010 |
| Primary Completion Date: | April 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Diabetic Macular Edema Group |
Procedure: Pars Plana Vitrectomy
25-gauge three-port pars plana vitrectomy
|
| Active Comparator: Epiretinal Membrane Group |
Procedure: Pars Plana Vitrectomy
25-gauge three-port pars plana vitrectomy
|
| No Intervention: Healthy Control |
Detailed Description:
A diabetic macular edema group consisted of diabetic patients who underwent PPV for diffuse diabetic macular edema. A epiretinal membrane group, a surgical control group, consisted of non-diabetic patients with epiretinal membrane who underwent pars plana vitrectomy. A healthy control was also included for the comparison of preoperative ciliary body thickness. Ciliary body thickness was measured using ultrasound biomicroscopy, and central macular thickness was determined using optical coherence tomography. The visual outcome, ciliary body thickness, and central macular thickness were compared between groups before and 1, 2, and 4 months after pars plana vitrectomy and the correlations between the central macular thickness and ciliary body thickness and best corrected visual acuity were determined.
Eligibility| Ages Eligible for Study: | 20 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria for diabetic macular edema group:
- Diabetic macular edema with preoperative central macular thickness > 300 μm on optical coherence tomography
- Macular edema that was not associated with an epiretinal membrane or traction membrane
- No combined traction retinal detachment or vitreous hemorrhage
- No signs of ocular inflammatory disease on preoperative examination
- Phakic eye
- An axial length between 22.0 mm and 25.0 mm
Exclusion Criteria for diabetic macular edema group:
- Patients with uveitis, inflammatory connective tissue disorders or a history of previous ocular surgery
- Long-term application of topical medication, a history of intravitreal steroid or anti-VEGF injection within 3 months before vitrectomy
Inclusion Criteria for epiretinal membrane group:
- Non-diabetic patients with an epiretinal membrane who were scheduled for vitrectomy
- No ocular or systemic disease other than epiretinal membrane
Inclusion Criteria for healthy group:
- No diabetes
- No ocular disease other than cataract
Contacts and Locations| Korea, Republic of | |
| Department of Ophthalmology, Seoul National University Hospital | |
| Seoul, Korea, Republic of, 110-744 | |
| Principal Investigator: | Hyeong Gon Yu, M.D. | Department of Ophthalmology, Seoul National University Hospital, Seoul, Republic of Korea |
More Information
No publications provided
| Responsible Party: | Hyeong Gon Yu, Department of Ophthalmology, Seoul National University Hospital, Seoul, Korea |
| ClinicalTrials.gov Identifier: | NCT01259609 History of Changes |
| Other Study ID Numbers: | SNUH_OT |
| Study First Received: | December 6, 2010 |
| Last Updated: | December 13, 2010 |
| Health Authority: | Korea: Institutional Review Board |
Keywords provided by Seoul National University Hospital:
|
Diabetic Macular Edema Ciliary Body Ultrasound Biomicroscopy Vitrectomy |
Additional relevant MeSH terms:
|
Edema Macular Edema Signs and Symptoms Macular Degeneration |
Retinal Degeneration Retinal Diseases Eye Diseases |
ClinicalTrials.gov processed this record on May 19, 2013