Comparison of Two Method Antimetabolites Application on Corneal Function in Trabeculectomy Surgery
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Purpose
Application of antimetabolite agents such as mitomycin_c has improved trabeculectomy results and better control of intraocular pressure complications such as corneal endothelial cell loss. However, Mitomycin_c can be applied remain a concern before or after sclera flap dissection. Mitomycin_c application after sclera flap dissection probably increases corneal endothelial cell loss. This study compares Mitomycin_c application two methods: before and after sclera flap dissection with regard to success rate and complication. patients on base of Mitomycin_c application time (1-2-3) minutes will be match randomise in to two groups( before and after sclera flap dissection) corneal. Endothelial cell density, polymorphism, polymegathism and intraocular pressure before and one month, three months, six months after surgery will measured.
| Condition | Intervention | Phase |
|---|---|---|
|
Glaucoma Patients Scheduled for Trabeculectomy |
Drug: Mitomycin_c |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | Corneal Endothelial Cell Loss Following Trabeculectomy With mitomycin_c Application Before Versus After Sclera Flap Dissection |
- corneal endothelial cell density [ Time Frame: six month ] [ Designated as safety issue: No ]specular microscopy
- corneal endothelial cell polymorphism [ Time Frame: 6 months ] [ Designated as safety issue: No ]specular microscopy
- corneal endothelial cell polymegathism [ Time Frame: 6 months ] [ Designated as safety issue: No ]specular microscopy
- IOP (intra ocular pressure) [ Time Frame: six months ] [ Designated as safety issue: No ]applanation tonometry
| Study Start Date: | November 2010 |
| Estimated Study Completion Date: | December 2011 |
| Estimated Primary Completion Date: | June 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: Mitomycin_c application before sclera flap dissection |
Drug: Mitomycin_c
0.02%.1,2,3,minutes match randomized in to two groups(before &after scleral flap dissection
|
| Active Comparator: Mitomycin_c application after sclera flapdissection |
Drug: Mitomycin_c
0.02%.1,2,3,minutes match randomized in to two groups(before &after scleral flap dissection
|
Eligibility| Ages Eligible for Study: | 15 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Age Range between 18 to 80 years old
- Trabeculectomy to JOAC, POAG, CACG, PXF, pigment dispersion syndrome.
Exclusion Criteria:
- Secondary glaucoma (active uveitis, NVG, specific syndromes such as axenfeld rieger, Iridocorneal Endothelial syndrome, aniridia, peters, etc).
Contacts and Locations| Iran, Islamic Republic of | |
| Labbafinejad medical center | Recruiting |
| Tehran, Iran, Islamic Republic of | |
| Contact: shahin Yazdani 00982122585952 labbafi@hotmail.com | |
| Principal Investigator: shahin yazdani | |
More Information
No publications provided
| Responsible Party: | Shahin Yazdani, Ophthalmic Research center |
| ClinicalTrials.gov Identifier: | NCT01297803 History of Changes |
| Other Study ID Numbers: | 8772 |
| Study First Received: | January 19, 2011 |
| Last Updated: | February 16, 2011 |
| Health Authority: | Iran: Ethics commitee |
Additional relevant MeSH terms:
|
Glaucoma Corneal Endothelial Cell Loss Ocular Hypertension Eye Diseases Corneal Diseases Postoperative Complications Pathologic Processes Mitomycins Mitomycin |
Antimetabolites Antibiotics, Antineoplastic Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Nucleic Acid Synthesis Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Alkylating Agents |
ClinicalTrials.gov processed this record on June 17, 2013