Assessing the Efficacy and Safety fo DEXTENZA, Sustained Release Dexamethasone 0.4 mg Insert(s) When Placed Within the Lower Eye Lid Canaliculus or Both the Upper and Lower Canaliculi for the Treatment of Pain, Inflammation, and Cystoid Macular Edema Following 27 Gauge Vitrectomy With Internal Limiting Membrane Peel for the Treatment of Retinal Edema Associated With Macular Pucker.
Overview
- Phase
- Phase 4
- Intervention
- Dexamethasone Intracanalicular Insert, 0.4 mg
- Conditions
- Vitrectomy
- Sponsor
- Kovach Eye Institute
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Mean change in retina edema
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
Assessing the efficacy and safety of DEXTENZA, sustained release dexamethasone 0.4 mg inserts following 27 gauge vitrectomy with internal limiting membrane peel
Detailed Description
Assessing the efficacy and safety of DEXTENZA, sustained release dexamethasone 0.4 mg inserts, when placed within the lower eye lid canaliculus or both the upper and lower canaliculi for the treatment of pain, inflammation, and cystoid macular edema following 27 gauge vitrectomy with internal limiting membrane peel for the treatment of retinal edema associated with macular pucker
Investigators
Eligibility Criteria
Inclusion Criteria
- •A patient's study eye must meet the following criteria to be eligible for inclusion in the study:
- •Symptomatic macular pucker with retinal edema
- •Age 18 years and older
- •Scheduled vitrectomy and internal limiting membrane peel
- •Willing and able to comply with clinic visits and study related procedures
- •Willing and able to sign the informed consent form
Exclusion Criteria
- •A patient who meets any of the following criteria will be excluded from the study:
- •Patients under the age of 18
- •Pregnancy ( must be ruled out in women of child-bearing age with pregnancy test)
- •Active infectious systemic disease
- •Active infectious ocular or extraocular disease
- •Obstructed nasolacrimal duct in the study eye (s)
- •Hypersensitivity to dexamethasone or prednisolone eye drops
- •Patients being treated with immunomodulating agents in the study eye(s)
- •Patient being treated with immunosuppressants and/or oral steroids
- •Patients with severe disease that warrants critical attention, deemed unsafe for the study by the investigator
Arms & Interventions
DEXTENZA Group
Patients undergoing vitrectomy with internal limiting membrane peel
Intervention: Dexamethasone Intracanalicular Insert, 0.4 mg
Second DEXTENZA Group
Patients undergoing vitrectomy with internal limiting membrane peel
Intervention: Dexamethasone Intracanalicular Insert, 0.4 mg
Topical Prednisolone Acetate 1% Group
Patients undergoing vitrectomy with internal limiting membrane peel
Intervention: Prednisone acetate 1%
Outcomes
Primary Outcomes
Mean change in retina edema
Time Frame: assessed on day 30 and day 60
As measured by Optical Coherence Tomography (OCT)
Secondary Outcomes
- Mean Change in Best- Corrected Visual Acuity (BCVA)(from baseline at days 1, 7, 30, 60)
- Physician ease of Dextenza insertion(as assessed on day of surgery)
- Mean change in Inflammation ( Cell and Flare)(as assessed on days 1, 7, 30, 60)
- Mean change in pain scores(as assessed on days 1, 7, 30, 60)