Avastin versus Triamcinolone for Diabetic Macular Edema at the time of Cataract Surgery
- Conditions
- Diabetic Macular OedemaCataractsEye - Diseases / disorders of the eyeMetabolic and Endocrine - Diabetes
- Registration Number
- ACTRN12611000888965
- Lead Sponsor
- Royal Victorian Eye and Ear Hospital
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- All
- Target Recruitment
- 100
Clinically significant macular oedema involving the fovea of the study eye at baseline OR which has occured within 24 months of study entry OR microaneurysms within the foveal avascular zone which are not amenable to treatment with laser
Cataract in the study eye which requires extraction in the opinion of the investigator
Glaucoma with visual field defects or uncontrolled glaucoma
Past history of intraocular pressure rise >35mmHg following steroid treatment
Significant macular ischemia
Visual acuity of <6/60 in the fellow eye
Known allergies to the study medications
Systemic treatment with steroids >5mg prednisolone (or equivalent) daily
Intercurrent severe systemic disease or ocular infection
Women of childbearing potential not using adequate contraception or women who are breastfeeding
Intravitreal triamcinolone within 10 weeks of study entry
Intravitreal Avastin within 3 weeks of study entry
Argon laser photocoagulation within 3 months prior to study entry
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Best corrected visual acuity[1 month, 6 months and 12 months post cataract surgery ]
- Secondary Outcome Measures
Name Time Method Central macular thickness measured on Optical Coherence tomography[1 month, 6 months and 12 months post cataract surgery ];Comparison of time to retreatment between two groups (where treatment includes additional laser or intravitreal injections)[Up to twelve months ];Rate and severity of adverse reactions, for example, intraocular pressure will be monitored and compared between groups. An IOP elevation will be consdiered mild if it is between 22-29mmHg, moderate if it is 30mmHg or above and severe if it requires surgical intervention. Rates of endophthalmitis (if any) will be compared between groups.<br>Details on all adverse events which the patients experience during the study will be recorded including its duration, the severity grade (mild, moderate, severe), its relationship to the study drug (suspected / not suspected) and the action(s) taken.[Each study visit (week 1, months 1,2,3,4,5,6,7,8,9,10,11,12)]