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Avastin versus Triamcinolone for Diabetic Macular Edema at the time of Cataract Surgery

Phase 2
Recruiting
Conditions
Diabetic Macular Oedema
Cataracts
Eye - Diseases / disorders of the eye
Metabolic 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
Inclusion Criteria

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

Exclusion Criteria

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
NameTimeMethod
Best corrected visual acuity[1 month, 6 months and 12 months post cataract surgery ]
Secondary Outcome Measures
NameTimeMethod
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)]
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