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Anti-VEGF Instead of Intraoperative PRP in Proliferative Diabetic Retinopathy

Not Applicable
Conditions
Proliferative Diabetic Retinopathy
Anti-VEGF
Vitrectomy
PRP
Registration Number
NCT03633266
Lead Sponsor
Wenzhou Medical University
Brief Summary

To evaluate the efficacy and safety of vitreoretinal surgery combined with anti-VEGF therapy in the replacement of intraoperative PRP in PDR therapy.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
220
Inclusion Criteria
  1. Age≥18 years old;
  2. type 1 or type 2 diabetes.
  3. proliferative diabetic retinopathy with vitreous hemorrhage, and conservative treatment of vitreous hemorrhage without obvious absorption for 1 month requires vitreoretinal surgery;
  4. The postoperative refractive medium is clear and the pupil is large enough to obtain sufficient clear fundus
Exclusion Criteria
  1. Previously received panretinal photocoagulation or unfinished panretinal photocoagulation;
  2. Pulling retinal detachment involving the macula or the presence of extensive fiber proliferation requires silicone oil filling;
  3. anterior chamber neovascularization or neovascular glaucoma;
  4. other vascular diseases such as retinal vein occlusion, arterial occlusion, etc;
  5. received intraocular anti-VEGF therapy or triamcinolone acetonide treatment which are still in the treatment period.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Mean change from baseline in best-corrected visual acuity (BCVA)3 years

Assessed using the ETDRS protocol

Secondary Outcome Measures
NameTimeMethod
Mean change from baseline in visual field3 years

Assessed on Humphery(30-2 and 60-4)

chang from baseline in sructure of retina3 years

Assessed on Optical Coherence Tomography(OCT)

chang from baseline in retinal neovascularization3 years

Assessed on Fundus Fluorescein Angiography(FFA)

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