Anti-VEGF Instead of Intraoperative PRP in Proliferative Diabetic Retinopathy
Not Applicable
- Conditions
- Proliferative Diabetic RetinopathyAnti-VEGFVitrectomyPRP
- 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
- Age≥18 years old;
- type 1 or type 2 diabetes.
- proliferative diabetic retinopathy with vitreous hemorrhage, and conservative treatment of vitreous hemorrhage without obvious absorption for 1 month requires vitreoretinal surgery;
- The postoperative refractive medium is clear and the pupil is large enough to obtain sufficient clear fundus
Exclusion Criteria
- Previously received panretinal photocoagulation or unfinished panretinal photocoagulation;
- Pulling retinal detachment involving the macula or the presence of extensive fiber proliferation requires silicone oil filling;
- anterior chamber neovascularization or neovascular glaucoma;
- other vascular diseases such as retinal vein occlusion, arterial occlusion, etc;
- 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
- Name - Time - Method - Mean change from baseline in best-corrected visual acuity (BCVA) - 3 years - Assessed using the ETDRS protocol 
- Secondary Outcome Measures
- Name - Time - Method - Mean change from baseline in visual field - 3 years - Assessed on Humphery(30-2 and 60-4) - chang from baseline in sructure of retina - 3 years - Assessed on Optical Coherence Tomography(OCT) - chang from baseline in retinal neovascularization - 3 years - Assessed on Fundus Fluorescein Angiography(FFA) 
