Randomized, Prospective, Descriptive and Comparative Clinical Study of Macular Grasping Damage in Patients Undergoing Pars Plana Vitrectomy and Peeling of the Internal Limiting Membrane, Operated by Traditional Microscope or NGENUITY® 3D Visualization System With Heads-up Display System. A Pilot Study.
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 64
- Locations
- 2
- Primary Endpoint
- SANFL detection
Study Overview
Brief Summary
Randomized, prospective, descriptive and comparative clinical study. The comparison is between a group of patients affected by macular pucker or macular hole, whose macular peeling is performed using a traditional optical microscope (Leica F40) - control arm, and a group of patients affected by macular pucker or macular hole whose macular peeling is performed by 3D heads-up microscopy system (NGenuity 3D, Alcon) - experimental arm.
It is a blind study for both the operator that collects data and for the statistician.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 21 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients affected by macular pucker or macular hole, whose internal limiting membrane peeling need to be performed
- •Willing and able to understand and sign an informed consent
- •Willing and able to undergo postoperative examinations of the protocol program:
- •≥ 21 years of age, of both sexes and any race
Exclusion Criteria
- •History of ocular trauma or amblyopia.
- •Other ocular pathologies (glaucoma, uveitis, diabetic retinopathy, diabetic macular edema, macular degeneration, Irvine Gass Syndrome, degenerative myopia, malformation of the optic disc, i.e.: tilted disc, optic disc pit, posterior staphyloma)
- •Multiple procedures programmed during the surgery
- •Pregnancy, lactation or programmed pregnancy during the course of the study.
Outcomes
Primary Outcomes
SANFL detection
Time Frame: 2 weeks after surgery
Post-surgical analysis of SANFL (Swelling of the Arcuate Nerve Fiber Layer) measured on infrared, blue auto-fluorescence images and OCT images of peripapillary region
Secondary Outcomes
- ILM staining(during surgery)
- ILM grasping(during surgery)
- Light(during surgery)
- BCVA(baseline, 1 month and 3 months after surgery)
- Intraoperative time(during surgery)
- Surgeon ergonomics(during surgery)
Investigators
Anna Rita Daniele, MD
Medical Doctor
Santa Maria della Misericordia Rovigo Hospital
