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Bandage Contact Lens and Oral Analgesics Versus Patching and Oral Analgesics for Pain Following Pterygium Surgery

Not Applicable
Conditions
Pterygium
Interventions
Procedure: Patch or bandage contact lens
Registration Number
NCT01249235
Lead Sponsor
University Health Network, Toronto
Brief Summary

The purpose of this study is to determine if patching the eye or a bandage contact lens along with Tylenol #3 is more effective for pain control following pterygium surgery.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
60
Inclusion Criteria
  • Primary pterygium (no previous surgeries or radiotherapy) requiring excision due to ocular discomfort or disruption in vision
  • Size of pterygium greater than 2.5 mm over the cornea (pterygia smaller than this do not result in much postoperative eye pain)
  • Ability to understand the nature of the procedure and to complete all measurement requirements
  • Adults (age greater than 18)
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Exclusion Criteria
  • Ocular surface disease apart from pterygium (such as severe dry eye, corneal disease, scarring from previous infection, radiotherapy, inflammatory diseases or trauma)
  • Patients who have had previous ocular surface surgery
  • Contraindications to local anesthetics (such as known allergy)
  • Pregnancy (as the risk to the fetus with the use of topical antibiotic drops and local anesthetics are not known)
  • Patients already on systemic analgesics for any other reason (such as rheumatoid arthritis)
  • Allergy to codeine (in order to standardize the systemic analgesic used so that we can compare the effect of bandage contact lens versus 24 hour patching)
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PatchPatch or bandage contact lensThe operative eye will be patched.
Bandage Contact LensPatch or bandage contact lensThe operative eye will have a bandage contact lens
Primary Outcome Measures
NameTimeMethod
Visual Analog Pain Score1 week
Secondary Outcome Measures
NameTimeMethod
Sensitivity to light, tearing, foreign body sensation1 week
Postoperative Complications1 week

Difficulty removing the bandage lens, the bandage lens has fallen out, graft dislocation

Number of Tylenol #3 tablets required1 week

Trial Locations

Locations (1)

Toronto Western Hospital, University of Toronto

🇨🇦

Toronto, Ontario, Canada

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