Intravitreal Injection of Lucentis (Ranibizumab) after Pars Plana Vitrectomy and Subretinal Application of Recombinant Tissue Plasminogen Activator (rtPA) in Patients with Acute Submacular Hemorrhage as Complication of Exsudative Age-related Macular Degeneration (AMD).

Phase 2

Recruiting

• Conditions: H35.6; exsudative age-related macular degeneration with acut submacular hemorrhage; H35.3; Degeneration of macula and posterior pole; Retinal haemorrhage

• Registration Number: DRKS00005090
• Lead Sponsor: niversitätsklinikum Schleswig-Holstein Campus Kiel

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2013-12-12
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 15

Inclusion Criteria

1. Exsudative age-related macular degeneration with acut submacular hemorrhage
2. Submacular hemorrhage with involvement of the fovea with a minimum size of 2 papilla-diameters
3. Onset of symptoms = 2 weeks
4. Age = 60 years
5. Written informed consent

Exclusion Criteria

1. Drug addiction or other diseases, which doesn´t allow the person concerned to assess the character and concequences of the clinical trial
2. Participation in another clinical trial during or within 4 weeks of study entry.
3. Known hypersensitivity to study medication as well as allergy to Fluorescein
4. Any severe concomitant condition, which makes it undesirable for the patient to participate in the study or which could jeopardize compliance with the protocol
5. Systemic infection
6. History of stroke, transient ischemic attack or myocardial infarction
7. History of local or systemic treatment with antiangiogenic drugs (Pegaptanib, Ranibizumab, Bevacizumab, Aflibercept, Anecortave Acetate, Protein Kinase C-Inhibitors)
8. The following eye diseases or previous treatments in the study eye:
- History of focal macular laser coagulation
- History of juxta- or extrafoveal laser coagulation within 1 month of study entry
- History of vitrectomy
- History of treatment with verteporfin (photodynamic therapy), irradiation or transpupilar thermotherapy due to macular degeneration
- Current or suspected ocular or periocular infection
- Acute intraocular inflammation
- History of retinal detachment
- Decompensated glaucoma with an intraocular pressure of = 30 mmHg in spite of medical therapy
- History of filtrating glaucoma surgery
- History of corneal grafting
- Other ocular diseases, which in the opinion of the investigator require surgery within duration of study or lead to a visual loss of 2 lines
(ETDRS-chart) within duration of study
- Other macular diseases
- Diabetic maculopathy
- Myopia > -6 diopter
- Hyperopia > +6 diopter
- Amblyopia
- Insufficient quality of fundus imaging due to a poor view into the fundus
- Submacular bleeding due to other reasons
- Submacular massive bleeding (= bleeding crosses the equator)
- Scar in the area of the macula

Study & Design

• Study Type: interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Best corrected visual acuity 16 weeks after operative intervention followed by three intravitreal injections of Lucentis® in comparison to preoperative findings

Secondary Outcome Measures

Name	Time	Method
(1) Best corrected visual acuity 4 weeks after operative intervention in comparison to preoperative findings<br>(2) Qualitative evaluation of the displacement/ resorption of submacular hemorrhage from the fovea 4 and 16 weeks after operative intervention<br>(3) Evaluation of safety of the study therapy 16 weeks after operative intervention followed by three intravitreal injections of Lucentis®