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Comparison of Two Method Antimetabolites Application on Corneal Function in Trabeculectomy Surgery

Phase 2
Conditions
Glaucoma Patients Scheduled for Trabeculectomy
Interventions
Drug: Mitomycin_c
Registration Number
NCT01297803
Lead Sponsor
Shahid Beheshti University of Medical Sciences
Brief Summary

Application of antimetabolite agents such as mitomycin_c has improved trabeculectomy results and better control of intraocular pressure complications such as corneal endothelial cell loss. However, Mitomycin_c can be applied remain a concern before or after sclera flap dissection. Mitomycin_c application after sclera flap dissection probably increases corneal endothelial cell loss. This study compares Mitomycin_c application two methods: before and after sclera flap dissection with regard to success rate and complication. patients on base of Mitomycin_c application time (1-2-3) minutes will be match randomise in to two groups( before and after sclera flap dissection) corneal. Endothelial cell density, polymorphism, polymegathism and intraocular pressure before and one month, three months, six months after surgery will measured.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
Not specified
Inclusion Criteria
  • Age Range between 18 to 80 years old
  • Trabeculectomy to JOAC, POAG, CACG, PXF, pigment dispersion syndrome.
Exclusion Criteria
  • Secondary glaucoma (active uveitis, NVG, specific syndromes such as axenfeld rieger, Iridocorneal Endothelial syndrome, aniridia, peters, etc).

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Mitomycin_c application before sclera flap dissectionMitomycin_c-
Mitomycin_c application after sclera flapdissectionMitomycin_c-
Primary Outcome Measures
NameTimeMethod
corneal endothelial cell densitysix month

specular microscopy

corneal endothelial cell polymorphism6 months

specular microscopy

corneal endothelial cell polymegathism6 months

specular microscopy

Secondary Outcome Measures
NameTimeMethod
IOP (intra ocular pressure)six months

applanation tonometry

Trial Locations

Locations (1)

Labbafinejad medical center

🇮🇷

Tehran, Iran, Islamic Republic of

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