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Preoperative Topic Diclofenac as a Prevention of Postoperative Macular Edema in Patients With Diabetic Retinopathy

Not Applicable
Completed
Conditions
Macular Edema
Cataract
Diabetic Retinopathy
Interventions
Drug: Perioperative Diclofenac eye-drops administration
Drug: placebo
Registration Number
NCT01694212
Lead Sponsor
Eye Clinic Medic Zuljan Jukic
Brief Summary

Diabetes has many negative effects on patients' general health. Among many other consequences it speeds up the cataract formation and that is why diabetic patients need cataract surgery very often. The known side effect of cataract surgery even in otherwise healthy patients is postoperative edema of the back of the eye (what causes decrease of vision), which has greater incidence especially in patients who have diabetic eye problems. The cause of that might be the intraocular inflammation which was previously demonstrated to be significantly more prominent in patients with untreated diabetic eye problems. Therefore we will examine if the 7 day use of anti-inflammatory eye drops prior to the cataract surgery prevent the formation of the edema of the back of the eye.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
55
Inclusion Criteria
  • presence of nonproliferative diabetic retinopathy
  • presence of the cataract (LOCS 2-3)
Exclusion Criteria
  • other chronic or acute eye diseases
  • hypersensitivity to any component of the diclofenac eye-drops patients on oral anticoagulant therapy
  • allergy to salycilates

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
DiclofenacPerioperative Diclofenac eye-drops administrationPatients with diabetic retinopathy having preoperative treatment with diclofenac
PlaceboplaceboControl group having placebo treatment
Primary Outcome Measures
NameTimeMethod
Change of Central Macular Thickness-7, 0, 1, 7, 30, 90 days after the cataract surger

The central macular thickness will be measured with OCT machine.

Secondary Outcome Measures
NameTimeMethod
progression of diabetic retinopathy-7 and 90 days after cataract surgery

The grade of diabetic retinopathy will be assessed on fundus photographies according to ETDRS criteria

IL-12 concentrationimmediately before cataract surgery

The IL-12 concentration will be measured in the sample of humour aqueous taken at the beginning of cataract surgery.

Trial Locations

Locations (1)

Poliklinika Medic Zuljan Jukić

🇭🇷

Split, Croatia

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