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Panretinal Photocoagulation for Diabetic Retinopathy With PASCAL Laser

Phase 3
Conditions
Diabetic Retinopathy
Registration Number
NCT01304225
Lead Sponsor
Federal University of São Paulo
Brief Summary

This study will investigate the clinical efficacy and safety of the PASCAL laser (PAttern SCAn Laser) for diabetic retinopathy. Patients with proliferative or severe nonproliferative retinopathy will be treated with panretinal photocoagulation utilizing different treatment strategies. The investigators believe that using "lower" laser parameters, the clinical response may be equivalent with less adverse effects.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
60
Inclusion Criteria
  • proliferative or severe nonproliferative diabetic retinopathy (type 1 or type 2)
  • best corrected visual acuity of 20/50 or better
  • capability to read and follow instructions
  • capability to sign the consignment term
Exclusion Criteria
  • best corrected visual acuity worse than 20/50
  • significant macular edema responsible for visual acuity lower than 20/50
  • media opacities (includes vitreous hemorrhage in the visual axis, but not a reabsorbing inferior vitreous hemorrhage)
  • previous laser treatment (PRP, focal or macular grid)
  • glaucoma (confirmed or suspicious)
  • other diseases of the retina and optic nerve
  • previous ocular surgery in the last 6 months
  • impossibility to obtain good quality images of retinography, angiography or OCT

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Incidence of severe visual loss after 1 year1 year

Severe visual loss is defined as visual acuity worse or equal to 5/200 in two consecutive visits (DRS/ETDRS primary outcome)

Secondary Outcome Measures
NameTimeMethod
Clinical involution of retinal new vessels1 year

Clinical involution of retinal new vessels will be evaluated with retinography and fluorescein angiography

Nerve fiber layer thickness1 year

Nerve fiber layer thickness will be evaluated with Spectral Domain OCT

Retinal sensitivity1 year

Retinal sensitivity will be evaluated with Humphrey computerized perimetry and FDT (Frequency Doubling Technology)

Trial Locations

Locations (1)

Department of Ophthalmology, Federal University of São Paulo

🇧🇷

São Paulo, SP, Brazil

Department of Ophthalmology, Federal University of São Paulo
🇧🇷São Paulo, SP, Brazil
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