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Comparison of Subconjuctival Versus Topical Bevacizumab as Adjunct Therapy to Trabeculectomy

Not Applicable
Completed
Conditions
Complications of Treatment
Progression
Interventions
Procedure: Phacoemulsification
Registration Number
NCT01425112
Lead Sponsor
Sudhalkar Eye Hospital
Brief Summary

Bevacizumab is an anti vascular endothelial growth factor(anti-VEGF) substance that is known to reduce neovascularization and fibrovascular proliferation in inflammatory conditions, including post-operative inflammation. It has shown efficacy in numerous ocular conditions(off-label), that includes Age related macular degeneration, proliferative diabetic retinopathy, neovascular glaucoma and corneal neovascularization. It is being explored as an option for preventing recurrence of pterygium and as an adjunct to improving outcomes of trabeculectomy. There is a debate as to the mode and duration of bevacizumab administration for trabeculectomy. This study aims to compare a single subconjunctival dose of bevacizumab with topical therapy over one month in terms of outcomes of trabeculectomy surgery, non-progression of field loss and stable intraocular pressure(IOP) control.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
180
Inclusion Criteria
  • Primary Open Angle Glaucoma
  • Progression
  • Failure to reach target IOP
  • Non compliant
Exclusion Criteria
  • Resurgery
  • Systemic contraindication to bevacizumab
  • All other forms of glaucoma

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Topical/SubconjunctivalPhacoemulsificationDepending upon the mode of administration
Primary Outcome Measures
NameTimeMethod
Intraocular pressure controlFor 2 years
Secondary Outcome Measures
NameTimeMethod
Progression2 years
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