Evaluation of the Role of Intravitreal Tissue Plasminogen Activator in Treatment of Refractory Diabetic Macular Edema
Not Applicable
Terminated
- Conditions
- Diabetic Macular Edema
- Interventions
- Drug: Tissue Plasminogen Activator,bevacizumab ,follow up
- Registration Number
- NCT01141881
- Lead Sponsor
- Mashhad University of Medical Sciences
- Brief Summary
Purpose: to evaluate the effect of intravitreal injection of tissue plasminogen activator(tPA) in treatment of refractory diabetic macular edema(DME).
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- TERMINATED
- Sex
- All
- Target Recruitment
- Not specified
Inclusion Criteria
- type 2 diabetes
- Non proliferative diabetic retinopathy(NPDR) stage of diabetic retinopathy
- patients with refractory DME CSME (patients with the last MPC at least 3 months before and no improvement was observed in BCVA, macular thickness inOCT, clinical examination and fundus photographs of patients )
- Absence of PVD in the B-scan
- Absence of PVD in OCT of macular area and optic disk
- Absence of PVD in slit lamp biomicroscopy(SLE)
- the last PRP session was at least 3 months ago.
- Absence of traction on macula in clinical examination and OCT
Exclusion Criteria
- One eye patients
- Patients who are candidates for intraocular surgery.
- Patients with the history of glaucoma or ocular hypertension
- Patients with a history of vitrectomy in the study eye
- Not being able to refer for the next visits
- Eyes with cataract that makes the assessment of the macula impossible.
- Intraretinal hemorrhage at fovea that will interfere with OCT.
- BCVA ≤ 0.1
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description TPA,IVB,F/U Tissue Plasminogen Activator,bevacizumab ,follow up -
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Khatam Hospital
🇮🇷Mashhad, Khorasan Razavi, Iran, Islamic Republic of