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Efficacy study indicated that further study is not warranted
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| Name | Class |
|---|---|
| Glaucoma Research & Education Group | OTHER |
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In the treatment of glaucoma, trabeculectomy surgery provides a drainage system for the eye and allows for the lowering of the pressure inside the eye. The flow through the surgically created fistula determines the intraocular pressure. Titrating suture tightness is important to achieving the desired post-operative intraocular pressure. This process is not straightforward and intraocular pressures are often too high or too low post-operatively.
The use of an anterior chamber infusion system to deliver fluid into the eye during trabeculectomy surgery may be of benefit in this process and may have other benefits as well which may result in better outcomes.
Thus, the hypothesis of this study is that the use of an anterior chamber infusion system improves success of trabeculectomy surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | Trabeculectomy with anterior chamber infusion system |
|
| 2 | Active Comparator | Trabeculectomy without anterior chamber infusion system |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Trabeculectomy with anterior chamber infusion system | Procedure | Trabeculectomy with anterior chamber infusion system |
|
| Measure | Description | Time Frame |
|---|---|---|
| surgical success: intraocular pressure lowered by 30% and functional filtering bleb | 2 weeks, 1 month, 3 months, 6 months and 1 year post surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Need for laser suture lysis | any point post operatively | |
| complications: aqueous misdirection, suprachoroidal hemorrhage, anterior chamber shallowing | any time post operatively |
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Inclusion Criteria:
18 years of age
One of the following diagnoses:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Robert J Campbell, MD | Queen's University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hotel Dieu Hospital, Queen's University | Kingston | Ontario | K7L 5G2 | Canada | ||
| Toronto Western Hospital, University of Toronto |
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| ID | Term |
|---|---|
| D005901 | Glaucoma |
| ID | Term |
|---|---|
| D009798 | Ocular Hypertension |
| D005128 | Eye Diseases |
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| ID | Term |
|---|---|
| D014130 | Trabeculectomy |
| ID | Term |
|---|---|
| D018463 | Filtering Surgery |
| D013508 | Ophthalmologic Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
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| Trabeculectomy without anterior chamber infusion system | Procedure | Standard trabeculectomy surgery |
|
| Toronto |
| Ontario |
| Canada |