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Most patients undergoing cataract surgery suffer from corneal edema after the surgery.
Brimonidine drops are a well known and safe Anti-glaucoma medication. the investigators have made several clinical observations that patients receiving Brimonidine drops had a faster resolution of their corneal edema even if they had normal intra-ocular pressure.
The investigators believe that administering topical Brimonidine to patients with significant post operative corneal edema will hasten the resolution of their corneal edema.
Most patients undergoing cataract surgery suffer from corneal edema after the surgery which temporarily reduces their visual acuity until corneal edema resolves over several weeks Brimonidine drops are a well known and safe Anti-glaucoma medication, used to lower intra ocular pressure.
there have been several clinical observations that patients receiving Brimonidine drops had a faster resolution of their corneal edema even in the presence of normal intra-ocular pressure.
The investigators postulated that administering topical Brimonidine to patients with significant post operative corneal edema will hasten their recovery and visual improvement.
In order to prove that Brimonidine drops contribute to faster resolution of cornel edema and visual improvement, the study will randomly compare 50 post cataract surgery patients (group A)who will be administered Brimonidine to 2 control groups (50 people in each group):
group B will be given topical timolol drops 0.5% (another well recognized anti glaucoma medication which reduces intra-ocular pressure by different mechanism than Brimonidine.
Group C will not be given any test drug. All 3 groups will receive the regular post operative medications which include corticosteroids and antibiotics.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| brimonidine | Experimental | 50 patients receiving Brimonidine Tartrate drops in the operated eye: 1 drop X2 a day for 1 month. they will also be administered the usual medications after cataract surgery (corticosteroids and antibiotics drops) |
|
| 2 tmolol | Active Comparator | 50 patients receiving timolol maleate 0.5% drops in the operated eye 1 drop X2 a day for 1 month. they will also be administered the usual medications after cataract surgery (corticosteroids and antibiotics drops) |
|
| 3 | No Intervention | 50 patients will not receive any additional drug to the usual medications after cataract surgery (corticosteroids and antibiotics drops) |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Brimonidine Tartrate 0.2% | Drug | Brimonidine Tartrate 0.2% drops 1 drop twice a day for 1 month in the operated eye |
|
| Measure | Description | Time Frame |
|---|---|---|
| central corneal thickness in micrometer | day 0 (day of enrollment ), day 7, day 30 |
| Measure | Description | Time Frame |
|---|---|---|
| grading of corneal edema (1-3) | day 0 (day of enrollment), day 7, day 30 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Anat Robinson, MD | Contact | 9729377176 | robina@clalit.org.il | |
| Omer Y Bialer, MD | Contact | 9729377171 | omerb@clalit.org.il |
| Name | Affiliation | Role |
|---|---|---|
| Anat Robinson, MD | Rabin medical center, Clalit health services , Israel | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rabin medical center ophthalmology deparment | Petah Tikva | 49100 | Israel |
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| ID | Term |
|---|---|
| D015715 | Corneal Edema |
| ID | Term |
|---|---|
| D003316 | Corneal Diseases |
| D005128 | Eye Diseases |
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| ID | Term |
|---|---|
| D000068438 | Brimonidine Tartrate |
| ID | Term |
|---|---|
| D011810 | Quinoxalines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
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| Timolol maleate 0.5% | Drug | timolol maleate 0.5% drops 1 drop twice a day for 1 month in the operated eye |
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