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Purpose of this study is to exam the hypotensive effectiveness of I-stent implantation depended on number of antiglaucoma eye drops at baseline.
The scientific aim of the project is to estimate the average reduction of intraocular pressure (IOP) in relation to the initial number of antiglaucoma drops at the end of 12 months observation period. The subject must suffer from glaucoma and cataract at the same time, and qualify for a cataract surgery. The group will be composed of 40 patients of the Ophthalmology Clinic of the Medical University of Białystok qualified for planned cataract removal surgery. They will be surgically implanted an I-stent by-pass during phacoemulsification.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| coexisting glaucoma and cataract | Experimental | Patients with coexisting glaucoma and cataract qualified to combined glaucoma surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| combined glaucoma surgery | Procedure | phacoemulsification of cataract and I-stent by-pass implantation |
|
| Measure | Description | Time Frame |
|---|---|---|
| IntraOcular Pressure measurement (IOP) | change in the level of intraocular pressure measured with Goldmann applanation tonometer | baseline, 12 months |
| Best Corrected Visual Acuity measurement (BCVA) | change in best corrected visual acuity measured with Snellen charts | baseline, 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| number of antiglaucoma medicines | change in number of antiglaucoma medicines used before and after surgery | baseline, 12 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Zofia Mariak, Prof | Medical University of Bialystok | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medical University | Bialystok | 15-089 | Poland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29476443 | Background | Myers JS, Masood I, Hornbeak DM, Belda JI, Auffarth G, Junemann A, Giamporcaro JE, Martinez-de-la-Casa JM, Ahmed IIK, Voskanyan L, Katz LJ. Prospective Evaluation of Two iStent(R) Trabecular Stents, One iStent Supra(R) Suprachoroidal Stent, and Postoperative Prostaglandin in Refractory Glaucoma: 4-year Outcomes. Adv Ther. 2018 Mar;35(3):395-407. doi: 10.1007/s12325-018-0666-4. Epub 2018 Feb 23. | |
| 30098352 |
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De-identified individual participant data for all primary and secondary outcome measures will be made available
Data will be available within 6 months of study completion
Data access requests will be reviewed by the Chair Person. Requestors will be required to sign a Data Access Agreement
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| ID | Term |
|---|---|
| D005901 | Glaucoma |
| ID | Term |
|---|---|
| D009798 | Ocular Hypertension |
| D005128 | Eye Diseases |
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| Result |
| Chansangpetch S, Lau K, Perez CI, Nguyen N, Porco TC, Lin SC. Efficacy of Cataract Surgery With Trabecular Microbypass Stent Implantation in Combined-Mechanism Angle Closure Glaucoma Patients. Am J Ophthalmol. 2018 Nov;195:191-198. doi: 10.1016/j.ajo.2018.08.003. Epub 2018 Aug 8. |
| 32906138 | Derived | Kozera M, Konopinska J, Mariak Z, Rekas M. Effectiveness of iStent Trabecular Microbypass System Combined with Phacoemulsification versus Phacoemulsification Alone in Patients with Glaucoma and Cataract Depending on the Initial Intraocular Pressure. Ophthalmic Res. 2021;64(2):327-336. doi: 10.1159/000511456. Epub 2020 Sep 9. |
| 32676205 | Derived | Konopinska J, Kozera M, Krasnicki P, Mariak Z, Rekas M. The Effectiveness of First-Generation iStent Microbypass Implantation Depends on Initial Intraocular Pressure: 24-Month Follow-Up-Prospective Clinical Trial. J Ophthalmol. 2020 Jun 23;2020:8164703. doi: 10.1155/2020/8164703. eCollection 2020. |