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Scleral depression is an important technique used to examine the peripheral retina but often causes patient discomfort. The goal of this study was to compare levels of discomfort during scleral depression with a Schocket scleral depressor and cotton tipped applicator.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Schocket Scleral Depressor | Experimental | Scleral Depression with Schocket Scleral Depressor |
|
| Cotton Tipped Applicator | Active Comparator | Scleral Depression with Cotton Tipped Applicator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Schocket scleral depressor | Device | Scleral Depression on eye with Schocket scleral depressor |
|
| Measure | Description | Time Frame |
|---|---|---|
| Discomfort During Scleral Depression with Schocket Depressor and Cotton Tipped Applicator | Visual Analog Scale (VAS) was used to evaluate pain immediately after scleral depression was completed. The VAS scale used was a 100mm long line with 0 representing no pain at all and 100 representing the worst pain possible. | Pain evaluated immediately scleral depression was completed on the eye |
| Measure | Description | Time Frame |
|---|---|---|
| Hemoglobin A1c | The association of discomfort experienced during scleral depression and the patients hemoglobin A1c. | 1 year |
| Spherical Equivalent of Glasses Prescription | The association of discomfort experienced during scleral depression and the patients spherical equivalent of their glasses prescription. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Joseph J Raevis, MD | Kings County Hospital Department of Emergency Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kings County Hospital | Brooklyn | New York | 11203 | United States |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Sep 17, 2017 | Sep 21, 2019 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D012163 | Retinal Detachment |
| D012162 | Retinal Degeneration |
| D010146 | Pain |
| D003920 | Diabetes Mellitus |
| ID | Term |
|---|---|
| D012164 | Retinal Diseases |
| D005128 | Eye Diseases |
| D015785 | Eye Diseases, Hereditary |
| D009461 | Neurologic Manifestations |
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The first eye to undergo scleral depression was randomly assigned, then that eye was randomized two either of the scleral depression methods. The contralateral eye then had the alternative method of scleral depression performed.
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| Cotton tipped applicator | Device | Scleral Depression on eye with cotton tipped applicator |
|
| 1 day |
| Age | The association of discomfort experienced during scleral depression and the patients age based on those less than 65 versus those greater than 65 years of age | 1 day |
| Left Eye vs Right Eye | The association of discomfort experienced during scleral depression and the patients left and right eyes. Of note, each eye had a separate method of scleral depression performed. | 1 day |
| Retinal pathology | Discomfort during scleral depression in participants with peripheral retinal tears or holes versus patients with no peripheral retinal pathology. | 1 day |
| D012816 |
| Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |