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This study aimed to compare the safety and efficacy of vitrectomy probe with different shaft lengths in vitreoretinal surgery of highly myopic patients. In this randomized controlled study, highly myopic patients who had axial length more than 26 mm and needed vitreoretinal surgery will be enrolled. The enrolled patients will be randomized into "30 mm shaft length group"(trial group) and "27mm shaft length group"(controlled group). We will compare the rate of wound leakage, hypotony, subconjunctival hemorrhage, probe bending, trocar removal, and endophthalmitis between the two groups. We would like to evaluate the efficacy and safety of the 30 mm shaft length vitrectomy probe.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| study group | Experimental | Highly myopic patients with vitreoretinal disease requiring pars plana vitrectomy. The 30mm (shaft length) vitrectomy probe (25 gauge) would be used in the surgery. |
|
| control group | Active Comparator | Highly myopic patients with vitreoretinal disease requiring pars plana vitrectomy. The 27mm (shaft length) vitrectomy probe (25 gauge) would be used in the surgery. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 25 gauge pars plana vitrectomy | Procedure | 25 gauge pars plana vitrectomy |
|
| Measure | Description | Time Frame |
|---|---|---|
| trocar removal rate | trocar removal would be performed if the length of vitrectomy probe was not adequate | intra-operative |
| operation time | record the operation time and time of core vitrectomy | intra-operative |
| Measure | Description | Time Frame |
|---|---|---|
| instrument bending | record the occurrence of instrument bending | intraoperative |
| Measure | Description | Time Frame |
|---|---|---|
| Complications | the presence of vitreous hemorrhage, retinal hemorrhage, retinal detachment, choroidal hemorrhage, endophthalmitis | Until post-op 6 month |
| wound status evaluation by slit lamp biomicroscopy |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Tzyy-Chang Ho | National Taiwan University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Taiwan University Hospital | Taipei | 100 | Taiwan |
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| ID | Term |
|---|---|
| D012164 | Retinal Diseases |
| ID | Term |
|---|---|
| D005128 | Eye Diseases |
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the presence of subconjunctival hemorrhage, chemosis, subconjunctival air, wound suture
| until post-op 1 month |
| anatomical success evaluation by optical coherence tomography and indirect ophthalmolscopy | whether the disease was successfully treated | post-op 3 month |
| anatomical success evaluation by optical coherence tomography and indirect ophthalmolscopy | whether the disease was successfully treated | post-op 6 month |