Multi-electrocoagulation Retinectomy for Retinal Re-detachment in Silicone Oil Filled Eye
The Explore Study for the Efficacy and Safety of Multi-electrocoagulation Retinectomy in the Treatment of Retinal Re-detachment in Silicone Oil Filled Eye
Retinal re-detachment in silicone oil filled eye, especially in the traumatic eye, is a complex retinal detachment with poor prognosis.
In this study, the investigators try to apply a modified surgery as Multi-electrocoagulation retinectomy to reattach the retina. Here the investigators aimed to explore the safety and efficacy of this new surgical approach
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The relaxing retinectomy is a useful surgery for retinal re-detachment in eyes with silicone oil filled. However, it has some obvious disadvantages such as the cut of the normal retina surrounding, leaving a large area of retinal deficiency and significant exposure of retinal pigment epithelium and choroid membranes.
In this study, we try to apply a modified surgery named Multi-electrocoagulation retinectomy to re-attach the retina.
Instead of cutting through the proliferated retina directly, this new surgical approach adopts to cut the retina apart in a honeycomb shape with the help of electrocoagulation.
In this way, we not only relax the traction of the proliferative membranes, but also reserve the rest retina to cover the RPE layers.
Based on the hypothesis above, we are aiming to explore the safety and efficacy of this new surgical approach
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Xiaofeng Lin, Dr
- Phone Number: 02087330000
- Email: linxiaof@mail.sysu.edu.cn
Study Locations
-
-
Guangdong
-
Guangzhou, Guangdong, China, 510000
- Recruiting
- Zhongshan Ophthalmic Center of Sun yat-sen Universtiy
-
Contact:
- Xiaofeng Lin, Dr
- Phone Number: 02087330000
- Email: linxiaof@mail.sysu.edu.cn
-
Principal Investigator:
- Xiaofeng Lin, Dr
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age 5-60 years, male or female
- The primary retinal detachment was caused by ocular trauma, and the vitreous body is filled with silicone oil now.
- The presence of inferior retinal re-detachment located among 3-9 o'clock.
Exclusion Criteria:
- The primary retinal detachment was not caused by ocular trauma.
- Location of the re-detached retina is not mainly in the inferior of the eye.
- The fundus is unobservable because of severe corneal opacity.
- The contralateral eye is non-functional
- Serious heart, lung, liver and kidney dysfunction
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Multi-electrocoagulation retinectomy
Retinal re-detachment in eyes with silicone oil filled,a modified surgery named Multi-electrocoagulation retinectomy will be used to re-attach the retina.
|
a modified surgery named "multi-electrocoagulation retinectomy" to re-attach the retina. All the single surgical technique and devices involved in this modified surgery are used commonly in clinic. Base on this, the investigator changes the traditional sequence of these single surgical techniques, and combine them into a new surgical process. |
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
retina reattachment rate
Time Frame: 3 months after the surgery
|
3 months after the surgery
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
visual acuity
Time Frame: Before surgery, 3days,1 week, 2 weeks, 4 weeks, 3 months and 6 months after surgery.
|
Before surgery, 3days,1 week, 2 weeks, 4 weeks, 3 months and 6 months after surgery.
|
|
Intraocular pressure
Time Frame: Before surgery, 3days,1 week, 2 weeks, 4 weeks, 3 months and 6 months after surgery.
|
Before surgery, 3days,1 week, 2 weeks, 4 weeks, 3 months and 6 months after surgery.
|
|
The degree of recurrent PVR
Time Frame: Before surgery, 3days,1 week, 2 weeks, 4 weeks, 3 months and 6 months after surgery.
|
Before surgery, 3days,1 week, 2 weeks, 4 weeks, 3 months and 6 months after surgery.
|
|
The incidence of intraocular hemorrhage
Time Frame: Before surgery, 3days,1 week, 2 weeks, 4 weeks, 3 months and 6 months after surgery.
|
Before surgery, 3days,1 week, 2 weeks, 4 weeks, 3 months and 6 months after surgery.
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Xiaofeng Lin, Dr, Zhongshan Ophthalmic Center of Sun yat-sen Universtiy
Publications and helpful links
General Publications
- Romaniuk VM. Ocular trauma and other catastrophes. Emerg Med Clin North Am. 2013 May;31(2):399-411. doi: 10.1016/j.emc.2013.02.003.
- Han DP, Lewis MT, Kuhn EM, Abrams GW, Mieler WF, Williams GA, Aaberg TM. Relaxing retinotomies and retinectomies. Surgical results and predictors of visual outcome. Arch Ophthalmol. 1990 May;108(5):694-7. doi: 10.1001/archopht.1990.01070070080039.
- de Silva DJ, Kwan A, Bunce C, Bainbridge J. Predicting visual outcome following retinectomy for retinal detachment. Br J Ophthalmol. 2008 Jul;92(7):954-8. doi: 10.1136/bjo.2007.131540. Epub 2008 Jun 12. Erratum In: Br J Ophthalmol. 2008 Aug;92(8):1159.
- Jiang Z, Qiu S, Lou B, Lin M, Tan J, Lin X. Radial Retinotomies with Endodiathermy for Severe Proliferative Vitreoretinopathy: Short-Term Results. J Ophthalmol. 2016;2016:2594574. doi: 10.1155/2016/2594574. Epub 2016 Feb 28.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- MER201407 (Other Identifier: SunYat-senU)
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