Bandage Contact Lenses for Corneal Abrasions

Bandage Contact Lenses to Decrease Pain and Improve Healing in Emergency Department Subjects Presenting With Corneal Abrasions

Two percent of all patients presenting to the Emergency Departments have complaints involving the eye. Corneal abrasions are a common diagnosis with patients with eye pain and often cause significant discomfort. Current treatment includes a thorough evaluation of the eye followed by patching, empiric antibiotics, cycloplegics and oral pain medicines. This study will be a randomized controlled trial to determine the safety and efficacy of BCLs. It will involve the initial patient evaluation followed by a return visit to the Emergency Department within 36 hours for re-examination. At each visit, the patient will be assessed for the size and location of the abrasion along with their report of pain using a visual analog scale. Data will be recorded on a standard data collection sheet. Telephone contact will be made at 30 days to ensure resolution of abrasion and that no complications ensued.

Study Overview

Status

Unknown

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Anticipated)

60

Phase

  • Phase 2

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

    • California
      • Torrance, California, United States, 90502
        • Recruiting
        • Harbor-UCLA Medical Center
        • Contact:
        • Sub-Investigator:
          • Pradeep S Prasad, MD
        • Sub-Investigator:
          • Timothy Horeczko, MD
        • Sub-Investigator:
          • Richard H Hoft, MD
        • Sub-Investigator:
          • Bradley Chappell, DO
        • Sub-Investigator:
          • Manpreet Singh, MD
        • Sub-Investigator:
          • Hiroko Akuzawa, MD
        • Sub-Investigator:
          • Debryna D Lumanauw, MD
        • Sub-Investigator:
          • James Archer

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

14 years to 61 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Subjects between ages 18-65 years who present to the emergency department.
  • Traumatic corneal abrasion not associated with contact lens use or communicating or adjacent wounds to the eye.

Exclusion Criteria:

  • Pregnant women
  • Breast-feeding women
  • Corneal abrasion associated with the wearing contact lenses
  • Evidence of corneal ulcer, glaucoma or other ocular pathology, monocular vision
  • Wound healing deficits such as collagen vascular disease or concomitant steroid use
  • Use of other ocular medications, dry eyes, blepharitis
  • Systemic infections
  • Known allergies to medicines used in the study

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: Group 1
1. Standard care
Fluoroquinolone eyedrops 4x/day
Hydrocone 1-2 tabs 4x/day if needed
Active Comparator: Group 2
  1. Standard care
  2. Bandage contact lens
Fluoroquinolone eyedrops 4x/day
Hydrocone 1-2 tabs 4x/day if needed

Bandage contact lenses (BCL) have the advantage of pain reduction, facilitating epithelial healing, and improved surface healing. They have been used in the ophthalmology community to treat post-operative eye pain due to the large corneal abrasion created during Excimer photorefractive keratectomy (PRK), laser in situ keratomileusis (LASIK), and radial keratotomy (RK) with good success.

Bandage contact lenses have also been used in studies in Europe through ophthalmology clinics to treat traumatic corneal abrasions with excellent results. A British study from 1987, found that large diameter contact lenses can be fitted satisfactorily without the use of special equipment such as keratometry. Studies in rabbits have also been performed showing improved rates of healing when using bandage contact lenses. BCLs have been used to treat epithelial defects from various causes for up to 7 months at a time.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Pain scale
Time Frame: 24 hours post treatment
The pain difference using Visual Analogue Scale
24 hours post treatment

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Corneal defect size
Time Frame: 24 hours post treatment
Reduction in size (mm) of the defect
24 hours post treatment
Pain medication needed
Time Frame: 24 hours post treatment
The amount of pain medication needed
24 hours post treatment

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

July 1, 2017

Primary Completion (Anticipated)

December 31, 2018

Study Completion (Anticipated)

March 1, 2019

Study Registration Dates

First Submitted

June 29, 2017

First Submitted That Met QC Criteria

June 29, 2017

First Posted (Actual)

July 2, 2017

Study Record Updates

Last Update Posted (Actual)

February 1, 2018

Last Update Submitted That Met QC Criteria

January 31, 2018

Last Verified

January 1, 2018

More Information

Terms related to this study

Other Study ID Numbers

  • 30610-01

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

No

IPD Plan Description

IPD will not be shared.

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

Yes

product manufactured in and exported from the U.S.

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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