Baerveldt Plate Area Comparison (BPAC) (BPAC)
This research is being done to compare the safety and effectiveness of two sizes of the Baerveldt glaucoma implant.
A Baerveldt glaucoma implant is one of the most common types of glaucoma operations performed. This procedure works by providing a route by which fluid can drain out of the eye to decrease the intraocular pressure. The Baerveldt implant does this by placing a tube into the eye which shunts aqueous fluid to a silicone plate which is attached to the sclera (white portion of the eye). It is this plate that comes in two different sizes (250 square millimeters and 350 square millimeters).
Earlier studies have shown that larger plate sizes produce lower eye pressures but that they may also result in more complications. While both Baerveldt devices are currently in use and have been shown to be safe and effective, it is unclear if one is superior to the other. The purpose of this study is to see if one size of device works better with fewer complications.
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Tipo de estudio
Inscripción (Actual)
Fase
- No aplica
Contactos y Ubicaciones
Ubicaciones de estudio
-
-
California
-
Sacramento, California, Estados Unidos, 95817-2307
- University of California - Davis
-
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Florida
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Miami, Florida, Estados Unidos, 33136
- U. Miami/Bascom Palmer
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Maryland
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Baltimore, Maryland, Estados Unidos, 21287
- The Wilmer Eye Institute
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New York
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New York, New York, Estados Unidos, 10029
- Mount Sinai School of Medicine
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Pennsylvania
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Philadelphia, Pennsylvania, Estados Unidos
- Wills Eye Institute
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-
Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
Inclusion Criteria:
- Age over 18
- Intra-Ocular Pressure (IOP) > 18 mm Hg and < 40 mm Hg on medical therapy
- Previous ocular surgery limited to (cataract, corneal transplant, trabeculectomy, vitrectomy)
- Consent signed
Exclusion Criteria:
- Unwilling or unable to give consent, unwilling to accept randomization, or unable to return for scheduled protocol visits
- Pregnant or nursing
- Neuro-Linguistic Programming (NLP) vision
- Iris neovascularization or proliferative retinopathy
- Epithelial or fibrous downgrowth
- Chronic or recurrent uveitis
- Steroid-induced glaucoma
- Severe posterior blepharitis
- Previous cyclodestructive procedure
- Conjunctival scarring from prior ocular trauma or cicatrizing disease (e.g. Stevens Johnson syndrome, ocular pemphigoid) precluding Baerveldt implantation.
- Functionally significant cataract
- Need for Baerveldt implant combined with other ocular procedures (ie cataract surgery,penetrating keratoplasty, or retinal surgery) or anticipated need for additional ocular surgery
- Prior glaucoma drainage device (tube) implant
- Prior retinal surgery with remaining silicone oil
- Prior scleral buckling procedures
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Ninguno (etiqueta abierta)
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
|
Experimental: Arm A - Baerveldt 250 mm2
Patients receiving Baerveldt 250 mm2
|
Implant surgery
|
|
Experimental: Arm B - Baerveldt 350 mm2
Patients receiving Baerveldt 350 mm2
|
Implant surgery
|
¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Visual Acuity as assessed by Early Treatment Diabetic Retinopathy Study (EDTRS)
Periodo de tiempo: Up to 5 years
|
Visual acuity is an important outcome variable in the BPAC.
Early Treatment Diabetic Retinopathy Study (ETDRS) visual acuity testing will be employed at the Qualifying Assessment and at every follow-up visit.The patient starts are the top of the chart and begins to read down the chart.
The patient reads down the chart until he or she reaches a row where a minimum of three letters on a line cannot be read.
The patient is scored by how many letters could be correctly identified.
ETDRS visual acuity is required at the Qualifying Assessment and at the 1 year, 3 year, and 5 year follow-up visits
|
Up to 5 years
|
Colaboradores e Investigadores
Patrocinador
Investigadores
- Investigador principal: Michael Boland, MD, PhD, Johns Hopkins University
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio
Finalización primaria (Actual)
Finalización del estudio (Actual)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Estimar)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- NA_00037146
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