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Retrobulbar Injection of Anesthesia Versus Healon 5 in the Management of Intraoperative Floppy Iris Syndrome
This study is currently recruiting participants.
Verified by Penn State University, January 2008
Sponsored by: Penn State University
Information provided by: Penn State University
ClinicalTrials.gov Identifier: NCT00627913
  Purpose

In this study, the investigators plan to compare the incidence and complications of intraoperative floppy iris syndrome (IFIS) during cataract surgery in patients taking tamsulosin (Flomax) and treated with retrobulbar injection of anesthesia, versus injection of Healon 5 viscoelastic into the anterior chamber.


Condition Intervention
Intraoperative Floppy Iris Syndrome
Procedure: Healon 5 injection
Procedure: Retrobulbar anesthetic injection

MedlinePlus related topics: Anesthesia Cataract
Drug Information available for: Lidocaine Hyaluronate Sodium Hyaluronic acid Bupivacaine Bupivacaine hydrochloride
U.S. FDA Resources
Study Type: Interventional
Study Design: Prevention, Randomized, Open Label, Uncontrolled, Parallel Assignment, Safety/Efficacy Study
Official Title: Retrobulbar Injection of Anesthesia Versus Injection of Healon 5 Viscoelastic Into the Anterior Chamber in the Management of Intraoperative Floppy Iris Syndrome

Further study details as provided by Penn State University:

Primary Outcome Measures:
  • Preoperative pupil diameter, pupil diameter after hydrodissection, pupil diameter after nuclear removal, pupil diameter after cortex removal, and pupil diameter at conclusion of surgery. [ Time Frame: 2 years ] [ Designated as safety issue: No ]

Estimated Enrollment: 100
Study Start Date: February 2008
Estimated Study Completion Date: May 2010
Estimated Primary Completion Date: May 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Active Comparator
Healon 5
Procedure: Healon 5 injection
Healon 5 (2.3% Sodium hyaluronate) ophthalmic viscoelastic device will be injected into the anterior chamber as needed for pupillary dilation and adequate cataract extraction with intraocular lens placement.
2: Experimental
Retrobulbar Anesthetic Injection
Procedure: Retrobulbar anesthetic injection
3-4cc of anesthetic (1% lidocaine/0.75% bupivicaine) will be injected with a 25 gauge needle into the extraocular muscle cone prior to patient and microscope positioning. Cataract extraction with intraocular lens placement will then proceed in standard fashion.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • All cataract patients taking tamsulosin

Exclusion Criteria:

  • Patients with any history of iridocyclitis
  • Presence of iris neovascularization
  • History of prior iris surgery
  • Presence of traumatic cataracts
  • Presence of zonular dialysis
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00627913

Contacts
Contact: Ahmad A Aref, M.D. (717) 531-8783 aaref@hmc.psu.edu
Contact: Ali Aminlari, M.D., FACS (717) 531-8783 aaminlari@hmc.psu.edu

Locations
United States, Pennsylvania
Penn State Hershey Eye Center Recruiting
Hershey, Pennsylvania, United States, 17036
Contact: Ahmad A Aref, M.D.     717-531-8783     aaref@hmc.psu.edu    
Principal Investigator: Ahmad A Aref, M.D.            
Sub-Investigator: Ali Aminlari, M.D., FACS            
Sub-Investigator: Ingrid U. Scott, M.D.            
Sponsors and Collaborators
Penn State University
Investigators
Principal Investigator: Ahmad A Aref, M.D. The Penn State Hershey Eye Center
  More Information

Publications:
Responsible Party: Penn State Hershey Eye Center ( Ahmad A. Aref, M.D. )
Study ID Numbers: 27170
Study First Received: February 25, 2008
Last Updated: September 5, 2008
ClinicalTrials.gov Identifier: NCT00627913  
Health Authority: United States: Institutional Review Board

Keywords provided by Penn State University:
Floppy Iris Syndrome

Study placed in the following topic categories:
Hyaluronic Acid
Lidocaine
Bupivacaine

Additional relevant MeSH terms:
Pathologic Processes
Disease
Immunologic Factors
Syndrome
Physiological Effects of Drugs
Adjuvants, Immunologic
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 16, 2009