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Efficacy and safety of intracameral dexamethasone plus moxifloxacin versus moxifloxacin alone after phacoemulsification in patients with age-related cataracts: A single-blinded randomized clinical trial

Efficacy and safety of intracameral dexamethasone plus moxifloxacin versus moxifloxacin alone after phacoemulsification in patients with age-related cataracts: A single-blinded randomized clinical trial

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12624001457538
Enrollment
46
Registered
2024-12-16
Start date
2024-12-30
Completion date
2025-03-19
Last updated
2025-09-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The Phacoemulsification rate is on the rise, and post operative inflammation and infection is a devastating condition. Although Intracameral Moxifloxacin is effective in preventing the post operative endophthalmitis. The combination of dexamethasone and moxifloxacin intracameral offers a dual benefit. While moxifloxacin provides potent prophylaxis against infections, dexamethasone significantly reduces postoperative inflammation.

Interventions

After establishing the standard anesthesia, Phacoemulsification with foldable posterior chamber intraocular lens will be performed by a single Ophthalmic surgeon. At the end of surgery after securing a stable and formed Anterior Chamber (AC), intracameral injection of Dexamethasone Sodium Phosphate (Decadron, Searle) at 0.4mg/0.1ml mixed with 0.5mg/0.1ml in of 0.5% preservative free moxifloxacin (Vigamox, Alcon Laboratories) through 1cc syringe with viscoelastic cannula will be injected through

After establishing the standard anesthesia, Phacoemulsification with foldable posterior chamber intraocular lens will be performed by a single Ophthalmic surgeon. At the end of surgery after securing a stable and formed Anterior Chamber (AC), intracameral injection of Dexamethasone Sodium Phosphate (Decadron, Searle) at 0.4mg/0.1ml mixed with 0.5mg/0.1ml in of 0.5% preservative free moxifloxacin (Vigamox, Alcon Laboratories) through 1cc syringe with viscoelastic cannula will be injected through the side port, with in less than a minute. The eyelid retractor will be removed and 1 drop of (0.05ml of 5% same Moxifloxacin will be instilled in conjunctival cul-de- sac. After surgery ,the record of intervention will be secured with the ID of the patients in Hospital Management Information System(HMIS) for follow up on 1st ,10th and 40th post operative day.

Sponsors

Sihat Sahulat Card ,Lady Reading Hospital
Lead SponsorHospital

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Blinded (masking used)

Eligibility

Sex/Gender
All
Age
50 Years to No maximum
Healthy volunteers
No

Inclusion criteria

All those patients of both gender, ethnicities and geographical location ,with age related cataracts who have undergone Phacoemulsification with out any per operative complications and with posterior chamber intraocular lens will be included in this study.

Exclusion criteria

Patients with traumatic and complicated cataracts, previous intraocular surgeries will be excluded from the study. Those patients with history of steroid responsive glaucoma will also be excluded from the study.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026