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Treatment of retinal detachment in people who have not had cataract surgery and are not very short-sighted with either vitrectomy surgery alone or with vitrectomy and removal of the cataract at the same time

COMBAT: Clinical- and cost-effectiveness, safety and acceptability of COMBined phacovitrectomy, versus sequentiAl viTrectomy and cataract surgery, for the management of rhegmatogenous retinal detachment: A Randomised Equivalence Clinical Trial

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN13728688
Enrollment
276
Registered
2025-04-17
Start date
2025-05-09
Completion date
Unknown
Last updated
2026-04-14

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

Conditions

Rhegmatogenous retinal detachment Eye Diseases

Interventions

Following consent, participants will be reviewed by the research team, including their surgeon. Previous medical and eye history will be reviewed, and measurements of the eye and baseline data (includ

Sponsors

Queen's University Belfast
Lead Sponsor

Eligibility

Sex/Gender
All
Age
50 Years to 150 Years

Inclusion criteria

Inclusion criteria: 1. Adults =50 years of age 2. Non-highly myopic (< -6 diopters; =26.5 mm axial length) phakic RRD 3. Naïve to previous vitreoretinal surgery 4. Pars plana vitrectomy is planned to repair their RRD

Exclusion criteria

Exclusion criteria: 1. Presence of a “formed/established cataract.” A “formed/established cataract” is defined as a cataract that, based on the Age-Related Eye Disease Study (AREDS) Research Group, is graded as nuclear sclerosis of >3 and/or if there is an anterior cortical cataract and/or a subcapsular posterior cataract involving the visual axis. 2. Pseudophakia or aphakia. 3. High myopia (= -6 diopters; >26.5 mm axial length). 4. Giant retinal tear (i.e. presence of one or more retinal tears of >3 clock hours in size) 5. Retinal dialysis 6. Inclusion in an investigational drug study 7. Declined consent for participation

Design outcomes

Primary

MeasureTime frame
Change in Best-Corrected Visual Acuity (BCVA) in the study eye from baseline to 52 weeks (+/- 6 weeks) after surgery (equivalence margin +/- 7 ETDRS letters).

Secondary

MeasureTime frame
1. Primary anatomical success is measured using retinal attachment status at 52 weeks (+/- 6 weeks) after one vitrectomy 2. Final anatomical success is measured using retinal attachment status at 52 weeks (+/- 6 weeks) after two or more vitrectomies 3. Intraoperative complications are measured using severity score during surgery 4. Postoperative complications are measured using severity score at 52 weeks (+/- 6 weeks) after surgery 5. Number and type of surgeries performed are measured using surgical records at 52 weeks (+/- 6 weeks) after surgery 6. Refractive error is measured using the difference between aimed and obtained post-operative refraction at 12 weeks after surgery in the phaco-vitrectomy arm and 6-8 weeks post-cataract surgery in the vitrectomy only arm 7. Proportion of participants with BCVA <69 letters is measured using BCVA test at 52 weeks (+/- 6 weeks) after surgery 8. Proportion of participants with BCVA <34 letters is measured using BCVA test at 52 weeks (+/- 6 weeks) after surgery 9. Time to achieve ‘best vision’ is measured using BCVA test at baseline and 52 weeks (+/- 6 weeks) after surgery 10. Change in BCVA from baseline over time is measured using BCVA test at baseline and 52 weeks (+/- 6 weeks) after surgery 11. Health-related quality of life is measured using EuroQol-5 level (EQ-5D-5L) at baseline and 52 weeks (+/- 6 weeks) after surgery 12. Vision-specific quality of life is measured using the National Eye Institute Visual Function Questionnaire-25 (NEI VFQ-25) at baseline and 52 weeks (+/- 6 weeks) after surgery 13. Participant’s experience and acceptability of treatments are measured using questionnaires at 52 weeks (+/- 6 weeks) after surgery 14. Use of health and social care services and non-health care is measured using questionnaires at 52 weeks (+/- 6 weeks) after surgery 15. Safety is measured using AE/SAE reporting at 52 weeks (+/- 6 weeks) after surgery

Countries

England, Northern Ireland, Scotland, United Kingdom

Contacts

Public ContactColette Jackson
colette.jackson@nictu.hscni.net-

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Apr 17, 2026