Inflammation
Conditions
Keywords
Pediatric Cataract Surgery, Low-Molecular weight Heparin, Intraocular infusion, Anti-inflammatory effect
Brief summary
The purpose of this study is to determine if intraocular infusion of low-molecular weight heparin (enoxaparin) influences postoperative inflammation following pediatric cataract surgery with intraocular lens (IOL) implantation.
Detailed description
Despite advances in cataract surgery in children, postoperative inflammation is a significant complication following pediatric cataract surgery. Any drug that prevents or decreases this inflammation would be beneficial. Heparin has anti-inflammatory and antiproliferative effects as well as anticoagulant properties. Several studies on animal and adult human eyes show that adding heparin to the irrigating solution during cataract surgery results in less disturbance of the blood-aqueous barrier and helps prevent posterior capsule opacification (PCO). A prospective, randomized, controlled and masked study is mandatory to evaluate the anti-inflammatory effect of Low-molecular weight Heparin for pediatric cataract surgery
Interventions
Enoxaparin 40 mg / 500 ml in Balanced Salt Solution
Intraocular infusion of Balanced Salt solution
Sponsors
Study design
Eligibility
Inclusion criteria
* Children (0-15 years) with congenital cataract scheduled for surgery with IOL implantation and informed consent from the parents/legal guardian
Exclusion criteria
* Preoperative: Associated ocular anomalies (uveitis, microphthalmos, persistent fetal vasculature, aniridia, glaucoma, iris coloboma), traumatic cataract * Intraoperative: Inability to implant IOL in the capsular bag, intraoperative complications- iris trauma, vitreous disturbance, descemet's detachment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Anterior Segment Inflammation | 1 week |
Secondary
| Measure | Time frame |
|---|---|
| Anterior Segment inflammation | 1 month, 3 months |
Countries
India