Neovascular Glaucoma, Pigmentary Glaucoma, Primary Angle Closure Glaucoma, Primary Open Angle Glaucoma, Pseudoexfoliation Glaucoma, Traumatic Glaucoma, Uveitic Glaucoma
Conditions
Brief summary
The investigators hypothesize that KeraSys is a safe as Tutoplast to cover the tube of the Molteno 3 glaucoma drainage device during surgery
Detailed description
This study compares patients who will undergo Molteno 3 shunt implant surgery with 1 group receiving KeraSys patch graft and the 2nd group receiving Tutoplast patch graft. The investigators will examine the efficacy and safety of KeraSys in comparison with Tutoplast and monitor the long term effectiveness for preventing tube erosion in Molteno 3 tube shunt surgery for 1 year.
Interventions
Patients needing glaucoma drainage surgery
Sponsors
Study design
Eligibility
Inclusion criteria
Patients with primary open-glaucoma (POAG), primary angle-closure glaucoma (PACG), pseudoexfoliation, pigmentary, traumatic, uveitic or neovascular glaucoma
Exclusion criteria
1. Age ≤ 18 years old. 2. Any type of glaucoma other than those listed in the inclusion criteria. 3. Less than 3 months of other ocular surgery. 4. Active thyroid-related immune orbitopathy, carotid-cavernous fistula, Sturge Weber syndrome, orbital tumors or orbital congestive disease. 5. Patients with connective tissue disorder. 6. Patients with congenital or developmental glaucoma. 7. Patients with severe dry eye syndrome. 8. Patients with any surgical procedure involving revision, removal, or change of the existing glaucoma tube shunt. 9. Patients undergoing any surgical concomitant surgical procedure involving the posterior segment. 10. Patients with active scleritis, history of ocular trauma including chemical burn, chronic ocular inflammatory disease, or ocular surface disease. 11. Patients with any prior history of allergy to the active compound. 12. Pregnancy or breast-feeding. 13. Patients enrolled in other prospective clinical trials. 14. Patients that plan to use contact lens after surgery.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Kerasys safety | one day, week one, 1 month, 3 month, 6 month, and 1 year | The patch graft will be graded on appearance at each visit by slit lamp for tube erosion and conjunctival retraction. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Long term efficacy of Kerasys and Tutoplast in Molteno 3 glaucoma shunt surgery | 1 month, 3 month, 6 month, 1 year | The thickness of the patch graft will be measured by anterior segment OCT and anterior segment photos. |
Countries
United States