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Study Trial of Dexamethasone Use for Alleviation of Symptoms After Scleral Buckle Eye Surgery

Effect of Dexamethasone on Postoperative Symptoms of Scleral Buckling Surgery Patients: a Randomized Control Trial

Status
Withdrawn
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01326585
Enrollment
0
Registered
2011-03-31
Start date
2011-04-30
Completion date
2012-04-30
Last updated
2015-06-03

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

Conditions

Retinal Detachment

Keywords

Scleral Buckling, Dexamethasone, Post-operative Nausea and Vomiting

Brief summary

Dexamethasone is a medication that has been shown to have clear anti-nausea, anti-inflammatory, and painkilling properties. Dexamethasone is currently used to manage postoperative symptoms of a variety of surgical procedures. However, its effect has not been validated for scleral buckling surgery, which is used to treat retinal detachment, a medical emergency that can lead to permanent blindness. In this study, the investigators will randomly administer dexamethasone to half of scleral buckling surgery patients, and a placebo to the other half. The investigators will then compare the postoperative symptoms of the two groups in order to determine whether dexamethasone should be used for scleral buckling surgeries.

Interventions

8mg (2cc of 4mg/mL solution), IV solution, 1-time dose during surgery

DRUGSaline Injection

2cc of 0.9% normal saline, IV injection, 1-time dose during surgery

Sponsors

University of Toronto
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 79 Years
Healthy volunteers
No

Inclusion criteria

* Age 18-79 years old * Scheduled for scleral buckle surgery to treat a retinal detachment * Consent to participate in study

Exclusion criteria

* Pregnant or nursing * Prior treatment with steroids * Severe diabetes mellitus (HbA1c \> 8%) * Use of opioids, sedatives, or any kind of analgesics \<1 week before scleral buckling surgery * History of alcohol or drug abuse

Design outcomes

Primary

MeasureTime frameDescription
Subjective Level of Postoperative NauseaAt 1 and 7 days post-surgeryAssessed through patient survey, measured by 10cm visual analogue scale
Subjective Level of Postoperative Pain1 and 7 days post-surgeryAssessed by patient survey, measured by Wong-Baker FACES Pain Rating Scale

Secondary

MeasureTime frameDescription
Subjective rating of post-operative lid edemaAt 1 and 7 days post-surgeryAssessed by investigator, rated mild, moderate, or severe
Subjective rating of postoperative chemosis1 and 7 days post-surgeryAssessed by investigator, recorded as mild, moderate, or severe

Countries

Canada

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026