Macular Edema, Retinal Vein Occlusion (RVO)
Conditions
Brief summary
To determine if Ozurdex implant can offer an effective treatment for macular edema associated with retinal vein occlusion when treatment with intravitreal Avastin, Lucentis, or Eylea have not demonstrated a significant response.
Detailed description
To determine whether Ozurdex implant can offer an efficacious alternative for treatment of macular edema in the setting of retinal vein occlusion when treatment with intravitreal bevacizumab (Avastin),ranibizumab (Lucentis), and/or aflibercept (Eylea) have not demonstrated significant response.
Interventions
Intravitreal injection of Dexamethasone implant
Sponsors
Study design
Eligibility
Inclusion criteria
All patients with Retinal Vein Occlusion (RVO) with available initial imaging and documented treatment failure with bevacizumab, ranibizumab, or aflibercept. Treatment failure is defined as lack of anatomic improvement (persistent intraretinal cystic changes/macular edema with central subfield thickness greater than 250 microns on time-domain OCT or greater than 275 microns on spectral domain OCT) with lack of visual improvement (less than 2 lines of visual gain by Snellen acuity), despite 3 to 6 intravitreal anti-VEGF treatments over the preceding 6 months.
Exclusion criteria
* Co-existing or pre-existing macular degeneration, diabetic macular edema, or other confounding disease processes * Interval surgical intervention, such as cataract surgery, that may confound visual outcomes. * Pregnancy * Coexisting conditions that would represent relative or absolute contraindications usage of ozurdex implant, including: * Ocular or periocular infections (including viral disease of the cornea and conjunctiva such as active epithelial herpes simplex keratitis, vaccinia, varicella, mycobacterial infection, and fungal diseases) * Advanced glaucoma * Aphakic eyes with rupture or missing posterior lens capsule * Eyes with anterior chamber intraocular lens and missing posterior lens capsule * Patients with known hypersensitivity to components of this product
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improvement in best-corrected Snellen visual acuity following initiation of Ozurdex therapy | 6 Months |
Secondary
| Measure | Time frame |
|---|---|
| Anatomic/angiographic improvement in macular edema as evaluated by OCT and fluorescein angiography | 6 Months |
Countries
United States