Retinal Vein Occlusion With Macular Edema
Conditions
Brief summary
Patients with new onset retinal vein occlusion in less than 3 month whom has visual acuity less than 20/40 and central macular thickness more than 250micrometer and non perfused areas of retina more than 10 DD are included in over study and devided into 2 groups randomizely, Group A under gone 3 intravitreal injection of bevacizumab monthly and examine monthly for Visual acuity and central macular thickness, if in month four or more the CMT is more than 250 micrometer and the visual acuity is less than 8/10 the injection is repeated and follow up in this manner is continued until 9 months. Group B is as the same of group A but patients in this group undergone laser photocoagulation of retinal non perfused areas based on FAG wide field imaging . After 9 month follow up the outcomes such as Vusal acuity, Central macular thickness, intraocular pressure, neovascular formation are compared,
Interventions
under gone 3 intravitreal injection of bevacizumab monthly and examine monthly for Visual acuity and central macular thickness, if in month four or more the CMT is more than 250 micrometer and the visual acuity is less than 8/10 the injection is repeatet and follow up in this manner is continued until 9 months.
RADIATIONintravitreal injection of bevacizumab+ targeted laser
patients in this group undergone laser photocoagulation of retinal non perfused areas based on FAG wide field imaging . After 9 month follow up the outcomes such as Vusal acuity, Central macular thickness, intraocular pressure, neovascular formation are compared
Sponsors
Shahid Beheshti University of Medical Sciences
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Caregiver)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
* Center-involved macular edema secondary to RVO on clinical exam * Symptoms less than 3 months * BCVA= 20/40 or worse * Mean center point thickness \>250 μm * Media clarity, pupillary dilation, and subject cooperation sufficient for adequate fundus photographs One eye per participant is enrolled in the trial
Exclusion criteria
* Macular edema due to a cause other than CRVO * An ocular condition such that visual acuity would not improve from resolution of the edema (eg, foveal atrophy) * Substantial cataract estimated to have reduced visual acuity by \>3 lines * Prior treatment with intravitreal or peribulbar steroid injection * History of macular photocoagulation or PRP * Prior pars plana vitrectomy * Hx of Intraocular surgery (including cataract extraction) * uveitis, NVG, exudative AMD, diabetic retinopathy, any malignancy, optic neuropathy, amblyopia * vitreomacular traction or epiretinal membrane \*uncontrolled glaucoma ( \> 30mmHg with anti-glaucoma medications)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual acuity | Every month | Snellen chart |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| macular thickness | every month | OCT |
Countries
Iran
Contacts
Primary ContactAlireza Ramezani, MD
Outcome results
None listed