Patients With Highly Myopic Eyes
Conditions
Keywords
vitreoretinal surgery, high myopia, Pars plana vitrectomy, 3D visualization system
Brief summary
To investigate the surgical outcomes and intraoperative parameters evaluation of 3D visualization system for vitreoretinal diseases in highly myopic eyes
Detailed description
The investigators aimed to compare the safety and efficacy of NGENUITY® 3D Visualization System (Alcon, TX, USA) in vitreoretinal surgery of highly myopic patients with standard binocular microscope pars plana vitrectomy of highly myopic patients. This is a randomized controlled study and will enroll highly myopic patients who had axial length more than 26 mm and needed vitreoretinal surgery. The enrolled patients will be randomized into NGENUITY® 3D Visualization System (Alcon, TX, USA) group(trial group) and standard binocular microscope pars plana vitrectomy group(controlled group). The investigators will compare the number of injections of dye (indocyanine green (ICG) or brilliant blue G (BBG)), total surgical time, total peeling time, exposure time of dye, power of endoilluminator, the rate of probe bending, surgical time, postoperative intraocular pressure (IOP), the rate of wound leakage, hypotony, subconjunctival hemorrhage, vitreous hemorrhage, retinal hemorrhage, and endophthalmitis, best-corrected visual acuity (BCVA), structural changes shown on OCT and so on between the two groups.
Interventions
pars plana vitrectomy for vitreoretinal disease in highly myopic eyes
Injection of ICG to stain internal limiting membrane
Sponsors
Study design
Eligibility
Inclusion criteria
1. Highly myopic patients (axial length ≥ 26mm, no upper limit) 2. Patient with vitreoretinal pathology that require vitrectomy who had not received previous ICG or BBG-assisted membrane peeling 3. Patient aged ≥ 20 years
Exclusion criteria
1. Patient who had previous ICG or BBG-assisted membrane peeling 2. Patient who received combined vitrectomy and trabeculectomy 3. Patient with endophthalmitis or intraocular foreign body
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of injections of ICG | operation day | Fixed and minimal concentration: ICG (25mg/vial) is diluted to 0.05% Fixed time: Each injection is 15 sec Interval time for washout: consistent as 10 sec |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Total surgical time | Intraoperative | Total surgical time |
| ILM peeling time | operation day | ILM peeling time |
| ICG exposure time | operation day | ICG exposure time |
Countries
Taiwan