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Conditions
Interventions
The head elevation refers to the visual axis is angulated 45 degree to the bed by using assigned triangular pillow (45 degree of decline,
40*40*56cm,
length 50 cm),The normal head position refers to the visual axis is nearly perpendicular (less than 10 degree of decline) to the bed by using assigned normal pillow
Experimental Behavioral,Experimental Behavioral
Head elevation group,Normal head position group
Sponsors
Ratchadaphiseksompotch scholarship from the faculty of medicine, Chulalongkorn university
Ratchadaphiseksompotch scholarship from the faculty of medicine,
Chulalongkorn university
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: • Age more than 18 years old • Evidence of acute onset of new vitreous hemorrhage within 1 month • Visual acuity worse than 20/50 or decrease more than 3 lines of EDTRS • Initial conservative treatment plan for vitreous hemorrhage • Good compliance to participate our study
Exclusion criteria
Exclusion criteria: • History of recent eye injury within 3 months • Previous treatment with anti-VEGF agents or intravitreous drug injection within 1 month before enrollment or plan to have intravitreous drug injection within 1 month • Surgeon preference to surgery • Vitreous hemorrhage or echographic evidence of retinal break or rhegmatogenous retinal detachment • Cataract grading more than nuclear sclerosis grade 2+, cortical grade1+, posterior subcapsular grade1+ and posterior polar cataract • Patients who have limitation to head elevate position at 45 degree such as patients with neck and C-spine abnormality • Patients who have limitation to lie in normal position such as patients with heart failure, end stage renal disease with pulmonary congestion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine and compare the improvement of visual acuity after assignment of head elevation with no 2 weeks Visual acuity | — |
Secondary
| Measure | Time frame |
|---|---|
| the improvement of vitreous haemorrhage, quality of life of patient, characteristic of VH clearance 2 weeks Fundus photo, quality of life visual analogue score | — |
Countries
Thailand
Contacts
Public ContactPear Pongsachareonnont
King Chulalongkorn Memorial Hospital
Outcome results
None listed