Lucentis Versus Mitomycin C During Glaucoma Surgery



Status:Completed
Conditions:Ocular
Therapuetic Areas:Ophthalmology
Healthy:No
Age Range:18 - Any
Updated:4/17/2018
Start Date:January 2008
End Date:April 2011

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Lucentis Versus Mitomycin C as Adjunctive Agent During Trabeculectomy Surgery

Does a new add on (or adjunctive) therapy used in glaucoma surgery improve the success of
trabeculectomy? Ranibizumab may offer benefit similar to mitomycin C in preventing
epi-scleral fibrosis while avoiding the well known complications of mytomycin C which include
late bleb leaks, hypotony and infection.

This is an open-label, single center trial with two arms for patients who underwent guarded
filtration surgery to control glaucoma. The control will consist of patients randomly
assigned to receive inter-operative mitomycin C 0.4 mg/ml which is applied in a standard
fashion with a soaked pledget inserted in the sub-tenon's space during surgery. The study arm
will consist of patients randomly assigned to receive a sub-tenon injection of Ranibizumab
0.5 mg/0.05mL with a 30 gauge needle on a tuberculin syringe at the termination of the
surgery. No mitomycin C will be applied.

Post operative follow-up will consist of a minimum of 6 visits during a one year period.

Inclusion Criteria:

- 18 yrs or older

- patients requiring first time glaucoma filtering surgery

- phakic or pseudophakic

- must provide written informed consent and comply with study assignments

Exclusion Criteria:

- Pregnant, lactation or premenopausal women not using adequate contraception.

- Previous glaucoma surgery, tube shunt surgery, pars plana vitrectomy, scleral buckle,
penetrating keratoplasty.

- Abnormality preventing reliable applanation tonometry in each eye.

- Current infection or inflammation in either eye.

- Enrolled in another investigational study.
We found this trial at
1
site
Philadelphia, Pennsylvania 19107
?
mi
from
Philadelphia, PA
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