Overview

Efficacy and Safety Study of Intravitreal Triamcinolone to Treat Diffuse Diabetic Macular Edema

Status:
Unknown status
Trial end date:
2008-04-01
Target enrollment:
0
Participant gender:
All
Summary
The purpose of this study is to determine whether intravitreal injection of Triamcinolone Acetonide is effective in the treatment of Clinically Significant Diffuse Macular Edema due to Type 2 Diabetes Mellitus.
Phase:
Phase 3
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Instituto Universitario de OftalmobiologĂ­a Aplicada (Institute of Applied Ophthalmobiology) - IOBA
Treatments:
Triamcinolone
Triamcinolone Acetonide
Triamcinolone diacetate
Triamcinolone hexacetonide
Criteria
Inclusion Criteria:

- Type II Diabetes.

- Mild-moderate diabetes retinopathy.

- Diffuse clinically significant macular edema (demonstrated by angiofluoresceingraphy,
associated or not to cystic changes).

- Age between 50 to 75 years.

- Foveal thickening greater than 300 microns tested with Optical Coherence Tomography
(OCT).

- Visual acuity better than 0,05.

- None of the exclusion criteria.

- Informed consent signed.

- Data protection consent signed.

Exclusion Criteria:

- Bad metabolic control in recruitment stage (as criteria from Endocrinology Department
of each Center) or Glicosilated Hemoglobine greater than 9%.

- Uncontrolled hypertension. Greater than 150/90.

- Systemic treatment with oral corticosteroids, diuretics or immunosupressors 3 months
before or during the study.

- Record of ocular hypertension induced by corticosteroids.

- Glaucoma or ocular hypertension.

- Unbalanced heart failure.

- Any other pathology that could cause macular edema.

- Associated ischemic maculopathy. (Parafoveal avascular area thickening greater than
1000 microns)

- Patients with Clinically Significant Macular Edema with posterior hyaloid thickening
or macular traction in biomicroscopy or OCT.

- Patients with panretinophotocoagulation.

- Patients that will probably need a panretinophotocoagulation during the study (6 to 12
months).

- Record of ocular herpes infection.

- Lens opacification that may interfere with clinical, photographical or OCT
examinations.

- Toxoplasmosis, active or not in the study eye.

- Vitrectomy in either eye.

- Record of Central Serose Coroidopathy.

- Pseudophakic patients with less than 6 months since surgery.

- Patients with any other situation that may interfere in study completion based in
Investigator´s opinion.