Dextenza in the Post-op Management of Vitreoretinal Surgeries

Description

This study will assess the control of inflammation at days 1, 7, 14, and 21 days following the vitreoretinal surgical procedure analyzing two randomized study arms: Intracanalicular dexamethasone insert group or topical steroid drop group. Patients must be 18 years of age and older, of any race and either sex, requiring surgery with the procedure type of pars plana vitrectomy for either the indication of macular hole, epiretinal membrane removal, or vitreomacular traction.

Conditions

Vitreoretinal Surgery, Ocular Inflammation, Post-operative Pain, Post-Operative Inflammation

Study Overview

Study Details

Study overview

This study will assess the control of inflammation at days 1, 7, 14, and 21 days following the vitreoretinal surgical procedure analyzing two randomized study arms: Intracanalicular dexamethasone insert group or topical steroid drop group. Patients must be 18 years of age and older, of any race and either sex, requiring surgery with the procedure type of pars plana vitrectomy for either the indication of macular hole, epiretinal membrane removal, or vitreomacular traction.

Intracanalicular Dexamethasone Insert for Management of Post-operative Pain and Inflammation in Patients Undergoing Vitreoretinal Surgery

Dextenza in the Post-op Management of Vitreoretinal Surgeries

Condition
Vitreoretinal Surgery
Intervention / Treatment

-

Contacts and Locations

Cleveland

Cole Eye Institute, Cleveland Clinic, Cleveland, Ohio, United States, 44195

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Men and women \>18 years old
  • * Planning to undergo vitreoretinal surgery with the procedure type of pars plana vitrectomy for either the indication of macular hole, epiretinal membrane removal, or vitreomacular traction.
  • * Patients undergoing combined cataract or glaucoma procedure, intraocular lens exchange, scleral buckle, and/or implant of a drug delivery system
  • * History of complications, trauma, adverse events, disease in nasolacrimal region, including dacryocystitis, canaliculitis in either eye
  • * Structural lid abnormalities such as ectropion or entropion in surgical eye
  • * Ongoing use of systemic narcotic pain relievers
  • * Presence of any intraocular inflammation (cells and flare) in the study eye at screening/baseline
  • * Pain score greater than "0" on the ocular pain assessment in the study eye at screening/baseline
  • * Active or chronic or recurrent uncontrolled ocular or systemic inflammatory disease, including diabetes
  • * Other ocular surgeries or procedures during the study period and/or 6 months prior
  • * Intraoperative complications
  • * Patients with history of glaucoma (defined as glaucoma requiring 2 or more drops, IOP at baseline greater than 25, or advanced optic nerve cupping). Patients with glaucoma or ocular hypertension controlled with a single drop can be enrolled.
  • * Patients with a known hypersensitivity to NSAIDs or steroids or any component of the study medication.
  • * Have used ocular, topical, or systemic NSAIDs within 7 days prior to procedure and during surgery.
  • * Use of intracameral or subconjunctival NSAIDs or steroids intraoperatively.
  • * Have used topical, ocular, inhaled or systemic steroids within 14 days prior to procedure
  • * Are pregnant or nursing/lactating
  • * Participation as a subject in any clinical study within the 30 days prior to randomization.
  • * Surgeries using 20 gauge or 23 gauge instruments.

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

The Cleveland Clinic,

Katherine Talcott, M.D., PRINCIPAL_INVESTIGATOR, Cole Eye Institute, Cleveland Clinic

Study Record Dates

2025-12-01