CClinicalTrials.gg
CompletedNCT00827073Updated Jul 22, 2014Results posted

Comparison of Tetracaine 0.5% and Lidocaine 2% Jelly for Topical Phacoemulsification Cataract Surgery

An interventional study of tetracaine 0.5% and Lidocaine 2% Jelly in Cataracts, sponsored by Hermann Eye Center. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2014-07-22.

Sponsored by Hermann Eye Center · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine if there is a difference on the penetration of betadine 5% when using lidocaine 2% jelly versus topical tetracaine 0.5% in topical cataract surgery. This will be assessed comparing bacterial colony count and species by taking swabs from the eye surface before and after the topical anesthesia has been administered.

Read the detailed description

The purpose of this research study is to show that using Lidocaine2% jelly before surgery as an anesthetic (keep you from feeling touch or pain) for cataract surgery does not block the antiseptic (cleans and kills germs) effect of Betadine5%.

02

Conditions studied

  • Cataracts

Browse trials for

03

In context

Cataract

1,701 studies on the registry are indexed under Cataract; 230 are open to participants now.

This study's enrollment of 40 is below the median of 80 across 1,155 interventional studies indexed under Cataract.

Browse Cataract studies →

Lead sponsor

Hermann Eye Center is the lead sponsor of 3 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • greater or equal to 18 years old
  • uni- or bi-lateral visually significant cataracts

Exclusion criteria

Exclusion Criteria:

  • hypersensitivity to betadine5%, topical tetracaine0.5%, or lidocaine2% jelly
  • pregnancy
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
40 participants (actual)

Study arms

  • Active comparator
    Tetracaine 0.5% drop

    Tetracaine 0.5% drop of betadine will be used on the operative eye after Tetracaine has been administered

    Drug: tetracaine 0.5%

  • Active comparator
    Lidocaine 2% Jelly

    Lidocaine 2% Jelly drop of betadine will be used on the operative eye after Lidocaine 2% Jelly has been administered

    Drug: Lidocaine 2% Jelly

Interventions

  • Drugtetracaine 0.5%

    betadine 5%

  • DrugLidocaine 2% Jelly

    Betadine 5%

06

What researchers measure

Primary outcomes

  1. Change in Ln(Bacterial Colony Count) From Pre-antibiotic Administration to Post Study Medication Swabs

    Within 3 hours from time of culture acquisition, the samples will be vortexed for 30 seconds and 100µl aliquots will be plated onto 5% sheep blood and chocolate agar plates. These plates will be incubated with 5% carbon dioxide at 35˚ C for 72 hours. After 72 hours all plates will be read for colony count and identification of all isolates will be performed using routine microbiological methods. The natural log of bacterial bacterial colony count will be used for the outcome measure.

    Time frame: (1) Pre-antibiotics swab, and (2) Post-study medication (pre surgery)

  2. Number of Bacterial Species in Pre-antibiotic Administration and in Post Study Medication Swabs

    Time frame: (1) Pre-antibiotics swab and (2) Post-study medication (pre surgery)

07

Results

Posted Jun 23, 2014

Participant flow

Participant flow — Overall Study
MilestoneTetracaine 5% DropLidocaine 2% Jelly
Started2020
Completed2020
Not completed00

Outcome measures

PrimaryChange in Ln(Bacterial Colony Count) From Pre-antibiotic Administration to Post Study Medication Swabs

Within 3 hours from time of culture acquisition, the samples will be vortexed for 30 seconds and 100µl aliquots will be plated onto 5% sheep blood and chocolate agar plates. These plates will be incubated with 5% carbon dioxide at 35˚ C for 72 hours. After 72 hours all plates will be read for colony count and identification of all isolates will be performed using routine microbiological methods. The natural log of bacterial bacterial colony count will be used for the outcome measure.

Time frame:
(1) Pre-antibiotics swab, and (2) Post-study medication (pre surgery)
Reported as:
Mean · Ln(bacterial colony count)
Change in Ln(Bacterial Colony Count) From Pre-antibiotic Administration to Post Study Medication Swabs
Ln(bacterial colony count)Tetracaine 0.5% DropLidocaine 2% Jelly
Change in Ln(Bacterial Colony Count) From Pre-antibiotic Administration to Post Study Medication Swabs-0.14 ± 0.67-0.52 ± 1.85
PrimaryNumber of Bacterial Species in Pre-antibiotic Administration and in Post Study Medication Swabs
Time frame:
(1) Pre-antibiotics swab and (2) Post-study medication (pre surgery)
Reported as:
Mean · bacterial spceies
Number of Bacterial Species in Pre-antibiotic Administration and in Post Study Medication Swabs
bacterial spceiesTetracaine 0.5% DropLidocaine 2% Jelly
pre number of bacterial spices1 ± 01 ± 0
post surgery number of bacterial speices1 ± 01 ± 0

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Tetracaine 0.5% Drop—0/20 (0%)0/20 (0%)
Lidocaine 2% Jelly—0/20 (0%)0/20 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(year)Tetracaine 5% DropLidocaine 2% JellyTotal
Mean70.0 ± 7.468.4 ± 11.869.2 ± 9.8
Age, Categorical
Age, Categorical(Participants)Tetracaine 5% DropLidocaine 2% JellyTotal
<=18 years000
Between 18 and 65 years6814
>=65 years141226
Sex: Female, Male
Sex: Female, Male(Participants)Tetracaine 5% DropLidocaine 2% JellyTotal
Female131427
Male7613
Region of Enrollment
Region of Enrollment(participants)Tetracaine 5% DropLidocaine 2% JellyTotal
United States202040
08

Study locations

1 site
  • Memorial Hermann Plaza Surgery Center
    Houston, Texas 77030, United States
09

References and documents

Publications

  • Fichman RA. Use of topical anesthesia alone in cataract surgery. J Cataract Refract Surg. 1996 Jun;22(5):612-4. doi: 10.1016/s0886-3350(96)80019-8. PubMed 8784636 ↗
  • Roman S, Auclin F, Ullern M. Topical versus peribulbar anesthesia in cataract surgery. J Cataract Refract Surg. 1996 Oct;22(8):1121-4. doi: 10.1016/s0886-3350(96)80129-5. PubMed 8915811 ↗
  • Virtanen P, Huha T. Pain in scleral pocket incision cataract surgery using topical and peribulbar anesthesia. J Cataract Refract Surg. 1998 Dec;24(12):1609-13. doi: 10.1016/s0886-3350(98)80351-9. PubMed 9850899 ↗
  • Bellucci R. Anesthesia for cataract surgery. Curr Opin Ophthalmol. 1999 Feb;10(1):36-41. doi: 10.1097/00055735-199902000-00007. PubMed 10387317 ↗
  • Amiel H, Koch PS. Tetracaine hydrochloride 0.5% versus lidocaine 2% jelly as a topical anesthetic agent in cataract surgery: comparative clinical trial. J Cataract Refract Surg. 2007 Jan;33(1):98-100. doi: 10.1016/j.jcrs.2006.09.013. PubMed 17189801 ↗
  • Leong JK, Shah R, McCluskey PJ, Benn RA, Taylor RF. Bacterial contamination of the anterior chamber during phacoemulsification cataract surgery. J Cataract Refract Surg. 2002 May;28(5):826-33. doi: 10.1016/s0886-3350(01)01160-9. PubMed 11978463 ↗
  • Ciulla TA, Starr MB, Masket S. Bacterial endophthalmitis prophylaxis for cataract surgery: an evidence-based update. Ophthalmology. 2002 Jan;109(1):13-24. doi: 10.1016/s0161-6420(01)00899-5. PubMed 11772573 ↗
  • Speaker MG, Menikoff JA. Prophylaxis of endophthalmitis with topical povidone-iodine. Ophthalmology. 1991 Dec;98(12):1769-75. doi: 10.1016/s0161-6420(91)32052-9. PubMed 1775308 ↗
  • Deramo VA, Lai JC, Fastenberg DM, Udell IJ. Acute endophthalmitis in eyes treated prophylactically with gatifloxacin and moxifloxacin. Am J Ophthalmol. 2006 Nov;142(5):721-5. doi: 10.1016/j.ajo.2006.05.044. Epub 2006 Sep 20. PubMed 16989762 ↗
  • Maclean H, Burton T, Murray A. Patient comfort during cataract surgery with modified topical and peribulbar anesthesia. J Cataract Refract Surg. 1997 Mar;23(2):277-83. doi: 10.1016/s0886-3350(97)80354-9. PubMed 9113582 ↗
  • Patel BC, Clinch TE, Burns TA, Shomaker ST, Jessen R, Crandall AS. Prospective evaluation of topical versus retrobulbar anesthesia: a converting surgeon's experience. J Cataract Refract Surg. 1998 Jun;24(6):853-60. doi: 10.1016/s0886-3350(98)80143-0. PubMed 9642600 ↗
  • Seal DV, Barry P, Gettinby G, Lees F, Peterson M, Revie CW, Wilhelmus KR; ESCRS Endophthalmitis Study Group. ESCRS study of prophylaxis of postoperative endophthalmitis after cataract surgery: Case for a European multicenter study. J Cataract Refract Surg. 2006 Mar;32(3):396-406. doi: 10.1016/j.jcrs.2006.02.014. Erratum In: J Cataract Refract Surg. 2006 May;32(5):709. PubMed 16631046 ↗
  • Ferguson AW, Scott JA, McGavigan J, Elton RA, McLean J, Schmidt U, Kelkar R, Dhillon B. Comparison of 5% povidone-iodine solution against 1% povidone-iodine solution in preoperative cataract surgery antisepsis: a prospective randomised double blind study. Br J Ophthalmol. 2003 Feb;87(2):163-7. doi: 10.1136/bjo.87.2.163. PubMed 12543744 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 22, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00827073
Lead sponsor
Hermann Eye Center
Responsible party
Joseph Selem (Principle Investigator, Hermann Eye Center) — Principal investigator
First posted
Jan 22, 2009
Start date
Nov 2008
Primary completion
Jul 2010
Completion
Jul 2010
Results posted
Jun 23, 2014
Last update
Jul 22, 2014

Study contacts

Nan Wang, MD
principal investigator · Robert Cizik Eye Clinic and Department of Ophthalmology and Visual Science at The University of Texas Medical School at Houston

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2014. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion