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CompletedNCT03363295Updated Nov 3, 2022

Evaluation of Macular Changes After Intracameral Moxifloxacin for Prevention of Endophthalmitis

A Phase 4 interventional study of Moxifloxacin Injection in Endophthalmitis, Macula Edema and Cataract, sponsored by Universidade Federal de Pernambuco. Completed at 1 site in Brazil. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-11-03.

Sponsored by Universidade Federal de Pernambuco · Phase 4, Interventional, and Prevention

Phase
Phase 4
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The objective of this study is to evaluate the macular and choroidal thickness of patients submitted to intracameral moxifloxacin during the phacoemulsification surgery for endophthalmitis prophylaxis.

The investigators propose a randomized clinical trial double-blind. The patients will be divided into two groups: one will receive intracameral moxifloxacin injection during phacoemulsification surgery and the other won't.

Both Spectral Domain - Optical Coherence Tomography (SD-OCT) and Enhanced Depth Imaging - Optical Coherence Tomography (EDI-OCT) will be performed for each patient pre-operatively and on the 30th and 60th postoperative days.

After collecting, the data will be compared to evaluate if there was any difference in the macular thickness and choroidal thickness between the two groups.

Read the detailed description

Title:

Evaluation and Comparison of Macular and Choroidal Thickness after Intracameral Moxifloxacin for Prevention of Postcataract Endophthalmitis

Purpose:

The objective of this study is to evaluate if the using of intracameral moxifloxacin cause changes in macular and choroidal thickness.

Methods:

A randomized clinical trial will be conducted in the Hospital of Clinics at State University of Campinas (UNICAMP). The patients that will be submitted to phacoemulsification surgery will be divided into two groups. The first group will receive 0,03ml intracameral moxifloxacin after phacoemulsification surgery, while the second group won't receive any antibiotics intracamerally. Both groups will apply eyedrops as usual in the postoperative.

The investigators will evaluate those patients blindly. Each patient will be examined using Spectral Domain - Optical Coherence Tomography (SD-OCT) and Enhanced Depth Imaging - Optical Coherence Tomography (EDI-OCT), in the pre-operative, at the 30th postoperative and at the 60th postoperative. The data will be collected regarding macular central thickness and choroidal thickness.

The exclusion criteria will be:

  • Patients who had any macular changes prior to the surgery (including epiretinal membrane, macular edema, drusen or any other)
  • diabetic patients
  • patients who had any complications during the cataract surgery
  • patients who refuse to participate in the trial, or refuse to sign the consent form

After collecting data, the two groups will be compared regarding changes in macular thickness and choroidal thickness from the pre-operative, the 30th and the 60th postoperative.

The investigators expect that there will be no statistical difference between groups

02

Conditions studied

  • Endophthalmitis
  • Macula Edema
  • Cataract

Keywords

  • endophthalmitis
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Any patients that will be submitted to phacoemulsification surgery in the Hospital de Clinicas of State University of Campinas (BRAZIL)
  • Patients over 18 years old
  • Patients who are able to perform SD-OCT
  • Patients who sign the consent form

Exclusion criteria

Exclusion Criteria:

  • Diabetic patients
  • Patients with any macular changes prior to the surgery (epiretinal membranes, age macular disease, macular edema...)
  • Patients who had any complication during phacoemulsification surgery
04

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
120 participants (actual)

Study arms

  • Experimental
    Intracameral moxifloxacin

    Injection of 0,03ml of moxifloxacin in the anterior chamber following phacoemulsification surgery

    Drug: Moxifloxacin Injection

  • No intervention
    No - Intracameral moxifloxacin

    This group won't receive any prophylaxis after phacoemulsification surgery

Interventions

  • DrugMoxifloxacin Injection

    One group will receive moxifloxacin injection (0,03ml) in the anterior chamber by the end of phacoemulsification surgery

05

What researchers measure

Primary outcomes

  1. Change of Macular Thickness

    Comparison of change in macular thickness using Spectral Domain - Optical Coherence Tomography

    Time frame: Change from baseline, 30th day postoperative and 60th day postoperative

Secondary outcomes

  1. Change of Choroidal Thickness

    Comparison of change in macular thickness using Enhanced Depth Imaging - Optical Coherence Tomography

    Time frame: Change from baseline, 30th day postoperative and 60th day postoperative

06

Study locations

1 site
  • Hospital das Clínicas da UNICAMP
    Campinas, São Paulo 13083888, Brazil
07

References and documents

Publications

  • Ferreira BG, Cardoso da Silva I, Melega MV, Nascimento MA, Cavalcanti Lira RP, Leite Arieta CE, Alves M. Macular and choroidal thickness after intracameral moxifloxacin for prevention of postcataract endophthalmitis. J Cataract Refract Surg. 2021 Jan 1;47(1):40-45. doi: 10.1097/j.jcrs.0000000000000365. PubMed 32818353 ↗

Individual participant data

Plan to share: No

08

Registry details

Key details

Study ID
NCT03363295
Lead sponsor
Universidade Federal de Pernambuco
Responsible party
Rodrigo Pessoa Cavalcanti Lira (Professor, Universidade Federal de Pernambuco) — Principal investigator
First posted
Dec 6, 2017
Start date
Jul 1, 2017
Primary completion
Dec 30, 2019
Completion
Dec 30, 2019
Last update
Nov 3, 2022

Study contacts

Mathias V Mélega, MD
principal investigator · University of Campinas, Brazil

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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