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CompletedNCT04949347Updated Jul 2, 2021

Glycerin-Preserved, Human-Donor, Corneoscleral Patch Grafts for Glaucoma Drainage Devices

An observational study in Glaucoma, Graft Failure and Intraocular Pressure, sponsored by Siriraj Hospital. Completed at 1 site in Thailand. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-07-02.

Sponsored by Siriraj Hospital · Observational

Study type
Observational
Model
Case-only
Time perspective
Retrospective
Enrollment
100
Ages
18 Years and older
Sex
All
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Study summary

This was a retrospective, non-comparative study of 100 eyes of 100 consecutive glaucoma patients who had undergone glaucoma drainage device implantation (Baerveldt shunt) during January 2006 to December 2016. Glycerin-preserved, human-donor, corneoscleral tissue was used as a patch graft to cover the tube portion of the GDD over the sclera. The patch graft related complication was comparable to the previous reports using conventional sclera or pericardium.

Read the detailed description

This retrospective, non-comparative study was conducted at the Department of Ophthalmology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand. The medical records of consecutive patients who had undergone glaucoma drainage device implantation employing the fornix-based conjunctival flap technique and using a glycerin-preserved, human-donor, corneoscleral graft. The procedures were carried out by, or under the supervision of, one surgeon (NK) between January 2006 and December 2016 were reviewed. The study protocol was approved by the Siriraj Institutional Review Board, Faculty of Medicine, Siriraj Hospital, Mahidol University.

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Conditions studied

  • Glaucoma
  • Graft Failure
  • Intraocular Pressure

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Keywords

  • glaucoma
  • glaucoma surgery
  • patch graft
  • intraocular pressure
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In context

Glaucoma

1,818 studies on the registry are indexed under Glaucoma; 231 are open to participants now.

This study's enrollment of 100 is close to the median of 103 across 454 observational studies indexed under Glaucoma.

Browse Glaucoma studies →

Lead sponsor

Siriraj Hospital is the lead sponsor of 95 studies on the registry; 32 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Consecutive glaucoma patients who had undergone glaucoma drainage device implantations using glycerin-preserved, human-donor, corneoscleral tissue as a patch graft to cover the tube between January 2006 and December 2016 at Siriraj hospital by or under supervision of one surgeon (NK).

Inclusion criteria

  1. Consecutive patients who had undergone glaucoma drainage device implantations between January 2006 and December 2016 at Siriraj hospital by or under supervision of one surgeon (NK).
  2. The GDD implantation using glycerin-preserved, human-donor, corneoscleral tissue as a patch graft

Exclusion criteria

Exclusion Criteria:

1.Patients who had follow-up period less than 12 months after operation.

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Study design

Observational model
Case-only
Time perspective
Retrospective
Enrollment
100 participants (actual)
Patient registry
No

Groups and cohorts

  • Glycerin-preserved, human-donor, cornescleral patch grafts

    Consecutive glaucoma patients who had undergone glaucoma drainage device implantation using glycerin-preserved, human-donor, cornescleral patch grafts

    Biological: glaucoma drainage device implantation

Interventions

  • Biologicalglaucoma drainage device implantation

    Glaucoma drainage device implantation, a 350 mm2 Baerveldt (BG 101-350) GDD (Johnson and Johnson, Santa Ana, CA, USA) was performed using glycerin-preserved, human-donor, corneoscleral tissue ( the remaining from a heterologous, human-donor corneal button, obtained from the International Eye Bank of Thailand, after a clear corneal graft had been used for penetrating keratoplasty.) The tissue had been preserved in glycerin using the sterile technique and kept in a medical refrigerator for no longer than 6 months.

    Also known as: glycerine-preserved corneoscleral patch graft

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What researchers measure

Primary outcomes

  1. Numbers of eyes with graft related complication

    Numbers of eyes with the patch-graft related complications included tube exposure, infection, leaking, etc

    Time frame: Postoperative period from January 3, 2006 to August 31, 2019

Secondary outcomes

  1. Intraocular pressure

    The intraocular pressure level (must be less than 21 mmHg.)

    Time frame: preoperative and postoperative period from January 3, 2006 to August 31, 2019

  2. numbers of medication

    Numbers of post-operative anti-glaucoma medication comparing to pre-operative medications

    Time frame: Postoperative period from January 3, 2006 to August 31, 2019

  3. Visual acuity

    The level of post-operative visual acuity compared to pre-operative visual acuity

    Time frame: Postoperative period from January 3, 2006 to August 31, 2019

  4. Numbers and types of post-operative intervention

    Numbers and types of post-operative intervention to correct the complication

    Time frame: Postoperative period from January 3, 2006 to August 31, 2019

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Study locations

1 site
  • Naris Kitnarong
    Bangkoknoi, Bangkok 10700, Thailand
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References and documents

Publications

  • Tsoukanas D, Xanthopoulou P, Charonis AC, Theodossiadis P, Kopsinis G, Filippopoulos T. Heterologous, Fresh, Human Donor Sclera as Patch Graft Material in Glaucoma Drainage Device Surgery. J Glaucoma. 2016 Jul;25(7):558-64. doi: 10.1097/IJG.0000000000000294. PubMed 26091179 ↗
  • Gedde SJ, Feuer WJ, Shi W, Lim KS, Barton K, Goyal S, Ahmed IIK, Brandt J; Primary Tube Versus Trabeculectomy Study Group. Treatment Outcomes in the Primary Tube Versus Trabeculectomy Study after 1 Year of Follow-up. Ophthalmology. 2018 May;125(5):650-663. doi: 10.1016/j.ophtha.2018.02.003. Epub 2018 Feb 21. PubMed 29477688 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 2, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04949347
Lead sponsor
Siriraj Hospital
Responsible party
Naris Kitnarong (Associate professor, Siriraj Hospital) — Principal investigator
First posted
Jul 2, 2021
Start date
Feb 22, 2017
Primary completion
Aug 31, 2019
Completion
Aug 31, 2019
Last update
Jul 2, 2021

Study contacts

Naris Kitnarong, M.D., M.B.A.
principal investigator · Mahidol University

Oversight

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

Not currently enrolling

This study is completed, as verified in Jun 2021. You cannot join it, but the record below documents what was studied.

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