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CompletedNCT05271058Updated Mar 8, 2022

Effect of Intracameral Steroids During Phacoemulsification on the Cornea

A Phase 3 interventional study of Control group and Dexamethasone group in Corneal Edema, sponsored by Cairo University. Completed at 1 site in Egypt. Open to participants aged 50 Years to 80 Years. Per ClinicalTrials.gov, last updated 2022-03-08.

Sponsored by Cairo University · Phase 3, Interventional, and Prevention

From the registry’s dates

  • Registered 2 years 8 months after the study started (first participant enrolled Jun 2019, registered Feb 2022).
Phase
Phase 3
Study type
Interventional
Enrollment
69
Allocation
Randomized
Ages
50 Years to 80 Years
Sex
All
01

Study summary

Prospective, interventional case control study. Sixty-nine eyes were randomized into 3 groups, 23 eyes each : 2groups received intracameral dexamethasone and triamcinolone (TA) respectively, while controls didn't receive any intraoperative steroids.

Intracameral steroids at the conclusion of phacoemulsification significantly improved corneal edema and spared corneal endothelium.

Read the detailed description

Purpose: Investigating the effect of intracameral steroids at the end of phacoemulsification on corneal edema and endothelial count.

Methods: Prospective, interventional case control study. Sixty-nine eyes were randomized into 3 groups, 23 eyes each : 2groups received intracameral dexamethasone and triamcinolone (TA) respectively, while controls didn't receive any intraoperative steroids.

On the first postoperative day corneal edema in control compared to dexamethasone and TA groups respectively.

One month later, the mean increase of corneal thickness in control compared to intracameral dexamethasone and TA groups, respectively.

mean endothelial cell loss in control compared to intracameral dexamethasone and TA groups respectively.

02

Conditions studied

  • Corneal Edema

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03

In context

Corneal Edema

45 studies on the registry are indexed under Corneal Edema; 7 are open to participants now.

This study's enrollment of 69 is above the median of 42 across 37 interventional studies indexed under Corneal Edema.

Browse Corneal Edema studies →

Lead sponsor

Cairo University is the lead sponsor of 4,780 studies on the registry; 1,427 are open to participants now.

Of its 36 completed or terminated interventional studies of FDA-regulated products, 5 (14%) have results posted.

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

04

Who can participate

Ages eligible
50 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Cataract grades 2 to 5 nuclear cataract (LOCS III scale)
  • uneventful phacoemulsification operation

Exclusion criteria

Exclusion Criteria:

  • extremely hard cataract grade 6 nuclear cataract (LOCS III scale)
  • soft cataract
  • subluxated lenses or zonular dehiscence
  • associated ocular pathology such as glaucoma
  • any signs of uveitis
  • trauma
  • retinal detachment
  • vitrectomized or silicone filled eyes
  • corneal disease such as Fuch's dystrophy, corneal opacity
  • previous refractive corneal surgery
  • Cases that developed ruptured posterior capsule and vitreous loss
  • those lost to follow up were excluded and randomly replaced by the next chronological patient
05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
69 participants (actual)

Study arms

  • Sham comparator
    Control group 1

    23 eyes that did not receive any intraoperative steroids

    Other: Control group

  • Active comparator
    Dexamethasone group 2

    23 eyes that received intracameral dexamethasone

    Drug: Dexamethasone group

  • Active comparator
    Triamcinolone (TA) group 3

    23 eyes that received intracameral triamcinolone (TA)

    Drug: Triamcinolone (TA) group

Interventions

  • OtherControl group

    23 eyes that didn't receive any intraoperative steroids

    Also known as: No intraoperative steroids

  • DrugDexamethasone group

    23 eyes each received intracameral dexamethasone at the conclusion of phacoemulsification Received intracameral 0.4 mg in / 0.1 ml dexamethasone (8mg/2ml®; Amriya or Epico) at the end of phacoemulsification.

    Also known as: Intracameral Dexamethasone

  • DrugTriamcinolone (TA) group

    23 eyes each received intracameral triamcinolone (TA) at the conclusion of phacoemulsification Received intracameral 2 mg/0.05 ml triamcinolone (TA) (Kenacort-A®; Bristol-Myers Squibb) at the end of phacoemulsification.

    Also known as: Intracameral triamcinolone (TA)

06

What researchers measure

Primary outcomes

  1. Corneal edema

    Clinical grade of corneal edema on the first postoperative day

    Time frame: First day postoperative

  2. Central corneal thickness (CCT)

    Central corneal thickness in microns after phacoemulsification that was compared to preoperative values

    Time frame: Three months

  3. Endothelial cell loss

    Corneal endothelial cell count (cell/ square mm) after phacoemulsification that was compared to preoperative values

    Time frame: Three months

Secondary outcomes

  1. IOP

    Intraocular pressure in mmHg rise after after phacoemulsification

    Time frame: Three months

07

Study locations

1 site
  • Khaled G Abueleinen
    Giza, Cairo 12411, Egypt
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 8, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05271058
Lead sponsor
Cairo University
Collaborators
Beni-Suef University
Responsible party
khaled gamal abueleinen (professor, Cairo University) — Principal investigator
First posted
Mar 8, 2022
Start date
Jun 16, 2019
Primary completion
Jun 16, 2020
Completion
Aug 15, 2020
Last update
Mar 8, 2022

Study contacts

Khaled G Abueleinen, MD, PhD
principal investigator · Ophthalmology department, Faculty of Medicine Cairo University

Oversight

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

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This study is completed, as verified in Feb 2022. You cannot join it, but the record below documents what was studied.

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