YAG Laser Vitreolysis for Floaters
Watumiaji waliosajiliwa tu ndio wanaweza kutafsiri nakala
Ingia / Ingia
Kiungo kimehifadhiwa kwenye clipboard
HaliKuajiri
Wadhamini
University Hospital of Split
Washirika
University of Split, School of Medicine
JARIBIO LA KLINIKI: NCT03970148
BioSeek: nct03970148
Maneno muhimu
Kikemikali
Vitreous fluid, containing 95% water, fills the space behind the lens. Its gelatinous consistency is due to the presence of hyaluronic acid, mucopolysaccharide and collagen fibers. With age, the collagen aggregates into parallel bundles, bound by cross links, leaving the pockets of liquid in the glass body. This redistribution is referred to as syneresis, which is found in 90% older than 40 years. After liquefaction, the vitreous enters the retroviral space and separates the posterior hyaloid membrane from the retina. When separating from the optical disk it forms an annular formation (Weiss ring) in front of the optical disc. These agglomerated collagen bundles (opacities) disperse the photons of light and are perceived by the patients as a "gray silhouette-like artifact". Two major interventions for these symptoms include Nd: YAG laser vitreolysis and vitrectomy. The less invasive method Nd: YAG laser increases the temperature of the opacity thus vaporizing them to smaller fragments that are easier to sediment onto the bottom of the vitreous cavity thereby relieving the symptoms.
Tarehe
| Imethibitishwa Mwisho: | 05/31/2019 |
| Iliyowasilishwa Kwanza: | 05/27/2019 |
| Uandikishaji uliokadiriwa Uliwasilishwa: | 05/27/2019 |
| Iliyotumwa Kwanza: | 05/30/2019 |
| Sasisho la Mwisho Liliwasilishwa: | 06/05/2019 |
| Sasisho la Mwisho Lilichapishwa: | 06/10/2019 |
| Tarehe halisi ya kuanza kwa masomo: | 04/01/2019 |
| Tarehe ya Kukamilisha Msingi iliyokadiriwa: | 10/01/2019 |
| Tarehe ya Kukamilisha Utafiti: | 12/29/2020 |
Hali au ugonjwa
Vitreous Detachment
Uingiliaji / matibabu
Procedure: Nd: YAG laser treatment
Awamu
-
Vikundi vya Arm
| Mkono | Uingiliaji / matibabu |
|---|---|
| Experimental: Nd: YAG laser treatment Before treatment an optical coherence tomography (OCT) scan of the macula is performed to monitor possible macular oedema. After application of anesthetic and midriatics drops, the patient is positioned on the chin and forhead support (ND: YAG laser). Then, a contact lens (panfundoscope) is filled with methylcellulose and placed on the cornea. The laser is focused on the opacity that is to be treated and the first laser stamp of an initial power of 3 mJ is applied. The measured direct effect will guide in further adjustment of the laser beam power to achieve the desired effect. After treatment, a single drop of corticosteroid is applied to the patient and an ocular patch is applied. On follow up days an OCT scan of the macula is performed to monitor possible side effects. | Procedure: Nd: YAG laser treatment Before treatment an optical coherence tomography (OCT) scan of the macula is performed to monitor possible macular oedema. After application of anesthetic and midriatics drops, the patient is positioned on the chin and forhead support (ND: YAG laser). Then, a contact lens (panfundoscope) is filled with methylcellulose and placed on the cornea. The laser is focused on the opacity that is to be treated and the first laser stamp of an initial power of 3 mJ is applied. The measured direct effect will guide in further adjustment of the laser beam power to achieve the desired effect. After treatment, a single drop of corticosteroid is applied to the patient and an ocular patch is applied. On follow up days an OCT scan of the macula is performed to monitor possible side effects. |
Vigezo vya Kustahiki
| Zama zinazostahiki Kujifunza | 18 Years Kwa 18 Years |
| Jinsia Inastahiki Kujifunza | All |
| Hupokea Wajitolea wa Afya | Ndio |
| Vigezo | Inclusion Criteria: - Age 18 years or older - Is able to give written informed consent to the procedure - Patients with clinical symptoms of floaters and clinically confirmed diagnosis of opacity in the vitreous body. Exclusion Criteria: - Inability to tolerate the procedure - Blurred anterior eye segment - Cataract or Intraocular lens opacity - Blurred posterior eye segment - Active eye inflammation - Iris synechiae - Uncontrolled intraocular pressure elevation - Peripheral retinal degeneration |
Matokeo
Hatua za Matokeo ya Msingi
1. Number of patients with resolution of symptoms [1 month]
Number of patients who reported resolution of symptoms after the treatment
Hatua za Matokeo ya Sekondari
1. Macular Oedema Development rate [1 month]
Rate of macular oedema development after the treatment
2. Rate of treatment side effects [1 month]
Rate of treatment side effects such as: retinal damage, retinal detachment, cataract...
3. Retreatment rate [1 month]
Number of treatment sessions needed for simptom resolution
