Unique ID issued by UMIN | UMIN000021277 |
---|---|
Receipt number | R000024541 |
Scientific Title | Surgical reconstruction using the hyper dry human amniotic membrane : recurrence pterygium (proliferative tissue is limited to a thing more than the limbus.) |
Date of disclosure of the study information | 2016/03/01 |
Last modified on | 2020/07/15 15:44:15 |
Surgical reconstruction using the hyper dry human amniotic membrane : recurrence pterygium (proliferative tissue is limited to a thing more than the limbus.)
Surgical reconstruction using the hyper dry human amniotic membrane
Surgical reconstruction using the hyper dry human amniotic membrane : recurrence pterygium (proliferative tissue is limited to a thing more than the limbus.)
Surgical reconstruction using the hyper dry human amniotic membrane
Japan |
recurrence pterygium
Ophthalmology |
Others
NO
Confirm non-recessive efficacy and safety
Safety
Exploratory
Explanatory
Phase I,II
It is the presence or absence of recurrence until 52 weeks after a surgical operation
(1) Decimal visual acuity tests
(2) Ophthalmotonometry
(3) An examination for slit lamp microscopy and anterior segment of eyeball OCT
(4) Tensile speed of the pterygium tissue (measure it by anterior segment of eyeball OTC, and calculate it)
(5) Funduscopy
(6) A growth rate of the tissue
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
1
Treatment
Device,equipment |
(1) After Benoxil ophthalmic solution dropping lotion in the eyes anesthesia, perform washing eyes, disinfection.
(2) After draping, put on ecarteur.
(3) Add Xylocaine anesthesia to pterygium body by subconjunctival injection under a microscope(We use general anesthesia for the hope of patients).
(4) Tear off corneal epithelium close against a front of the pterygium head.
(5) Ablate pterygium tissue using a golf sword to the limbus from the head.
(6) Ablate episcleral conjunctival epithelium and Tenon pouch enough and denude a sclera and excise pterygium.
(7) Douche it in a raw diet of approximately 300 ml after insertion attachment under 3-5min conjunctiva with the microsponge which we soaked with 0.04% MMC enough.
(8) The MMC becomes out of an accommodation to use it for a purpose to inhibit an activation (recurrence of the re-pterygium) of the subconjunctival proliferative tissue
(9) Match the stromal aspect of the hyper dry human desiccation cowl (HD cowl) with a sclerotic exposed surface and trim the part of the resection side with ophthalmology cusp sword.
(10) After put an HD cowl on the wounded surface, and arrival at sewing did an HD cowl to a sclera, repeat a conjunctiva stump on the top, and sew it up in a 1mm interior position; do.
(11) Have top and bottom right and left move an eyeball and check follows and add suturation, if necessary( We confirm after consciousness returned in the case of a general anesthesia).
(1) Is eye movement smooth?
(2) Is there not the pull companion whom it is impossible for conjunctiva to do?
(3) Does a suture not come off?
(12) Steroid subconjunctival injection or eye drops etc. is provided because of resolution and picks up a contact lens for treatment when corneal epithelium of the pupillary area greatly suffers a loss.
20 | years-old | <= |
Not applicable |
Male and Female
1) age: The patients who relatively have good Patient 2) overall status of (at the agreement acquisition) 20 years old or older
3) The patients whom pathologic proliferative tissue invaded in recurrent pterygium across limbus.
4) The patients whom it is judged to be available for observation, the testing that conformed to a study enforcement plan and a survey
1) onset pterygium patient or pseudopterygium patients.
2)The patients whom a doctor judged safely for 2) study period if it was difficult hospital visiting and to come home.
3)The patients who complicate eye infection with 3) activity.
4)The patients who plan the enforcement of eye operations for evaluation eyes effective during 4) study period in (we assume the agreement acquisition study initiation).
5)one eyes are the patients of enucleation eyes or evisceration eyes.
6)For the group medicine of the planned drug (dropping lotion in the eyes anesthetic agent, fluorescein) to use during 6) study period, it is the patients with a history of the drug allergy.
7)The patients (saying that, however, the subjects who do not receive the study drug are possible) who participated in other studies or clinical studies within six months.
8)The patients whom a doctor judged as an object of this study in testing at pregnancy or 9 childbearing patients) agreement acquisition that we might be pregnant or hoped for pregnancy during study period or did not use appropriate contraception for if inadequate.
40
1st name | Atsushi |
Middle name | |
Last name | Hayashi |
University of Toyama
Department of Ophthalmology
9300194
Sugitani 2630, Toyama City, Toyama Prefecture
076-434-7363
ahayashi@med.u-toyama.ac.jp
1st name | Atsushi |
Middle name | |
Last name | Hayashi |
University of Toyama
Department of Ophthalmology
9300194
Sugitani 2630, Toyama City, Toyama Prefecture
+81-76-434-7363
ahayashi@med.u-toyama.ac.jp
Toyama University Hospital
Toyama University Hospital
Self funding
Takaoka city hospital, Nagasaki University Hospital, Toho University Omori Medical Center, Matsue Red Cross Hospital, Kochi Medical School Hospital, University of Occupational and Environmental Health, Yamagata University Hospital, Akita University Hospital, University of Fukui Hospital, The University of Tokyo Hospital, Oita University Hospital, Hiroshima University Hospital, Shimane University Hospital
Ethics Committee, University of Toyama
Sugitani 2630, Toyama City, Toyama Prefecture
076-434-2281
rinri@adm.u-toyama.ac.jp
NO
富山大学附属病院(富山県)、長崎大学病院(長崎県)、東邦大学医療センター大森病院(東京都)、秋田大学医学部付属病院(秋田県)、松江赤十字病院(島根県)、高知大学医学部附属病院(高知県)、山形大学医学部附属病院(山形県)、福井大学医学部附属病院(福井県)
2016 | Year | 03 | Month | 01 | Day |
Unpublished
Open public recruiting
2015 | Year | 10 | Month | 26 | Day |
2015 | Year | 10 | Month | 26 | Day |
2016 | Year | 04 | Month | 25 | Day |
2017 | Year | 04 | Month | 25 | Day |
2022 | Year | 03 | Month | 31 | Day |
2022 | Year | 04 | Month | 30 | Day |
2016 | Year | 03 | Month | 01 | Day |
2020 | Year | 07 | Month | 15 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000024541