Title
Clinical Trial on Anti-inflammatory Effect of Low-Molecular Weight Heparin in Pediatric Cataract Surgery
Randomized Clinical Trial Evaluating Anti-inflammatory Effect of Low Molecular-Weight Heparin in Pediatric Cataract and Intraocular Lens Surgery
Phase
Phase 4Lead Sponsor
Iladevi Cataract and IOL Research CenterStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
InflammationIntervention/Treatment
potassium chloride enoxaparin sodium acetate zinc dichloride sodium chloride magnesium ...Study Participants
23The purpose of this study is to determine if intraocular infusion of low-molecular weight heparin (enoxaparin) influences postoperative inflammation following pediatric cataract surgery with intraocular lens (IOL) implantation.
Despite advances in cataract surgery in children, postoperative inflammation is a significant complication following pediatric cataract surgery. Any drug that prevents or decreases this inflammation would be beneficial.
Heparin has anti-inflammatory and antiproliferative effects as well as anticoagulant properties. Several studies on animal and adult human eyes show that adding heparin to the irrigating solution during cataract surgery results in less disturbance of the blood-aqueous barrier and helps prevent posterior capsule opacification (PCO).
A prospective, randomized, controlled and masked study is mandatory to evaluate the anti-inflammatory effect of Low-molecular weight Heparin for pediatric cataract surgery
Enoxaparin 40 mg / 500 ml in Balanced Salt Solution
Intraocular infusion of Balanced Salt solution
Congenital Cataract Surgery with IOL implantation Intraocular infusion of Enoxaparin
Congenital Cataract Surgery with IOL implantation Intraocular infusion of Balanced Salt Solution
Inclusion Criteria: Children (0-15 years) with congenital cataract scheduled for surgery with IOL implantation and informed consent from the parents/legal guardian Exclusion Criteria: Preoperative: Associated ocular anomalies (uveitis, microphthalmos, persistent fetal vasculature, aniridia, glaucoma, iris coloboma), traumatic cataract Intraoperative: Inability to implant IOL in the capsular bag, intraoperative complications- iris trauma, vitreous disturbance, descemet's detachment