Official Title
Use of Intravitreal Triamcinolone and Retrobulbar Chlorpromazine as Alternatives to the Management of Painful Blind Eye
Phase
N/ALead Sponsor
Hospital Governador Celso RamosStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Blind Painful Eye Refractory Glaucoma Control of Pain Through Drug InjectionIntervention/Treatment
chlorpromazine triamcinolone ...Study Participants
36The purpose of this study is to evaluate the efficacy of intravitreal triamcinolone and retrobulbar chlorpromazine as alternatives in the management of ocular pain in blind eyes.
The management of chronic eye pain is a constant challenge to ophthalmology. Treatment varies with the intensity of pain, and topical eye drops and contact lens therapy are effective in many patients. In refractory cases, and without vision, surgical removal of the eye through enucleation is considered classical therapy. As less invasive alternatives we have cyclodestruction and neurolytic drug injection in order to promote analgesia for a prolonged period.
The purpose of this study is to evaluate the efficacy of intravitreal triamcinolone and retrobulbar chlorpromazine as alternatives in the management of This is a prospective study of patients with blind painful eyes not responsive to topical treatment and with no indication for evisceration seen at the Department of Ophthalmology, Hospital Governador Celso Ramos (HGCR) in 2010.
0,3mL intravitreal injection of Triamcinolone, single dose
2,5mL Chlorpromazine retrobulbar injection, single dose
Patients with phthisis bulbi received 0,3ml intravitreal triamcinolone injection
Patients with refractory glaucoma and blind painful eye were submitted to 2,5mL Chlorpromazine retrobulbar injection
Inclusion Criteria: patients treated in the period at HGCR who wanted to be part of the protocol by signing the consent form Exclusion Criteria: patients whose follow-up period was less than three months