Treatment of Corneal Wounds Emergencies During the COVID-19 Shutdown: Absorbable 10-0 Vicryl Sutures as a Valuable Strategy.
Study Details
Study Description
Brief Summary
Vicryl (polyglactin) 10-0 resorbable suture is rarely used, little known to ophthalmologists but may offer therapeutic and practical advantages in eligible cases of corneal trauma, particularly during a COVID-19 pandemic.
This has imposed new sanitary restrictions : limited access to the operating room in ophthalmology only for functional emergencies and a drastically reduced capacity for external consultations in favor of teleconsultation. The aim of this study is to evaluate the Vicryl 10-0 (polyglactin 910) resorbable monofilament suture in corneal trauma, rather than classic Nylon 10-0: structural and functional results, and adaptation of postoperative follow-up during a sanitary crisis period.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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corneal trauma sutured with Vicryl 10-0 monofilament corneal trauma sutured with Vicryl 10-0 monofilament will be included. They will have data collection of medical records. |
Other: data collection
Collection of clinical and paraclinical data during preoperative consultation Collection of clinical and paraclinical data during post-operative consultations Tele-consultation to determine if criteria for good healing / adherence, treatment tolerance / response to questions Remote follow-up 6 and 12 months after the trauma
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Outcome Measures
Primary Outcome Measures
- change visual acuity (Snellen scale) from baseline and 2, 6, 12 and 18 months after the intervention [Months: 0, 2, 6, 12, 18]
Collected in the medical record.
- change Visual acuity (Parinaud scale) from baseline and 2, 6, 12 and 18 months after the intervention [Months: 0, 2, 6, 12, 18]
Collected in the medical record.
Secondary Outcome Measures
- Astigmatism (diopter) [Months: 0, 2, 6, 12, 18]
Collected in the medical record. Measured by OCT-TOMEY-CASIA).
- Number of postoperative external consultations [Months: 0, 2, 6, 12, 18]
Collected in the medical record.
- Adverse events [Months: 0, 2, 6, 12, 18]
Collected in the medical record. All adverse events connecting to the eye surgery.
Eligibility Criteria
Criteria
Inclusion Criteria:
- Corneal penetrating injury and/or lamellar laceration
Exclusion Criteria:
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Corneal Penetrating injury trauma requiring necessarily ONLY Nylon 10-0
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Traumatism requiring necessarily a cryopreserved human amniotic membrane (for example)
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Traumatism eligible for biological glue (long-axis wound < 2 mm)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | CHU Saint-Etienne | Saint-Étienne | France |
Sponsors and Collaborators
- Centre Hospitalier Universitaire de Saint Etienne
Investigators
- Principal Investigator: Thibaut GARCIN, MD PhD, CHU de Saint-Etienne
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- IRBN202021/CHUSTE