Local Triamcinolone Injection in Active Thyroid Orbitopathy
Study Details
Study Description
Brief Summary
Comparing the effectiveness of subconjunctival and peribulbar Triamcinolone injection to systemic Steroid therapy for patients with active thyroid orbitopathy.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
N/A |
Detailed Description
Local Steroid treatment may help in active thyroid orbitopathy. till today, systemic Steroids are the treatment for active thyroid orbitopathy which is associated with systemic adverse effects.
In this study the investigators want to compare the effectiveness of local Triamcinolone therapy for active thyroid orbitopathy.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Triamcinolone
|
Drug: Triamcinolone
Subconjunctival and peribulbar, 40 mg/ml, 3 monthly injection
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Comparing the effectiveness of subconjunctival and peribulbar Triamcinolone injection to systemic Steroid therapy for patients with active thyroid orbitopathy . [6 months]
Every month, each participant will undergo several tests : blood sugar, full ocular examination, color test, visual field and ultrasound test for measuring the thickness of extraocular muscles.Clinical activity score for thyroid orbitopathy will be assesed too. The results of the clinical and ultrasonogrophic findings will determine the effectiveness of the treatment. A patient with deterioration of thyroid orbitopathy during the research, will be treated by systemic Steroids in addition to the local injections.
Secondary Outcome Measures
- To check if the level of TSH Receptor antibodies are affected by the local injection. [4 months]
A blood test for TSH Receptor antibodies will be taken for every patient at the beginnig of the research and after 4 months.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Age>18 years.
-
Active thyroid orbitopathy according to clinical activity score>=3.
Exclusion Criteria:
-
Intraorbital or active infections.
-
Tuberculosis.
-
Other orbital disease.
-
Pregnancy.
-
Compressive optic neuropathy.
-
Systemic steroid therapy within 6 months of study start.
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- HaEmek Medical Center, Israel
Investigators
- Study Chair: Daniel Briscoe, MD, haemek medical center
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- EMC119710ctil