Status:

COMPLETED

Topical Insulin - Utility and Results in Neurotrophic Keratopathy in Stages 2 and 3

Lead Sponsor:

Centro Hospitalar de Vila Nova de Gaia/Espinho, E.P.E.

Conditions:

Corneal Ulcer

Corneal Perforation

Eligibility:

All Genders

Brief Summary

Purpose: To evaluate the clinical outcome of patients with refractory Neurotrophic Keratopathy (NK) in stages 2 and 3 treated with topical insulin. Methods: A retrospective, observational analysis of...

Detailed Description

Study type Retrospective, observational, single-center study at the Department of Ophthalmology of Centro Hospitalar Vila Nova de Gaia e Espinho, EPE. Data was obtained from patients' medical record...

Eligibility Criteria

Inclusion

  • Inclusion criteria included:
  • • Eyes with established diagnosis of NK in stages 2 or 3 refractory to standard treatment\* that underwent topical insulin treatment.
  • The diagnosis of NK was based on the following criteria:
  • Decreased or absence of corneal sensation; AND
  • Corneal injury \[PED and/or corneal ulcer\] refractory to standard treatment\*; AND
  • Clinical history of conditions related to trigeminal innervation impairment;
  • Standard treatment - lubrication with artificial tears, topical and/or oral antibiotics, topical and/or oral steroids, antiviral drugs, punctal plugs, therapeutic CL, amniotic membrane surgery and temporary tarsorrhaphy.´
  • We excluded every patient with corneal ulcer and signs of infection.

Exclusion

    Key Trial Info

    Start Date :

    October 1 2018

    Trial Type :

    OBSERVATIONAL

    Allocation :

    ACTUAL

    End Date :

    November 1 2020

    Estimated Enrollment :

    20 Patients enrolled

    Trial Details

    Trial ID

    NCT04820010

    Start Date

    October 1 2018

    End Date

    November 1 2020

    Last Update

    April 27 2021

    Active Locations (1)

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    Centro Hospitalar Vila Nova de Gaia e Espinho

    Vila Nova de Gaia, Portugal