Randomized, Masked Comparison of Bromfenac and Besifloxacin BID With Either Prednisolone BID or Loteprednol 0.5% BID for Prevention of Retinal Thickening and CME Following Phacoemulsification

Study Overview
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Brief Summary
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The purpose of this study is to determine if Lotemax eye drops are at least as effective as Pred Forte eye drops, which are the standard of care after cataract surgery.

Detailed Description
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Prednisolone 1%, a topical steroid, is considered standard of care following cataract surgery to reduce inflammation. We aim to determine if Lotemax is at least as effective as Prednisolone. If so, these findings would demonstrate that physicians have other treatment options to consider.

Official Title
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Randomized, Masked Comparison of Bromfenac and Besifloxacin BID With Either Prednisolone BID or Loteprednol 0.5% BID for Prevention of Retinal Thickening and CME Following Phacoemulsification

Conditions
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Pseudophakia, Cataract Surgery

Intervention / Treatment
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* Drug: Pred Forte
* Drug: Lotemax


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male or female >18 years of age scheduled to undergo cataract surgery Patients with systemic diseases will be enrolled only if there are no ocular manifestations of their disease (e.g. diabetics with normal retinal exams) Expected visual outcome of BCVA (best corrected visual acuity)> 20/25 postoperatively, as determined by potential visual acuity testing and review of preoperative corneal topography and OCT (optical coherence tomography). Ability to provide informed consent, take study medications as directed, and likely to complete all study visits Exclusion Criteria: Known contraindication to any study medication or any of their components Required use of ocular medications other than the study medications during the study Evidence of macular disease (Epiretinal membrane, Vitreomacular traction syndrome, macular hole) on preoperative OCT (optical coherence tomography) Presence of significant dry macular degeneration that may impact postoperative visual results. History of retinal vein occlusion or diabetic macular edema, uveitis or any macular disease predisposing them to cystoid macular edema or prolonged intraocular inflammation. Posterior capsule rupture, Vitreous loss during surgery or any other complication that in the surgeon's opinion, could reduce potential for targeted visual outcome Anticipated need for mechanical iris dilating devices Presence of Epithelial Basement Membrane Dystrophy, significant dry eye, significant blepharitis, or any other corneal condition that may impact BCVA (best corrected visual acuity) postoperatively

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Pred Forte<br>Patients scheduled to undergo phacoemulsification will be randomized in a 1:1 schedule to receive Pred Forte BID for 4 weeks postop. All patients will receive Xibrom BID for one month and Besifloxacin BID for 7 to 10 days postop. | Drug: Pred Forte<br>* Pred Forte BID for 4 weeks postop<br>|
| Active Comparator: Lotemax<br>patients scheduled to undergo phacoemulsification will be randomized in a 1:1 schedule to receive Lotemax BID for 4 weeks postop. All patients will receive Xibrom BID for one month and Besifloxacin BID for 7 to 10 days postop. | Drug: Lotemax<br>* Lotemax BID for 4 weeks postop.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Prevention Of Retinal Thickening | OCT (optical coherence tomography) with macular thickening Incidence of CME ( cystoids macular edema) BCVA (best corrected visual acuity) UCVA (uncorrected visual acuity) Central corneal thickness | 1 Year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Prevention of Retinal Thickening and CME Following Phacoemulsification, Pseudophakia following cataract surgery