About this trial
We propose to evaluate the efficacy of treatment with Hydrocortisone and Dexamethasone (in a cross-over design) in patients with ocular prostheses and significant functional discomfort.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patient aged 18 years or older;
Wearing a permanent prosthesis for more than 6 months; - Consultant in the ophthalmology department;
Modified OSDI score ≥ 20 points out of 40 ;
Affiliated with a health insurance scheme,
Disqualifiers
Treatment with eye drop(s) (other than artificial tears or antiseptic) < 1 month;
Concomitant treatment with CYP3A inhibitors including cobicistat containing drugs,
Known contraindications to study treatments
Dermal fat grafting or complicated cavity;
Trial design
Crossover
Treatments tested in this trial
Hydrocortisone
Drug1 drops 4 times a day
Dexamethasone
Drug1 drops 4 times a day
Povidone
Other intervention1 drops 4 times a day
Treatment groups
Trial outcomes
Primary outcomes
Secretion Self-Rating Analog Scale score.
The overall score is analysed as the primary endpoint. Each sub-score is analysed independently in the secondary endpoints. This 40 point score is calculated as the sum of 4 criteria, each scored on 10 points. Analog scale from 1 to 10 on the frequency of secretions (from never to all the time) Analog scale from 1 to 10 on the colour of secretions (from clear to yellow) Analog scale from 1 to 10 on the quantity of secretions (from minimal to profuse) Analog scale from 1 to 10 on the viscosity of secretions (from liquid to very thick)
Secretion Self-Rating Analog Scale score.
The overall score is analysed as the primary endpoint. Each sub-score is analysed independently in the secondary endpoints. This 40-point score is calculated as the sum of 4 criteria, each scored on 10 points. Analog scale from 1 to 10 on the frequency of secretions (from never to all the time) Analog scale from 1 to 10 on the colour of secretions (from clear to yellow) Analog scale from 1 to 10 on the quantity of secretions (from minimal to profuse) Analog scale from 1 to 10 on the viscosity of secretions (from liquid to very thick)
Secretion Self-Rating Analog Scale score.
The overall score is analysed as the primary endpoint. Each sub-score is analysed independently in the secondary endpoints. This 40-point score is calculated as the sum of 4 criteria, each scored on 10 points. Analog scale from 1 to 10 on the frequency of secretions (from never to all the time) Analog scale from 1 to 10 on the colour of secretions (from clear to yellow) Analog scale from 1 to 10 on the quantity of secretions (from minimal to profuse) Analog scale from 1 to 10 on the viscosity of secretions (from liquid to very thick)
Secretion Self-Rating Analog Scale score.
The overall score is analysed as the primary endpoint. Each sub-score is analysed independently in the secondary endpoints. This 40-point score is calculated as the sum of 4 criteria, each scored on 10 points. Analog scale from 1 to 10 on the frequency of secretions (from never to all the time) Analog scale from 1 to 10 on the colour of secretions (from clear to yellow) Analog scale from 1 to 10 on the quantity of secretions (from minimal to profuse) Analog scale from 1 to 10 on the viscosity of secretions (from liquid to very thick)
Secondary outcomes
Bulbar conjunctival inflammation score
Bulbar conjunctival inflammation score according to the grades of Saini et al. (Grade 1 to 3 : from normal to severe)
Bulbar conjunctival inflammation score
Bulbar conjunctival inflammation score according to the grades of Saini et al. (Grade 1 to 3 : from normal to severe)
Bulbar conjunctival inflammation score
Bulbar conjunctival inflammation score according to the grades of Saini et al. (Grade 1 to 3 : from normal to severe)
Bulbar conjunctival inflammation score
Bulbar conjunctival inflammation score according to the grades of Saini et al. (Grade 1 to 3 : from normal to severe)
Sponsors and contacts
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Agnes
Lead sponsor
Rennes University Hospital
Sponsor institution
Direction Générale de l'Offre de Soins
Collaborator
Laboratoires Thea
Collaborator